Patient's question:
Description of the condition: How to treat vaginitis, is medication better or topical treatment? Previous treatment history and effectiveness: Previously used suppositories and took medication, and it has recurred. Desired help: How to treat vaginitis?Doctor's answer:
All cases of candidal vaginitis should be treated by both partners. Continuous treatment should be maintained for three menstrual cycles. Normal vaginal discharge should be confirmed three times—once before and once after menstruation—before the condition is considered cured. Underwear, bed sheets, and other items should be exposed to sunlight and boiled for disinfection to prevent recurrence. A 2% to 4% baking soda solution can be used to rinse the vagina once or twice daily, with two weeks constituting one course of treatment.Vaginal medication: Clotrimazole suppositories, one suppository per night, inserted into the vagina after rinsing. A 10- to 14-day course is recommended. Alternatively, Daktar suppositories, one suppository per night, can be used after rinsing, with a 7-day course.
Clotrimazole cream or Daktar cream applied externally can treat vulvitis caused by fungal infection, alleviating symptoms such as itching and pain.
Since fungal infections can be transmitted between partners through sexual activity, both individuals may take a single dose of fluconazole, 150 mg orally.