Patient's question:
Doctor:Age:
Detailed medical condition and consultation purpose: Hello, I have been experiencing recurrent candidal vulvovaginitis every 2-3 months. Could this type of inflammation affect future fertility? Additionally, what are the possible causes of this inflammation? Please advise! This issue is very troubling me. Since February of this year, the condition has been treated for a month without any discomfort, but it always returns by the third month.
Onset of the current illness and duration: Recurred on 05.11.12. Was prescribed oral fluconazole (2 boxes), candidal ointment (1 box), and sodium bicarbonate.
Medical history: Since 20
Doctor's answer:
Hello, candidiasis (vaginal yeast infection) is a vaginal infection caused by the fungus Candida albicans. It has a high incidence rate and is prone to recurrence, making it a common gynecological condition. Yeasts thrive in acidic environments and are commonly found in the human vagina, mouth, and intestines, leading to mutual infections.The risk factors for candidiasis include:
1. Transmission through sexual intercourse.
2. Recent use of broad-spectrum antibiotics, which disrupt vaginal flora and favor yeast growth.
3. Use of corticosteroids, immunosuppressants, or patients with autoimmune diseases are more susceptible to yeast infections.
4. During pregnancy, the presence of yeast carriers or infection rates in the vagina significantly increase.
5. Coexisting diabetes.
6. Oral contraceptive use.
7. Wearing tight nylon pants, etc.
The clinical manifestations of candidiasis primarily include vulvar itching and changes in the quantity and characteristics of vaginal discharge. Diagnosis relies on medical history, physical examination, and laboratory tests, and should be differentiated from trichomoniasis, non-specific vaginitis, and infections caused by Mycoplasma and Chlamydia.
Treatment commonly involves using Jieshu liquid, cleaning the vulva and vagina with a 2% sodium bicarbonate solution, and applying local antifungal medications such as Daxin or Daking. In recent years, incomplete treatment or deep vaginal tissue infections have led to higher recurrence rates. For recurrent vaginitis, oral medications are highly effective for prevention. Common antifungal drugs include fluconazole and spiramycin, taken orally every 2–4 weeks for 3–6 months to fully control symptoms. Monthly premenstrual follow-ups are recommended, and three consecutive negative results indicate cure. During treatment, sexual intercourse should be avoided, and both partners should be treated simultaneously.