Patient's question:
Doctor, today I went to the hospital for a check-up, and the doctor said I have candidiasis and mild cervical erosion. They also made me do a biopsy, but I didn't think much of it. Just to feel at ease, I went ahead with it, and it was quite expensive. Is it really necessary?During medication, should I avoid sleeping in the same bed? The doctor said candidiasis requires both partners to be treated. What department should men go to for a check-up? If I recover after follow-up, how can the two of us better prevent recurrence in the future? The doctor said underwear should be boiled and exposed to sunlight, but my house faces north, so I can't expose them to the sun. I'll use boiling water to wash my underwear.
Doctor's answer:
Hello: It is extremely necessary for the hospital to examine you!! You must first trust your doctor! Candidal vulvovaginitis 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 disease. Candida thrives in acidic environments and commonly colonizes the human vagina, mouth, and intestines, leading to mutual infection. The risk factors for candidal vulvovaginitis include:1. Transmission through sexual intercourse.
2. Recent use of broad-spectrum antibiotics, leading to vaginal flora imbalance and favoring Candida growth.
3. Use of corticosteroids, immunosuppressants, or patients with autoimmune diseases are prone to concurrent Candida infection.
4. During pregnancy, the vaginal carriage rate and infection rate of Candida significantly increase.
5. Coexisting diabetes.
6. Oral contraceptive use.
7. Wearing tight nylon pants, etc.
The clinical manifestations of candidal vulvovaginitis primarily include vulvar itching and changes in the amount and characteristics of vaginal discharge. Diagnosis relies on medical history, physical examination, and laboratory tests, and should be differentiated from trichomoniasis, nonspecific vaginitis, and infections caused by Mycoplasma and Chlamydia.
Treatment commonly involves using Jieshu liquid, cleaning the vulva and vagina with 2% sodium bicarbonate solution, and locally applying antifungal medications such as Daxin or Daking. In recent years, incomplete treatment or deep tissue vaginal infection has been known to cause recurrence. For recurrent vulvovaginitis, oral medication is highly effective for prevention. Commonly used antifungal drugs include fluconazole and Sporanox, taken orally every 2–4 weeks for 3–6 months, which can completely 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.