Patient's question:
Hello!I just found out I have candidiasis and, under the guidance of a doctor, I have been taking fluconazole, soda solution for rinsing, and Daktarin suppositories. This is the fourth day of medication. I heard that this condition is prone to recurrence. I would like to know how to prevent it from recurring, what precautions to take, whether underwear and pants need to be disinfected daily, and whether my husband also needs treatment and how he should be treated. Thank you!
Doctor's answer:
Candidiasis is primarily caused by Candida albicans. The main symptoms include vaginal mucosal congestion, erosion, and a white membrane coating the surface. The discharge is white or yellowish, resembling curd, accompanied by itching or mild burning sensation. During the acute phase, the discharge increases, becoming thick and white or curd-like. Local medication, such as miconazole suppositories (200mg nightly for 7 days) or clotrimazole suppositories (150mg nightly for 7 days), can be used. Before local medication, a 2%-4% sodium bicarbonate solution may be used to rinse the vagina. Systemic medication options include fluconazole (150mg as a single dose) or ketoconazole (200-400mg per dose, taken orally for 5 days). The specific treatment should be determined based on your symptoms, physical examination, and relevant auxiliary tests. Additionally, when experiencing external genital itching, avoid using hot water for washing, change and wash underwear frequently, and maintain cleanliness and dryness of the external genital area. Used underwear should be boiled before washing.