Patient's question:
Pregnant for 73 days, with pale yellow leukorrhea, creamy clumps, initial external itching followed by redness, pain, and serous-like discharge. Excruciating pain! Laboratory tests show positive for mold. How can it be treated without affecting the fetus?First follow-up question: It's quite severe, and soda water washing hasn't been very effective. Are there any medications that can be used?
Doctor's answer:
Hello, first of all, it is important to emphasize that the treatment for candidal vulvovaginitis in pregnant women must be thorough and should not be stopped as soon as symptoms improve. Generally, a course of treatment lasts 10-14 days, followed by a 7-day follow-up. Symptoms should disappear after 2 weeks, and a third follow-up is required to confirm that the candidiasis has been cured before the treatment can be completed.You can use a 2%-3% soda solution (Jieryin) to clean the external genitalia and vagina. Change your underwear daily and wash it together with your towels and basin. After cleaning as described, gently dry the external genitalia and place a nystatin suppository, miconazole, or clotrimazole suppository deep into the vagina, using it every night before bed.
After the treatment is fully completed, natural delivery is possible. However, if the treatment cannot be completed due to other reasons or if the pregnant woman cannot undergo treatment for other reasons, it is best to recommend a cesarean section.