Patient's question:
Detailed medical condition and consultation purpose: I have had vulvar itching for a long time. Although no yeast or trichomoniasis was found, I have been treated for yeast infection but it hasn't improved and the itching has worsened. Recently, I had a check-up and the mycoplasma test came back positive. What is going on? How should it be treated?First follow-up question: Doctor, can you please elaborate on the treatment measures?
Doctor's answer:
Hello, I don't know your specific symptoms, but the symptoms are generally external genital itching, abnormal secretion or increased leukorrhea with a cheese-like appearance. However, for treatment, it is recommended to first undergo a check-up. If it is confirmed to be candidiasis, medication such as nystatin tablets or miconazole suppositories should be used in the vagina before bedtime. If there is external genital itching, it may be a sign of vulvitis, and it is recommended to use solutions like sodium bicarbonate or Jie'eryin to clean the external genital area. After cleaning, topical medications such as Daktarin cream can be applied for treatment. Generally, a course of treatment lasts 7 days, followed by a follow-up after 7 days. Additionally, it is important to undergo a third check-up for candidiasis 2 weeks after the symptoms disappear. Treatment can only be considered complete upon recovery. It is also important to disinfect your underwear, bath towels, etc., with high temperatures (boiling with water). During treatment, it is crucial to avoid sexual activity to prevent cross-infection. Also, pay attention to increasing exercise, maintaining adequate sleep and rest, and improving your overall health to prevent recurrence.