Patient's question:
Doctor! Hello! So, I wanted to ask, I currently have candidal vulvovaginitis, and the doctor prescribed Daktarin suppositories, saying that I need to use a wash solution before applying the medication. I heard that using the wash solution frequently is not good for the vagina, but it's necessary before applying the medication. I want to know if this will be harmful. Can I use wash solutions like Fuyanjie? Can you recommend some good wash solutions that have fewer side effects? If I don't use a wash solution, can I just rinse with plain water before applying the medication?Doctor's answer:
The treatment of recurrent candidal vulvovaginitis first requires eliminating the causes that lead to repeated vaginal candidal infections, while extending the treatment duration and using multiple treatment methods simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be performed throughout the menstrual cycle, with medication cessation during menstruation and resuming treatment after menstruation ends. Oral itraconazole, 200 mg once daily after meals, for 3 consecutive days. Such treatment should be maintained for 1 to 2 months.