Patient's question:
Detailed medical condition and consultation purpose: I have some abdominal pain and mild vulvar itching, so I went to the gynecology department for a check-up. The vaginal discharge test results were as follows:Cleanliness: 3
pH: 5.5
Epithelial cells: ++
White blood cells: +
Leukocyte cells: +
Mold hyphae: +
No abnormalities were found in the other tests.
The doctor said I have candidiasis (yeast infection) and prescribed me medication for over 200 yuan. However, after researching online, I found that the symptoms of candidiasis do not match my own condition very well—I don’t have symptoms like cottage cheese-like discharge. Some friends who saw the results also said it’s just inflammation and not necessarily candidiasis.
Doctor's answer:
Hello: Your condition should be classified as symptoms of candidal vulvovaginitis. First, it is necessary to eliminate the causes that lead to recurrent 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 resumption after the menstrual period ends. Oral Sporanox should be taken at 200 mg per dose, once daily after meals, for three consecutive days. This treatment should be maintained for 1 to 2 months.