Patient's question:
Hello, I had a fungal vaginal infection last summer, and after it was cured, it recurred this summer. I used baking soda rinses and medications like metronidazole and Fuzhunsha effervescent tablets. Now the itching has stopped, and there are no other discomforts, but there is a strange odor down there. What could be the reason, and how should it be treated? Thank you!Doctor's answer:
Hello: That means your condition has not been completely treated.Candidal vulvovaginitis is a vaginal infection caused by the fungus Candida albicans. It has a high incidence rate and is prone to recurrence, making it a common gynecological disease. Candida thrives in acidic environments. It commonly colonizes the human vagina, mouth, and intestines, leading to mutual infection.
The risk factors for candidal vulvovaginitis include:
1. Transmission through sexual intercourse.
2. Recent use of broad-spectrum antibiotics, leading to vaginal flora imbalance and favoring Candida growth.
3. Use of corticosteroids, immunosuppressants, or patients with autoimmune diseases are prone to Candida infection.
4. During pregnancy, the carrier rate or infection rate of Candida in the vagina significantly increases.
5. Coexisting diabetes.
6. Oral contraceptive use.
7. Wearing tight nylon pants, etc.
The clinical manifestations of candidal vulvovaginitis are primarily external genital itching and changes in the amount and characteristics of vaginal discharge. Diagnosis relies on medical history, physical examination, and laboratory tests, and should be differentiated from trichomoniasis, nonspecific vaginitis, and mycoplasma or chlamydia infections.
Treatment commonly involves cleaning the external genitalia and vagina with a solution of 2% sodium bicarbonate, followed by local application of antifungal medications such as Daxin or Daktarin. In recent years, incomplete treatment or deep tissue vaginal infection has led to recurrence. For recurrent vulvovaginitis, oral medication is highly effective for prevention. Commonly used antifungal drugs include fluconazole and spiramycin, taken orally every 2–4 weeks for 3–6 months, which can completely control symptoms. Monthly premenstrual follow-ups are recommended, and three consecutive negative results indicate cure. During treatment, sexual intercourse should be avoided, and both partners should be treated simultaneously.