Does candidiasis require medication?

Patient's question:

Doctor, I had a test and it was found to be candidiasis of the vagina. I was prescribed a solution for washing and Daktarin. I used it for 5 days, and now my period has come. Do I still need to wash with this solution and insert this medicine? When should I use it? Is it that once the Daktarin is finished, I don't need to wash with the solution anymore?
Also, I always take emergency contraception pills. Now my period is very light. Is this normal? Will it return to normal?

Doctor's answer:

Hello, after suffering from candidal vulvovaginitis, the patient is both a source of infection and a victim. Therefore, the patient needs to actively treat the condition while also preventing the spread of the infection to others.
(1) Candidal vulvovaginitis is a common and frequently occurring disease among women. Patients should not feel any psychological burden and should not use medication indiscriminately. Instead, they should take medication under the guidance of a doctor, undergo regular follow-ups, and complete the full course of treatment to ensure a cure. It is crucial not to give up halfway.
(2) Identify the cause of the condition to reduce the likelihood of recurrence or reinfection. Use antibiotics reasonably.
(3) Maintain cleanliness and dryness of the external genital area, and avoid scratching it as much as possible. When washing daily, use lukewarm water rather than hot water to prevent damaging the skin of the external genital area. Change underwear daily, and wash your own underwear separately. Boiling can be used to disinfect towels, underwear, and containers. Avoid wearing synthetic underwear. Wash your hands before and after using the toilet.
(4) Avoid sexual activity during the illness, especially during the acute phase. If sexual relations occur, use condoms to prevent transmission to others. Both partners should receive treatment simultaneously.
(5) Adjust your diet to include more vitamin-rich foods. During the illness, try to reduce the intake of beef, lamb, and spicy foods to avoid worsening the itching symptoms.
Generally, taking birth control pills may lead to reduced menstrual flow, so it is recommended not to take them long-term.

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