Patient's question:
Detailed medical condition and consultation purpose: A netizen told me: If it recurs frequently, you can take fluconazole orally. For the first five days, take one pill once a day, and then take one pill every half month or month. Continue for three months or six months. Is this plan feasible? Can it cure candidiasis vaginitis? Can the human body tolerate the side effects of long-term and large-dose use of this medication?Duration and persistence of the current illness: Suffering from candidiasis vaginitis for 12 years
Current general condition: Still not cured
First follow-up question: The treatment plan proposed by the doctor, I have been taking it for ten
Doctor's answer:
Hello: Antifungal vaginal infections are primarily treated with topical medications, but the recurrence rate of this condition is extremely high. Therefore, treating both partners and adhering to the full course of treatment is crucial. A 2%–4% baking soda solution can be used daily for external genital and vaginal or sitz baths, with a 10-day course to alter the pH and create conditions unfavorable for yeast survival. Subsequently, Nystatin can be selected, such as powder, tablets, suppositories, or creams, to be inserted into the vagina or applied locally. The dosage is 100,000–200,000 units per time, once nightly, with a 10–14-day course. The external genital area can be treated with 3% miconazole cream for better results. Due to the stubborn nature and high recurrence rate of this condition, local treatment is generally preferred. Alternatively, Nystatin tablets can be taken orally, with a dosage of 500,000–1,000,000 units, three times daily, for a 7–10-day course. Follow-up is then required, and the condition is considered cured only after three consecutive negative results.