Patient's question:
I previously went to the hospital for a check-up and was diagnosed with candidal vulvovaginitis. I am currently undergoing treatment. I had vaginal cleansing and medication for four days at the hospital, and it happened to coincide with my menstrual period. However, this month's period only lasted for three days, whereas it used to last for 5–6 days. I want to ask, why is this happening? Is it because of the medication I used on my vagina for four days?Doctor's answer:
Hello: Your condition is not highly inflammatory, and it may be a reaction after medication. However, it is still essential to actively use medication for treatment! Treatment principles1. Local treatment: Suitable for some types of cutaneous and mucosal candidiasis. Clotrimazole cream or propylene glycol solution, 2–3 times daily, for 1–2 weeks. Nystatin ointment or solution, 2–3 times daily, for 1–2 weeks. Clotrimazole or nystatin vaginal tablets, 1 tablet nightly, for 1–2 weeks.
2. Systemic treatment: Fluconazole is the first choice for treating oral and esophageal candidiasis. After the initial dose, 100 mg/day for 2–3 weeks; for vaginal candidiasis, 150 mg is taken as a single dose. If it is recurrent, 150 mg/day for 3 days. Before each menstrual period, 150 mg is taken for several months. For systemic infections, the initial dose is 400 mg, followed by oral or intravenous administration, with the course determined by the condition. In cases of poor renal function, the dose should be adjusted based on creatinine clearance. The standard dose of itraconazole is 100–200 mg/day.