Patient's question:
I have had candidiasis for three years. During these three years, I have been continuously treated, but it hasn't improved at all. I have used all the medications that are supposed to help, and I really don't know what to do anymore. Please give me a reply, thank you! At the same time, my partner has also been treated, but I still test positive for yeast every time.Doctor's answer:
Hello: This condition is very stubborn and prone to recurrence. Treatment should be standardized and cover the entire course. Use condoms during sexual activity to prevent cross-infection. If diagnosed with candidal vaginitis, a 2%–4% soda solution can be used daily to rinse the external genitalia and vagina or for sitz baths, with a 10-day course to alter the pH and create conditions unfavorable for the growth of Candida. Then, nystatin can be used, such as in powder, tablet, suppository, or ointment form, 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 genitalia can be treated with 3% miconazole ointment for better results. Due to the stubbornness and recurrence of this condition, local treatment is generally preferred. Oral nystatin tablets (500,000–1,000,000 units) can also be taken three times daily, with a 7–10-day course, followed by a recheck. A cure is considered confirmed only if three consecutive negative results are obtained.Things to pay attention to in daily life:
1. Ensure proper disinfection and maintain cleanliness and dryness of the external genitalia.
2. Wear loose, breathable underwear to avoid irritation to the skin of the external genitalia, which may worsen symptoms. Change underwear frequently, and boil underwear, bowls, towels, etc., for disinfection to prevent reinfection.
3. Adhering to standardized medication is key to treating this condition. During treatment, both partners in a marriage should take medication simultaneously, and use condoms during sexual activity to prevent cross-infection.
4. Choose bedtime for medication to facilitate full decomposition and absorption of the drug.
5. Since candidal vaginitis often recurs after menstruation, even when treatment and examination results are negative, a recheck should still be performed after menstruation. Three or more consecutive negative results are required to consider the condition cured.