Patient's question:
I have a lot of leukorrhea and had a previous case of candidal vaginitis. I experienced pain during intercourse. There was still some bleeding 7 days after my period ended. On December 1, I started experiencing frequent urination, abdominal discomfort, and pain. During this time, I only took Sanjin tablets. On December 10, I went to the hospital for a urine test, which showed RBC 15-20, WBC 6-8, and epithelial cells 20-30. The doctor said I had vaginitis, but it was only visible through the speculum. The rest indicated a urinary tract infection. I was given ciprofloxacin and tinidazole for 5 days, and the symptoms disappeared.After stopping the medication, my period arrived, so I didn’t follow up for a checkup. On December 25, I went to the hospital for another urine test, which showed RBC 6-8 and WBC 4-5.
Doctor's answer:
Hello: You have both vaginitis and urinary tract infection, so it is important to actively treat them. The key is that vaginitis is quite stubborn and prone to recurrence. Here are some things to pay attention to:1. Pay attention to disinfection and keep the external genital area clean and dry.
2. Wear loose, breathable underwear to avoid irritating the skin of the external genital area and worsening symptoms. Change underwear frequently, and boil underwear, basins, towels, etc. for disinfection to prevent re-infection.
3. Adhering to standardized medication is the key to treating this condition. During treatment, both married couples should take medication simultaneously, and use condoms during sexual activity to prevent cross-infection.
4. Choose bedtime for medication to allow the drug to fully dissolve and absorb.
5. Since candidal vaginitis often recurs after menstruation, even if the treatment and examination results are negative, it is still necessary to re-examine after menstruation. Three consecutive negative results are required to consider it cured.
If diagnosed with candidal vaginitis, you can use a 2%–4% soda solution to rinse the external genital area and vagina daily or take a sit bath. A 10-day course is recommended to alter the pH and create conditions unfavorable for the survival of the fungus. Then, use nystatin, such as powder, tablets, suppositories, or ointment, to insert into the vagina or apply locally. The dosage is 10–20 million units per time, once at night. A 10–14-day course is recommended. The external genital area can also be treated with 3% miconazole ointment for better results.
Since this condition is stubborn and prone to recurrence, local treatment is generally the primary approach. Alternatively, oral nystatin tablets can be taken at a dose of 5–10 million units three times daily, with a 7–10-day course. After treatment, re-examination is necessary, and three consecutive negative results are required to consider it cured.