Patient's question:
How is Candida vaginitis formed??Doctor's answer:
Hello: It is a yeast infection, and the most common symptoms of candidal vaginitis are external genital itching and a significant increase in vaginal discharge. The itching in patients can be mild or severe, intermittent, and stop and start. The itching caused by candidal vaginitis is generally more pronounced than that caused by trichomoniasis. Severe itching can make it difficult for patients to sit or lie down, causing restlessness and disturbed sleep and appetite. Patients may also experience a burning sensation in the vagina, which is particularly noticeable during urination. When the inflammation is more severe, symptoms such as frequent urination, painful urination, and pain during intercourse may also occur. An increased amount of vaginal discharge is another main symptom of this condition. The discharge is usually viscous and can be white or yellow, or sometimes thin. The typical discharge of candidal vaginitis is curd-like or creamy in consistency. During gynecological examinations, depending on the severity of the condition, the labia minora and vaginal mucosa may show varying degrees of congestion, and the labia minora may be swollen. The vagina may contain a significant amount of viscous white discharge, or the vaginal mucosa may be covered with a white membrane. When the membrane is wiped away, the exposed mucosa appears red, swollen, and eroded, or may have superficial ulcers.If it is diagnosed as candidal vaginitis, a 2%–4% soda solution can be used to rinse the external genitalia and vagina daily or for sitz baths, with a 10-day course, to alter the pH and create conditions unfavorable for yeast survival. Then, an antifungal medication such as nystatin powder, tablets, suppositories, or cream can be inserted into the vagina or applied locally, with a dosage of 100,000–200,000 units per time, once daily, for a 10–14-day course. A 3% miconazole cream can also be applied to the external genitalia for better results. Since this condition is stubborn and prone to recurrence, local treatment is generally preferred. Alternatively, oral nystatin tablets can be taken, with a dosage of 500,000–1,000,000 units per time, three times daily, for a 7–10-day course, followed by a follow-up examination. A negative result for three consecutive tests is required to consider the condition cured.