Patient's question:
Previously, my menstrual cycle was very regular, but now I basically have two periods a month, and each time the amount is very little. It has been about three or four months like this. I just got married, and it's only after the marriage that my cycle became irregular. Besides the irregular cycle and the low flow, I haven't experienced any other discomfort symptoms. I also haven't been under a lot of stress. However, I recently found out that I have candidal vaginitis. I'm seeking help!Additional question: I turned 22 after the New Year. I went to the hospital a few weeks ago and was diagnosed with candidal vaginitis. They prescribed medication, and now it has been cured, but my menstrual issue hasn't been resolved. I don't know what's going on.
Doctor's answer:
Hello: The treatment of candidal vulvovaginitis can be achieved through either pure Western medicine or a combination of Chinese and Western medicine.(1) General treatment: Actively treat other diseases that can cause candidal vulvovaginitis and eliminate predisposing factors. Maintain cleanliness and dryness of the external genitalia, avoiding scratching. Abstain from sexual activity during treatment. Avoid spicy and irritating foods.
(2) Changing the vaginal pH: The optimal pH value for the growth of Candida is 5.5. Therefore, rinsing the external genitalia and vagina with alkaline solutions to alter the vaginal pH can inhibit the growth and reproduction of Candida. A 2%–4% baking soda solution can be used to rinse the vagina once or twice daily, with 2 weeks constituting one course of treatment. After rinsing, dry the external genitalia to maintain dryness and inhibit the growth of Candida.
(3) Vaginal medication: Using imidazole ointments for vaginal medication is highly effective for candidal vulvovaginitis. Clotrimazole ointment, one suppository per night, is inserted into the vagina after rinsing, with 10–14 days constituting one course of treatment; or Daktar ointment, one suppository per night, is applied to the vagina after rinsing, with 7 days constituting one course of treatment.
(4) External ointments: Applying clotrimazole cream or Daktar cream externally can treat vulvitis caused by fungal infection, alleviating symptoms such as itching and pain in the external genitalia. Apply externally several times daily and use for 2 weeks. Eucerin cream, with econazole as the main ingredient and a small amount of topical steroid treatment agent, provides excellent anti-itch effects and is particularly suitable for those with severe itching from candidal vulvovaginitis or vaginal candidiasis. Apply externally twice daily.
(5) Oral medication: Since fungal infection can be transmitted through sexu