Patient's question:
I have been experiencing vaginal itching frequently in recent days, pain during intercourse, and a significant amount of discharge that resembles cottage cheese, along with a foul odor. I had a vaginal discharge test done at the hospital, and the results showed candidiasis (yeast infection). I purchased some nystatin suppositories to use, and after a few days, the symptoms.What kind of help do I need: What are the early symptoms of candidiasis (yeast infection)?
Doctor's answer:
The main manifestations of candidal vulvovaginitis are vulvar itching, burning pain, dyspareunia, and dysuria, with some patients experiencing increased vaginal discharge. The characteristic of dysuria is pain caused by urine stimulating the swollen vulva and vestibule during urination. The discharge consists of desquamated epithelial cells, hyphae, yeasts, and pseudohyphae, and is characterized as white, thick, and curd-like or cottage cheese-like. Gynecological examination reveals vulvar erythema and edema, often accompanied by scratch marks, with severe cases showing skin cracking and epidermal desquamation. The vaginal mucosa appears red and swollen, with white patches attached to the inner side of the labia minora and vaginal mucosa. After removal, a red and swollen mucosal surface is exposed, and during acute phases, erosion and superficial ulcers may also be observed. Currently, based on its prevalence, clinical manifestations, microbiology, and host conditions, it is classified as simple vulvovaginal candidiasis or complex vulvovaginal candidiasis.