Patient's question:
Okay, here is the translation following your instructions:Go to the Provincial Traditional Chinese Medicine Hospital for a follow-up check-up. The gynecological exam results were BV negative, Candida negative, and Trichomonas negative. The vaginal cleanliness was degree 3. At that time, there was also mild vaginal itching.
Doctor's answer:
Recurrent resistant candidal vulvovaginitis. After treatment, pay attention to the following points:1. After onset, first use antifungal vaginal medication. Oral antifungal medication may be added if necessary.
2. After using vaginal antifungal medication, continue using vaginal suppositories to restore vaginal defense function, such as Lactobacillus-based suppositories (e.g., Dingjunsheng).
3. Candidal vulvovaginitis is prone to recur before menstruation. Consider applying antifungal medication vaginally before menstruation and using restorative medication afterward, for three consecutive cycles.
4. Sexual activity can easily trigger recurrence. It is best to avoid sexual activity during treatment.
5. If a sexual partner has phimosis, circumcision should be considered.
6. Avoid tight pants to prevent impaired ventilation.
7. Wash the external genitalia, including the male genitalia, before sexual activity.
8. Ensure sufficient lubrication before penetration during sexual activity to prevent vaginal mucosal injury due to dryness, which can lead to easier recurrence of inflammation.
9. Fungi are ubiquitous. Under normal conditions, the external genitalia, vagina, and anus all harbor them. No treatment is needed unless symptoms or cottage cheese-like discharge are present.
Therefore, candidal vulvovaginitis cannot be considered completely cured; it can only be prevented from recurring.