Patient's question:
I have had vaginitis for more than four months, with itchy external genitalia that has not been treated yet. It started as a fungal vaginitis.Doctor's answer:
Recurrent resistant candidal vulvovaginitis. After treatment, pay attention to the following points:1. After onset, first use antifungal vaginal medication. If necessary, add oral antifungal medication.
2. After using vaginal antifungal medication, you can continue using vaginal suppositories to restore vaginal defense functions, such as Lactobacillus-containing suppositories (e.g., Dingjunsheng).
3. Candidal vulvovaginitis tends 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 the sexual partner has phimosis, it should be surgically corrected.
6. Avoid tight pants to prevent obstruction of airflow.
7. Wash the external genitalia, including the male genitalia, before sexual activity.
8. Ensure sufficient lubrication before sexual intercourse to prevent vaginal mucosal injury due to dryness, which can lead to easier recurrence of inflammation.
9. Candida is ubiquitous, and under normal conditions, it exists in the external genitalia, vagina, and anus. 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.