Patient's question:
I am 35 weeks and 6 days pregnant. I feel like I might have a gynecological infection, as my vagina is constantly itchy. There is a lot of yellow discharge with-like substances. So today, I went to the hospital for a check-up and had a urinalysis done. The results showed 3+ white blood cells and + epithelial cells. The doctor recommended drinking more water and taking Amoxicillin, and to come back in a week for follow-up results. Could you please tell me if this test result is serious? I was too shy to ask at the hospital today because it was crowded. Could you help me and tell me the best treatment?Doctor's answer:
Hello, the symptoms of vulvar itching and a cottage cheese-like discharge suggest a possible case of candidal vulvovaginitis. Additionally, the urine test showing +++ white blood cells indicates a urinary tract infection.Advice: You are currently 35 weeks and 6 days pregnant, which is not far from delivery. You can take Amoxicillin to treat the urinary tract infection. This medication is classified as pregnancy category B, meaning it has no adverse effects on the fetus.
Regarding the candidal vulvovaginitis, oral medication is not recommended at this time because antifungal drugs can be harmful to the fetus. It is advised to purchase Jieryin or Fuyinjie for external and vaginal cleaning. It would be better to address the candidal vulvovaginitis after delivery. Drinking more water is also recommended, as it can help flush out inflammatory substances from the urinary tract.