Patient's question:
A week ago, there was some itching in the vagina, and I thought it was a recurrence of candidal vaginitis, so I observed the vaginal discharge daily for the past week to see if it was like cottage cheese. The first two days, the discharge was slightly green and came out in large amounts. Sometimes the vagina itched. Occasionally, it flowed very thin, and sometimes it was like a few grains of cottage cheese.Doctor's answer:
(1) Trichomoniasis Trichomonads are present in the folds and glands of the cervix, as well as in the urethra and intestines, so treatment should be both internal and external. ① Oral medication to kill trichomonads. After taking the medication, test for trichomonads. If the result is negative, continue treatment for one more course after the next menstrual period to consolidate the effect. ② Local treatment should also be administered.(2) Candidal Vaginitis Baking soda solution can be used to rinse the external genitalia, vagina, or for sitz baths. After gently drying, place nystatin suppositories deep into the vagina, or apply nystatin cream to the vaginal walls. Use once a day or twice a day (morning and evening) for 10 to 14 days.
(3) Non-specific Vaginitis Metronidazole can be taken orally as an optional medication. Local medication treatment is also available.