Patient's question:
I am a 43-year-old woman who has been suffering from chronic candidiasis for over a year. Initially, I was treated with antifungal medications (topical nystatin tablets, miconazole effervescent tablets, and Daktar suppositories, and oral fluconazole). However, the symptoms returned shortly after stopping the medication. During the Spring Festival, I went to the best local hospital for treatment and saw a specialist a total of five times. The prescribed medications included: topical: 4 boxes of Kangfu anti-inflammatory suppositories and 2 boxes of compound essential oil of curcumae suppositories; oral: 3 boxes of Sporanox and anti-inflammatory tablets. The usage instructions were to wash with warm salt water daily, using fingers to clean, and to continue this washing routine even without medication. It seemed to improve for about a month, but now it has returned.Doctor's answer:
The treatment of recurrent candidal vulvovaginitis first requires eliminating the causes that lead to repeated vaginal candidal infections, while extending the treatment duration and using multiple treatment methods simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be performed throughout the menstrual cycle, with medication cessation during menstruation and resumption after the menstrual period ends. Oral itraconazole, 200 mg per dose, once daily after meals, for three consecutive days. Such treatment should be maintained for 1 to 2 months.