Patient's question:
I used to have a fungal vaginal infection, and now I'm 50 days pregnant. I went to the hospital for a check-up, and the doctor prescribed baking soda to wash the external genital area. However, there is still some itching and pain around the vaginal opening, and sometimes there is yellow discharge. Does using baking soda affect the fetus? What other medications can be used to treat it? Can I use Daktarin?Doctor's answer:
Analysis of the condition: Hello, this situation requires timely treatment.Guidance: If a pregnant woman suffers from candidal vulvovaginitis, the treatment must be thorough and should not be stopped once the symptoms subside. The treatment method is as follows:
For the first 12 weeks of pregnancy, a 2%-3% soda solution or Jieryin can be used to clean the external genitalia and vagina. At the same time, underwear should be changed daily, and it should be washed and sterilized together with towels and basins.
After 12 weeks of pregnancy, after cleaning as described above, gently dry the external genitalia and place miconazole or clotrimazole suppositories deep in the vagina, using them every night before bed. If there is vulvitis, Daktarin cream can be applied to the external genitalia.
Generally, a course of treatment lasts 10-14 days. After stopping the medication for 7 days, a follow-up examination should be conducted. Once the symptoms disappear for 2 weeks, a third examination for candidiasis should be performed. Treatment can only be completed after recovery.
After 35 weeks of pregnancy, vaginal internal procedures should be avoided to prevent intrauterine infection.