Patient's question:
Main symptoms: Vulvar itchingOnset time: Most of the past 20 years it has been itchy
Laboratory test results: No Trichomonas vaginalis or Candida detected, leukorrhea culture was negative, ultrasound was normal
Doctor's answer:
Hello, fungal vulvitis is an inflammation of the vulva caused by a yeast-like fungus, with the most common pathogen being Candida albicans, accounting for approximately 80%-90% of infections. Fungal vulvitis often coexists with fungal vaginitis, referred to as fungal vulvovaginitis.Recommendations:
① Maintain vulvar hygiene. Clean the vulva daily with a 2%-4% soda solution, dry it thoroughly, and apply medications such as Econazole (Tinactin), Clotrimazole cream, or Nystatin cream. Alternatively, a 2% gentian violet solution may be used.
② Treat underlying conditions or remove the causative factors, such as managing diabetes or discontinuing broad-spectrum antibiotics. If fungal vaginitis is also present, it should be treated concurrently.
③ If the male partner has genital fungal infection, he should also be treated. Avoid sexual intercourse until the infection is fully resolved.