Patient's question:
I used to have candidiasis of the vagina, and now I am 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 medication can be used to treat it? Can I use Daktarin?Doctor's answer:
Medical Analysis: Hello, this condition requires timely treatment.Guidance: If a pregnant woman has candidal vulvovaginitis, the treatment must be thorough and should not be stopped once symptoms improve. The treatment method is as follows:
For the first 12 weeks of pregnancy, use 2%-3% soda water or Jieryin to clean the external genitalia and vagina. Change underwear daily and wash it along with towels and basins.
After the 12th week of pregnancy, follow the above method to clean, gently dry the external genitalia, and place nystatin, miconazole, or clotrimazole suppositories deep in the vagina, using them every night before bed. If there is vulvitis, apply Daktarin cream to the external genitalia.
A typical course of treatment is 10-14 days. After stopping medication, a follow-up is required 7 days later. A second follow-up is needed 2 weeks after symptoms disappear, and a third follow-up for fungal testing is necessary. Treatment can only be completed upon full recovery.
After the 35th week of pregnancy, vaginal internal procedures should be avoided to prevent intrauterine infection.