Patient's question:
Vaginal itching, especially intense itching around the vaginal opening, redness, and excessive white discharge. This condition has been recurring since October last year. Treatment history: Initially, I went to the hospital for a routine vaginal discharge test, which showed candidiasis (yeast infection). I underwent vaginal cleaning several times, took fluconazole orally twice a day (two pills each time), and used clotrimazole effervescent tablets inserted into the vagina. After using them for a few days, the symptoms improved, and the routine vaginal discharge test returned normal. However, the condition recurred after a few days. Using clotrimazole and fluconazole again helped, but the symptoms kept fluctuating.Can I eat fish during an outbreak? Some people say that eating fish increases the likelihood of recurrence—is that true? My husband and I live in different places, and we have very few sexual encounters. I also use condoms during this period.
Doctor's answer:
Analysis of the condition: Hello, candidal vulvovaginitis is prone to recurrence, and treatment can be troublesome. It is essential to persist. Wash underwear with hot water and treat both partners. Avoid the indiscriminate use of antibiotics and frequent vaginal douching. No dietary restrictions are necessary.Guidelines for treatment of candidal vulvovaginitis: Adjust the vaginal pH by using alkaline solutions to douche, such as a 2–4% soda solution, to alter the environment in which the fungus thrives. Insert nystatin vaginal suppositories into the deep vagina twice daily (morning and evening) or once daily for two weeks. Take nystatin 500,000 U orally four times daily. Apply nystatin ointment locally twice daily. Take ketoconazole 400 mg orally twice daily for five days.