Candidal Vulvovaginitis Recurred Once, Is It Still Treatable?

Patient's question:

No.

Doctor's answer:

Candidal vulvovaginitis can be treated by rinsing the external genitalia with baking soda solution, using nystatin vaginal suppositories, and taking oral itraconazole and ketoconazole. During treatment, sexual intercourse should be avoided, and underwear should be changed, washed daily, and boiled for disinfection. After one course of treatment, a negative result for the fungus test is required. Subsequent follow-up tests for the fungus should also be negative after each menstrual cycle. Continuous consolidation treatment for three more courses is necessary to be considered cured. It is best for the male partner to undergo treatment as well, taking nystatin tablets for one week. Shoes and socks should be washed separately from underwear. Otherwise, it is easy to relapse. The reasons for relapse are generally incomplete treatment and reinfection from the sexual partner.

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