How to deal with recurrent fungal balanitis after sexual intercourse?

Patient's question:

Actually, it's already better. The day before yesterday, I had a few intimate moments with my wife, but yesterday the illness flared up again. What medicine should I use?

Doctor's answer:

Candidal balanitis requires reiterating that both male and female partners must undergo joint examination and treatment to achieve the goal of suppressing transmission through local treatment, oral medication, or combined therapy. After local cleansing, topical non-irritating antifungal creams or ointments should be applied, such as clotrimazole cream, ketoconazole cream, bifonazole cream, or triamcinolone acetonide econazole ointment. If local treatment is ineffective, additional oral fluconazole may be administered. Balanitis caused by candidiasis can be stabilized, but the treatment period is generally long, and recurrence is common after treatment. Therefore, active cooperation with the doctor's treatment plan, appropriate medication use, and avoiding prolonged sitting or riding are essential.

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