Patient's question:
Treatment of fungal infections in men and womenDoctor's answer:
If diagnosed with candidal vulvovaginitis, a 2%–4% soda solution can be used daily to rinse the external genitalia and vagina or for sitz baths. The course of treatment is 10 days, aimed at altering the pH to create conditions unfavorable for the survival of Candida. Subsequently, nystatin can be used, such as in powder, tablet, suppository, or ointment form, inserted into the vagina or applied locally. The dosage is 100,000–200,000 units per application, administered once nightly, with a course of 10–14 days. The external genitalia can be treated with 3% miconazole ointment for better results. Due to the stubborn nature of the condition and its tendency to recur, local treatment is generally preferred. Alternatively, oral nystatin tablets (500,000–1,000,000 units) can be taken three times daily, with a course of 7–10 days, followed by a follow-up to confirm three consecutive negative results before considering the condition cured.