How long is the course of treatment for candidal vaginitis?

Candidal vaginitis takes three months to treat. One course of treatment takes about a week and requires repeated irrigation to completely clean out the bacteria in the vagina. Women cannot have sex during the treatment process and need to pay attention to vaginal hygiene and take medication on time. It can be completely cured. You can learn about the causes of candidal vaginitis in the article.

How long does it take for vaginal candidal infection to heal?

It usually takes three months to cure candidal vaginitis. You must use irrigation, suppositories and oral medications at the same time. You must take the medication according to the course of treatment. You must not stop as soon as the symptoms improve, because fungi are very easy to recur. If it is not cured once, it will be very difficult to cure it in the future, and it will develop drug resistance. This disease must be persisted for three months, and there are many details in lifestyle habits. Don't have sex before you are cured to avoid cross-infection between men and women. Ask your friend to go to a regular large hospital to see a doctor for medication. As long as you strictly follow the doctor's orders for medication and follow-up, there will usually be no problem. Don't worry too much.

Causes of vaginal candidiasis

1. Long-term use or abuse of antibiotics. Whether it is systemic or local medication, long-term use of antibiotics will inhibit vaginal lactobacilli, change the restrictive relationship between vaginal microorganisms, cause dysbacteriosis, and the toxicity of drugs can weaken the body's resistance, thereby leading to the growth and reproduction of local Candida albicans.

2. It is related to the increased incidence of diabetes. Diabetic patients have increased glycogen content in the vaginal epithelial cells, which increases vaginal acidity and facilitates the growth and reproduction of Candida albicans.

3. Pregnancy or use of large doses of estrogen. During pregnancy, the estrogen level in the body increases, the glycogen content in the vaginal epithelium increases, the vaginal acidity increases, and the vaginal congestion and secretion increase, creating an environment that is conducive to the growth of mold. Pregnant women, especially those in late pregnancy, are more susceptible to this disease. The treatment effect is lower than that of non-pregnant women, and the disease is prone to relapse.

4. Long-term use of immunosuppressants or hormones. Long-term use of the above-mentioned drugs to treat tumors or other diseases may reduce the body's resistance and lead to the occurrence of the disease.

5. Indirect transmission. Contact with toilets, bathtubs, bath seats, and towels infected by mold patients, and use of unsterilized toilet paper; having bad hygiene habits, such as unhygienic menstruation, washing underwear and socks together, and wearing other people's underwear. In addition, unclean sexual life and untreated fungal urethritis in men can cause cross infection.

6. Being overly particular about hygiene. In order to maintain hygiene, some women often use medicated lotions to clean the vagina and flush the inside of the vagina, which can easily destroy the acid and alkaline environment of the vagina and cause dysbacteriosis. There are also many women who think that using sanitary pads can prevent direct contact between the vulva and underwear and help keep the vulva clean. This idea is very wrong. Long-term use of sanitary pads can easily lead to poor ventilation of the genitals and cause infection, which is conducive to the occurrence of this disease.

7. Climate reasons. In some places, clothes cannot get enough sunlight, which can easily cause disease.

8. Underwear materials. Synthetic fiber underwear, especially nylon underwear, has poor air permeability, which will increase the moisture and temperature of the female vulva, increase the growth and reproduction rate of pathogens in the vagina, and cause vaginitis.

Treatment of candidal vaginitis

1. Eliminate the causes

Pay attention to personal hygiene, actively treat diabetes, stop using broad-spectrum antibiotics or corticosteroids, and pregnant women should pay attention to hygiene during pregnancy and prevent cross infection.

(II) Topical medication

Change the vaginal acidity and alkalinity. Flushing the vagina with 2% to 4% sodium bicarbonate solution can change the vaginal acidity and alkalinity, creating an environment that is not conducive to the growth of Candida albicans, which is conducive to improving the efficacy, and then place the medicine locally. Commonly used vaginal medications include:

l. Nystatin suppositories or tablets

Generally, 100,000 units are placed in the vagina once a night, and a course of treatment is 7 to 10 days. For example, Micodin vaginal effervescent tablets contain 100,000 units of nystatin per tablet.

2. Clotrimazole suppositories or tablets

Take 1 capsule (150 mg) or 1 tablet (250 mg) every night for 7 consecutive days, or 500 mg. It can be used for 1-3 days depending on the condition.

3. Miconazole suppository

Take 1 tablet (200 mg) every night for 7 consecutive days, or 400 mg for 3 consecutive days.

4. Gentian Violet Liquid

Apply 1% gentian violet solution to the vagina 3-4 times a week for two weeks.

(III) Systemic medication

If local medications are ineffective, cannot be tolerated, unmarried women are unwilling to use local medications, or the condition is stubborn, the following drugs can be used: itraconazole 200 mg each time, orally once a day for 3 to 5 days, or 400 mg a day, orally in 2 divided doses; fluconazole 150 mg once; ketoconazole 200-400 mg each time, orally once a day for 5 days. After taking the medicine, you should pay attention to testing your liver function. It is forbidden for people with a history of hepatitis or pregnant women to use it.

(IV) Treatment of stubborn cases

Patients who have not been cured for a long time should pay attention to whether they have diabetes or Trichomonas vaginitis. If necessary, in addition to local treatment, oral nystatin tablets can be taken to prevent cross-infection of intestinal Candida. You can also use itraconazole 200 mg each time, orally once a day, for 3 to 5 times in a row; or fluconazole, or ketoconazole, 400 mg per day, taken at once (at the same time as a meal), 5 days as a course of treatment. It is forbidden for pregnant women and patients with acute and chronic hepatitis.

4. Treatment of recurrent cases

Candidal vaginitis is prone to relapse before menstruation after treatment, so the leucorrhea should be checked before menstruation. For recurrent cases, attention should be paid to eliminating the predisposing factors; sexual partners should also be examined and treated for Candida albicans; antifungal agents should be used mainly systemically, with increased drug dosage and duration of application. Usually the therapeutic dose is used for 10 to 14 days, followed by the preventive dose. The preventive dosage of commonly used drugs is: fluconazole 150 mg each time, once a week, for 6 months; itraconazole 100 mg each time, twice a day, for 7 consecutive days per month, for 6 months; ketoconazole 400 mg per day, for up to 6 consecutive months. Regularly monitor the efficacy and side effects of medication during use.

5. Treatment during pregnancy

To avoid infection of newborns, local treatment should be used, and drugs with little effect on pregnant women and fetuses should be selected. Miconazole nitrate or nystatin suppositories can be used. Systemic medication is prohibited.