Can a virgin use suppositories if she has vaginal inflammation?

For many unmarried young women, it is more difficult to treat vaginal inflammation because they have a hymen. If an embolism is injected into the vagina, it may damage the hymen. However, if the embolism is not injected, some other methods will have to be chosen, which will not be effective. Therefore, everyone needs to pay special attention to this situation.

It is indeed a bit difficult to treat candidal vaginitis in unmarried young women. Because the patient said she was unmarried, the gynecologist could not examine the inflammatory characteristics of the vaginal mucosa, nor could he insert specific medicines deep into the vagina to kill the fungi. He could only perform Chinese medicine fumigation and apply some clotrimazole ointment on the outside of the vagina. But this kind of medication cannot kill vaginal fungi. This is why your long and painstaking treatment has not been effective.

When encountering such a patient, the doctor always asks her first whether she has had sex. The vast majority of patients can answer honestly; those who have had sex will agree to a vaginal examination. Once you agree to a vaginal examination, things will be easy. All treatments will be as for married patients. Both Chinese and Western medicines have good treatment methods. Chinese medicine can be used for treatment with traction pills, such as Fuhuanchun. Good Chinese medicine traction pills are not only effective in treating gynecological inflammation, but also less likely to relapse and do not destroy the balance of vaginal flora compared to Western medicine. In terms of Western medicine, you can prescribe her 3% sodium bicarbonate solution and nystatin, a total of 10 days' supply, and ask the patient to take the medicine at home. Every night before going to bed, use 3% sodium bicarbonate solution to wash the vagina or take a sitz bath, wipe dry, and then insert 1 nystatin suppository (100,000 units) deep into the vagina. Once every night for 10 days.

However, in order to prevent recurrence, we have to ask about the man’s condition, and the “husband and wife” or both men and women must be treated together. If the man has candidal balanitis, he can be prescribed 3% sodium bicarbonate solution and 3% clotrimazole ointment. Clean the glans with 3% sodium bicarbonate before going to bed every night, wait for it to dry, and then apply clotrimazole ointment once a night for 10 days. If no lesion is found outside, 0.15 grams of fluconazole can be given, taken all at once, to clear the hidden fungus inside the genitals. This drug affects liver enzymes, so it should be used with caution in patients with abnormal liver function.

Avoid sexual intercourse during treatment. Use condoms during the first month of resuming sexual intercourse. If there are no abnormalities, you can use condoms again. If relapse occurs after condom removal, sexual behavior should be reviewed. The following situations can lead to recurrence: the man has an affair, the man has latent mold, oral sex, anal sex, etc. If so, it should be changed as soon as possible.

Special treatment methods for patients with no sexual experience

If the patient is unmarried and has no sexual experience, a vaginal examination cannot be performed and special thin and long instruments should be used for diagnosis and treatment.

There is a hole in the center of the hymen, about the size of a small earring, which is the outlet for menstrual blood, and inside is the vagina. The vagina is about 9 cm long and has many folds. You can use a thin cotton swab to enter the bottom of the vagina through this hole, take a sample of dregs-like leucorrhea for testing, and if fungus is found, the diagnosis can be confirmed. The treatment medications were still 3% sodium bicarbonate solution and nystatin. She was also prescribed a urinary catheter and a pair of 10 ml syringes, and was allowed to take the medication at home. Its usage: Wash the vulva with warm water every night; then insert the catheter through the hole in the hymen into the deep vagina, use a syringe to draw sodium bicarbonate solution through the catheter and inject it into the vagina, flush 5 to 8 times, drawing 10 ml each time. Its purpose is to flush out a large amount of leucorrhea and fungi in the vagina, and create an alkaline environment to inhibit the reproduction of fungi. After flushing, drain out the remaining liquid in the vagina, wipe the vulva dry, and move to sit on the bed; use a syringe to draw the pre-prepared nystatin solution and inject it deep into the vagina through the catheter. Remove the catheter and sleep with your hips elevated.