White discharge on both sides of the vulva

The white secretions on both sides of the vulva are consistent with the characteristics of candidal vaginitis. The causative factor of candidal vaginitis is Candida albicans. In addition to the symptoms of increased secretions, it is often accompanied by itching, making people feel uncomfortable. It is difficult to determine the final cause of the symptom of white discharge on both sides of the vulva, and a comprehensive judgment needs to be made based on one's own situation. Next, let’s take a look at candidal vaginitis.

Vulvovaginal candidiasis (VVC) is a common and frequent vulvovaginal inflammatory disease caused by Candida albicans. Candida albicans is a conditionally pathogenic bacterium. 10% to 20% of non-pregnant women and 30% of pregnant women have this fungus parasitic in their vagina, but the amount of bacteria is small and does not cause symptoms. Vaginitis symptoms will only occur when the systemic and local vaginal immunity decreases, especially the local cellular immunity decreases, and Candida albicans multiplies in large numbers.

Causes

Candida is a fungus, and the one that usually causes vaginitis is Candida albicans. Candida is not resistant to heat and will die after being heated to 60°C for 1 hour. However, it is more resistant to dryness, sunlight, ultraviolet rays and chemicals.

Clinical manifestations

The typical symptom of candidal vaginitis is vulvar itching, and the itching symptoms vary from mild to severe, and come and go. When the itching is severe, the patient will be restless and unable to sleep or eat. When the inflammation is severe, urination pain and sexual intercourse pain may also occur. Increased vaginal discharge is another major symptom of this disease. The vaginal discharge is usually thick and appears to be dregs or curd-like.

examine

Gynecological examination showed that the leucorrhea was white, thick and resembling tofu dregs; the vaginal mucosa was red and swollen, and in severe cases, shallow ulcers were formed in the vagina. The secretion was placed on a 10% KOH slide and the hyphae were found under a microscope. If there are symptoms but multiple microscopic examinations are negative, culture can be used.

diagnosis

1. The vulva is extremely itchy, and the leucorrhea is white, thick and resembling tofu dregs;

2. Redness and swelling of the vaginal mucosa, with shallow ulcers forming in severe cases;

3. Candida albicans is found in vaginal secretions. You can take a small amount of vaginal secretions, put it on a 10% KOH or saline slide, mix it well, and find the hyphae under a microscope to confirm the diagnosis. 10% KOH can dissolve other cell components, and the positive detection rate is 70% to 80%. If there are symptoms but multiple microscopic examinations are negative, culture can be used to confirm the diagnosis.

treat

For simple vulvovaginal candidiasis, local medication is the main choice. Generally, the symptoms will be alleviated or disappear within 2-3 days after medication. Clotrimazole vaginal suppository, use every 3 days, 2 times in total.

Regarding the treatment of complicated vulvovaginal candidiasis, the selected drugs are basically the same as those for simple vulvovaginal candidiasis. Whether local or systemic medications are used, the treatment time should be appropriately extended.

The treatment principles for vulvovaginal candidiasis during pregnancy are: the primary issue that must be considered during treatment is whether the drug is harmful to the fetus; treatment is mainly local medication, and systemic medication is not used; it is limited to pregnant women with symptoms and signs.