Treatment of menstrual vaginal candidiasis

Vaginitis during menstruation is a big problem that causes headaches for many of our female friends. Vaginitis may cause great pain and itching in our genitals, and may also reduce the quality and level of our sex life. It may also transmit the infection to our male friends through sexual contact. Let's get familiar with the treatment methods of vaginitis during menstruation.

1. Estrogen therapy

Topical estrogen preparations have a direct therapeutic effect. You can choose estriol ointment (trade name: Ovestin), which has only local effects, and take 0.5g of it vaginally every night (containing 0.5mg of estriol); take 1 tablet of promestriol (Genbaofen) vaginally every night or take 1 tablet of chloroquine/promestriol (Kebaojing) vaginally every night. When combined with estrogen (Bemarle) ointment and diethylstilbestrol ointment is used topically, it has both local and systemic effects, with 0.25 to 0.5 mg vaginally administered every night. In addition to treating senile vaginitis, oral estrogen can also help relieve menopausal symptoms and is beneficial to the cardiovascular and skeletal systems of elderly women. However, when using estrogen, contraindications to estrogen should be excluded first, such as breast cancer, endometrial cancer, etc. Oral estrogen preparation nialestradiol 1-2 mg, once every 2 weeks, can be taken for a long time. Or use natural estrogen, conjugated estrogens (Premarin), estradiol valerate (Progynova), or tibolone (Livial).

2. Topical Antimicrobial Drugs

General topical medications include metronidazole 200 mg or ofloxacin 100 mg, administered intravaginally once a night. One course of treatment is 7 to 10 days. Various suppositories can also be inserted into the vagina, such as compound clindamycin (chloramphenicol), econazole/curcuma oil/borneol (Baofukang), and Baojunqing, etc. You can also make your own compound chloramphenicol ointment (method: chloramphenicol 32g + estradiol benzoate 320,000 U or diethylstilbestrol 32mg + cod liver oil 240ml + vaseline 120g). Apply the ointment on a cotton ball with a thread and place it in the vagina for 8 to 12 hours, then pull the thread out by yourself. Once every other day, 3 to 4 times in total.

3. Wash the vagina

When there is a lot of secretions due to vaginal inflammation, you may consider using vaginal wipes to remove excess secretions before applying the medicine. When the above effective drugs are not available, in order to increase the acidity of the vagina, use 1% lactic acid or 0.1% acetic acid solution to flush the vagina, or 1:5000 potassium permanganate solution for a sitz bath, once a day; those who do not have medical conditions can add 60 ml of vinegar to warm boiled water for a sitz bath. However, routine vaginal douching is not recommended when the above effective drugs are available.

Laser high temperature therapy is a very good treatment for candidal vaginitis during menstruation. The high temperature carried by the laser can penetrate deep into our vulva to launch a series of large-scale virus detection and killing, which can effectively help us kill the virus as soon as possible and restore normal health.