What should I do if vaginitis recurs repeatedly?

Vaginitis is a common gynecological inflammation. Since vaginitis is a frequently recurring disease, it causes great trouble to the life and work of some female friends. The recurring vaginitis always makes people feel helpless and also causes harm to our body. What should we do if vaginitis recurs frequently? Let’s take a look at it now.

Traditional Chinese medicine treatment method for candidal vaginitis: 30 grams of Sophora flavescens, 20 grams of Cnidium monnieri, 20 grams of Kochia scoparia, 20 grams of Dictamni, 20 grams of Pulsatilla scabra, and 10 grams of mint.

Usage: Add 2000ml of water and soak for 15 minutes, then boil over high heat for 5 minutes, add mint and continue to simmer for 10 minutes. Pour out the liquid medicine after separating the residue. Steam the vulva while it is hot, and after the water becomes warm, sit in the bath for 15 to 20 minutes, once or twice a day for ten consecutive days.

Western medicine treatment method for candidal vaginitis Drug treatment: wash the vulva or take a sitz bath with 1:5000 potassium permanganate solution, and apply 2% gentian violet solution locally. In recent years, the application of nystatin has achieved remarkable results.

Usage: 100,000 U vaginal suppository, once in the morning and once in the evening, inserted deep into the vagina for 5 days. Wash the vulva and apply nystatin ointment (100,000 U/g) topically 2 to 3 times a day. After treatment, in order to promote vaginal epithelial regeneration, a small amount of estrogen (0.25-0.5 mg/day of ethinyl estradiol for 3-5 days) can be used.

In recurrent cases, digestive tract carriage should be considered, and nystatin 500,000 U/time, 4 times a day can be added.

No nystatin-resistant Candida albicans has been found so far. Most relapses are caused by insufficient medication dosage, incomplete treatment, or failure to strictly practice abstinence during treatment; or the male is not treated. In addition, the use of fungicides such as ketoconazole, trichostatin, and clotrimazole in recent years have been effective for candidal vaginitis.

Treatment measures: 1. Change the acidity and alkalinity of the vagina, such as flushing the vagina with alkaline drugs, or flushing the vagina with 2-4% soda solution to change the living environment of the fungus.

2. Administration of fungicides:

(1) Nystatin vaginal suppository (containing 250,000 U of nystatin) is inserted deep into the vagina once in the morning and evening or once every night for 2 weeks.

(2) Take 500,000 U of nystatin orally, 4 times a day.

(3) Apply compound nystatin cold cream topically twice a day.

(4) Take ketoconazole 400 mg orally, twice a day for 5 days.

(5) Trichomycin. For details, see Treatment of Trichomonas vaginitis. In addition, oral administration of clotrimazole or clobendazole 0.5-1g 3 times a day, or topical application of 1-5% ointment, cream or lotion 3-4 times a day, also has good therapeutic effects.

(6) Topical application of 1-2% gentian violet solution is a long-standing treatment method that is very effective and widely used, but it has the disadvantage of staining underwear. Pregnant women with candidal vaginitis may recover after delivery, but the newborn is at risk of infection, so timely treatment is still needed, preferably with local medication, using the same method as above.

3. Male carriers must also receive routine treatment, which is one of the important measures to prevent recurrence in female patients. How to use medicines reasonably for candidal vaginitis? Candidal vaginitis is a vaginitis caused by infection with Candida albicans among fungi. Mild infections may cause no symptoms. The most common symptoms are vulvar itching and increased vaginal discharge. The typical case is white tofu-like leucorrhea, and a layer of white film may form on the inside and outside of the labia minora and the vaginal mucosa. Vulvar itching often spreads gradually from the inner side of the labia minora to the vulva, causing extreme itching that is often unbearable for patients. It is often accompanied by vulvar burning sensation, pain, and dyspareunia. Secondary pyogenic infection may cause purulent leucorrhea. Inflammatory infection of the vaginal mucosa may cause bloody leucorrhea and superficial ulcers of the mucosa. Secondary urinary tract infection will cause symptoms such as frequent urination, urgency, and pain when urinating. The diagnosis can be confirmed by having the above clinical symptoms and finding white Candida hyphae and spores in vaginal secretions.

The following points should be noted during treatment:

(1) Once diagnosed, treatment should be initiated actively to achieve a complete cure; otherwise, the disease will persist and recur, causing the patient much distress.

(2) Pay attention to personal hygiene and change underwear frequently. Used underwear, basins, towels, etc. should be washed with boiling water and dried in the sun.

(3) Antibiotics and hormone drugs should be used rationally, and those with diabetes should actively treat the primary disease.

(4) The main treatment for fungal infections is topical medication. Because mold is not easy to grow in an alkaline environment, you can use an alkaline solution plus 2% to 4% sodium bicarbonate solution to rinse the vulva and vagina, and then insert 100,000 to 200,000 units of nystatin tablets or suppositories into the vagina once a night for 10 to 14 days as a course of treatment. You can also use 100,000 units of trichostatin tablets or suppositories and insert them into the vagina once a night for 10 to 14 days as a course of treatment. Daconazole suppository (miconazole nitrate suppository) also has a good effect on candidal vaginitis. Micodin effervescent vaginal tablets (mainly containing nystatin) can disintegrate rapidly when placed in the vagina due to its special dosage form, allowing nystatin to be evenly distributed in the vagina, thus achieving satisfactory therapeutic effects.

(5) Those who suffer from repeated fungal infections or those who cannot be cured after long-term treatment should undergo a comprehensive systemic examination to rule out diabetes and other organ infections. At the same time, pay attention to the irrational use of antibiotics and hormone drugs. If necessary, you can take oral drugs such as nystatin and ketoconazole under the guidance of a doctor.

(6) Pregnant women suffering from candidal vaginitis should receive serious treatment. Mainly use local medication to prevent neonatal infection.

The above introduces the treatment methods of vaginitis, some Chinese medicine treatments, and some precautions during the treatment process. I hope it can help you.