Will your body get moldy during the rainy season?

In June, Shanghai entered the plum rain season. There were occasional drizzles in the sky and the air was humid, making people feel sticky and damp, but all this did not affect the good mood of Dr. Wang and her besties Ms. Li and Ms. Zhang. The atmosphere of "three women on a stage" was very good, but the careful Dr. Wang found that Ms. Li was listless and restless. After asking her about her condition, she learned: "In the past month, Ms. Li's vulva was itchy and swollen, and her vaginal discharge was like bean dregs. Ms. Li searched on Baidu and bought medicine for external use at a pharmacy. She got a slight improvement, but it often recurred. So she was very distressed and felt that she was seriously ill and her body was moldy."

After listening to Ms. Li's story, Dr. Wang comforted her and told her not to be nervous. Based on her medical history and symptoms, Ms. Li should have a vaginal infectious disease.

Vaginal infectious diseases are common reproductive tract infectious diseases in women and are the most common diseases for women to see doctors in clinics. Vaginal infectious diseases can be divided into many types according to different pathogens. Among them, bacterial vaginosis (BV), Trichomonas vaginitis (TV), vulvovaginal candidiasis (VVC) and atrophic vaginitis (senile vaginitis) are more common, and others include viral vaginitis. Ms. Li is most likely to have candidal vaginitis.

Vaginitis candidiasis is the most common vaginal infection in gynecology and obstetrics. The pathogen VVC is an opportunistic fungal infection caused by Candida albicans (also known as Candida), accounting for about 1/4-1/3 of vaginitis caused by microorganisms. 80%-90% of VVC is caused by Candida albicans (Candida albicans), and a few are caused by non-albicans Candida.

Classification

About 75% of women will have at least one episode of candidal vaginitis in their lifetime, which is usually simple candidal vaginitis, while 5%-8% of women will have more than 4 episodes in a year, which is recurrent candidal vaginitis.

symptom

The main symptoms are burning pain and itching of the vulva, which may be accompanied by frequent urination, dysuria or dyspareunia. Gynecological examination shows redness and swelling of the vulva. The patient's secretions are often characteristically curd-like or tofu-like.

treat

Treatment drugs generally include vaginal suppositories and oral preparations. For simple candidal vaginitis, vaginal suppositories or vaginal tablets are often used. This method of administration is locally effective and has relatively few side effects.

Common medications include:

1. Clotrimazole vaginal tablets 2. Miconazole nitrate suppositories 3. Nifuratel-nystatin vaginal examination.

For patients with recurrent candidal vaginitis that is difficult to cure, oral antifungal drugs are often used in combination, such as fluconazole, itraconazole, etc. Fluconazole can be taken orally at a time, 150 mg.

prevention

The incidence of VVC is 39.3%, and 99.3% of vaginitis is associated with an imbalance of vaginal microecology, with VVC accounting for 24.33%, both of which rank first among single clear vaginal infections. Preventing the recurrence of VVC - restoring the balance of vaginal microecology is the key!

The human body has its own barriers and defenses:

First line of defense: the vulva

The second line of defense: vaginal microenvironment

The third line of defense: mucus plug in the cervix

10 Tips

1. Clean the vulva.

2. Change sanitary napkins frequently and use less panty liners during menstruation.

3. Change your underwear every day.

4. Wear less tight jeans.

5. Repeatedly rinse with alkaline solution. It is not "washing is healthier".

6. Ensure that sexual intercourse is clean and hygienic. If the discharge is abnormal, sexual intercourse is prohibited. After the symptoms are relieved, condoms can be used externally for one month.

7. Pregnant women and diabetic patients should pay attention to controlling blood sugar.

8. Pay attention to abnormal vaginal discharge and seek medical attention immediately.

9. When vaginitis occurs: Be sure to take the medicine correctly as prescribed by the doctor, do not stop taking the medicine without authorization, and do not take the medicine on your own.

10. Avoid multiple abortions or other intrauterine operations that may damage the cervix.

A week later, Dr. Wang received a call from Ms. Li. Ms. Li said happily: "She went to the nearby Zhoupu Hospital's gynecology clinic for treatment. Now her symptoms have disappeared, she feels relaxed all over, and her life is as beautiful as a flower."

Note: There is no copyright issue for the pictures in this article

Author: Wang Ying, Liu Zhou, Zhao Jiangxia, Zhoupu Hospital, Shanghai Health and Medical College

Funded by Shanghai Science and Technology Commission's Science Popularization Project

(Project No.: 20DZ2311100)