How to cure fungal vaginitis completely

The biggest difference in body structure between men and women lies in the sexual organ area. Women's sexual organs are open and therefore more susceptible to bacterial invasion. Therefore, it is very necessary to do a good job of daily cleaning and care, otherwise there is a possibility of suffering from candidal vaginitis. The symptoms of candidal vaginitis mainly include itching of the lower body, abnormal leucorrhea and easy recurrence. How should it be treated to completely cure candidal vaginitis?

Treatment of candidal vaginitis

1. Eliminate the causes

Pay attention to personal hygiene, actively treat diabetes, stop using broad-spectrum antibiotics or corticosteroids, and pregnant women should pay attention to hygiene during pregnancy and prevent cross infection.

2. Topical medication

Change the vaginal acidity and alkalinity. Flushing the vagina with 2% to 4% sodium bicarbonate solution can change the vaginal acidity and alkalinity, creating an environment that is not conducive to the growth of Candida albicans, which is conducive to improving the efficacy, and then place the medicine locally. Commonly used vaginal medications include:

l. Nystatin suppositories or tablets

Generally, 100,000 units are placed in the vagina once a night, and a course of treatment is 7-10 days. For example, Micodin vaginal effervescent tablets contain 100,000 units of nystatin per tablet.

2. Clotrimazole suppositories or tablets

Take 1 capsule (150mg) or 1 tablet (250mg) every night for 7 consecutive days, or 500mg. It can be used for 1-3 days depending on the condition.

3. Miconazole suppository

Take 1 tablet (200 mg) every night for 7 consecutive days, or 400 mg for 3 consecutive days.

4. Gentian Violet Liquid

Apply 1% gentian violet solution to the vagina 3-4 times a week for two weeks.

3. Systemic medication

If local medications are ineffective, cannot be tolerated, unmarried women are unwilling to use local medications, or the condition is stubborn, the following drugs can be used: itraconazole 200 mg each time, orally once a day for 3-5 days, or 400 mg a day, orally in 2 doses; fluconazole 150 mg once; ketoconazole 200-400 mg each time, orally once a day for 5 days. After taking the medicine, you should pay attention to testing your liver function. It is forbidden for people with a history of hepatitis or pregnant women to use it.

4. Treatment of stubborn cases

Patients who have not been cured for a long time should pay attention to whether they have diabetes or Trichomonas vaginitis. If necessary, in addition to local treatment, oral nystatin tablets can be taken to prevent cross-infection of intestinal Candida. You can also use itraconazole 200 mg each time, orally once a day, for 3-5 times in a row; or fluconazole, or ketoconazole, 400 mg per day, taken at once (at the same time as a meal), 5 days as a course of treatment. It is forbidden for pregnant women and patients with acute and chronic hepatitis.

4. Treatment of recurrent cases

Candidal vaginitis is prone to relapse before menstruation after treatment, so the leucorrhea should be checked before menstruation. For recurrent cases, attention should be paid to eliminating the predisposing factors; sexual partners should also be examined and treated for Candida albicans; antifungal agents should be used mainly systemically, with increased drug dosage and duration of application. Usually the therapeutic dose is used for 10 to 14 days, followed by the preventive dose. The preventive dosage of commonly used drugs is: fluconazole 150 mg each time, once a week, for 6 months; itraconazole 100 mg each time, twice a day, for 7 consecutive days per month, for 6 months; ketoconazole 400 mg per day, for up to 6 consecutive months. Regularly monitor the efficacy and side effects of medication during use.

5. Treatment during pregnancy

To avoid infection of newborns, local treatment should be used, and drugs with little effect on pregnant women and fetuses should be selected. Miconazole nitrate or nystatin suppositories can be used. Systemic medication is prohibited.

Prevention of candidal vaginitis

1. Exercise, eat a balanced diet, and avoid foods high in sugar.

2. Develop good hygiene habits. Dress appropriately.

3. When using public toilets, try to avoid sitting toilets; showers are encouraged. Don't be overly particular about hygiene.

4. Do not abuse antibiotics.

5. Actively treat diabetes.

6. If women who take contraceptive pills suffer from recurrent candidal vaginitis, they should stop taking contraceptive pills and use other contraceptive methods instead.