How to treat candidal vaginitis

Candidal vaginitis is a very common disease in gynecological clinics, and many married women may suffer from this disease. Once suffering from candidal vaginitis, the patient's vaginal secretions will increase, and will be accompanied by vulvar itching, burning sensation, vulvar edema, yellow leucorrhea, odor, etc. In severe cases, candidal vaginitis can also cause white pustules and vulvar ulcers. So, how to treat vaginal candidal infection?

Basic treatment

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 mold.

2. Medication

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

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

(3) 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.

(5) Topical application of 1% to 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. (Currently, the country has banned the use of gentian violet drugs because they have strong carcinogenic effects, so please keep in mind)

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.

4. To prevent the recurrence of candidal vaginitis, after the vagina is flushed with soda solution, you can use a weakly acidic feminine care solution with a pH of 4 for daily cleaning to maintain the self-cleaning function of the vagina.

Microwave therapy

Microwave treatment for candidal vaginitis can improve local blood circulation. Through the benign stimulation of warmth, local nutrition and metabolism are significantly improved, which can promote the absorption and dissipation of pathological products, and promote tissue regeneration and repair. In addition, microwave treatment of candidal vaginitis can enhance the compensatory effect of undamaged blood vessels, improve tissue hypoxia, facilitate the absorption of inflammation, and quickly eliminate inflammation.

Vaginitis candidiasis is relatively easy to cure, and the main treatment methods are as follows:

(1) Traditional Chinese medicine. Mix 1 tube of Bingpeng Powder with 2 tubes of Xilei Powder and spray them on the vaginal wall once a day for 10 days as a course of treatment; **3 to 5 mugwort leaves (or stems) or garlic stems, decoct them into a soup for external washing for 7 days as a course of treatment; ***15 grams each of Phellodendron chinense, Taraxacum mongolicum, Cnidium monnieri, and Sophora flavescens, decoct them into a soup and first fumigate and then wash the vulva and vagina, twice a day.

(2) Topical application of nystatin. Nystatin tablets can be inserted deep into the vagina once a night, 50,000 to 100,000 units each time, and a course of treatment is 7 to 10 days. If conditions permit, you can apply nystatin cold cream (50,000 units/g) to the vulva skin. Nystatin can also be taken orally.

(3) Every night or every other day, rinse the vulva and vagina with 2% to 4% soda water before going to bed. After rinsing, apply 0.5% to 1% gentian violet solution to the vaginal wall and vulva. Five times is a course of treatment.

During treatment, you should pay attention to the following: keep the foot basin and the vulva basin separate, do not use them randomly or borrow them, and disinfect them with boiling water frequently after use; change underwear frequently, boil and disinfect, and dry them after washing every day, and do not wear them again; vulvar and vaginal medications should be used at the same time; the concentration of gentian violet solution should not be too high, and it should not be applied too frequently, so as not to cause vulvar or vaginal ulcers.