How to treat mixed bacterial and fungal vaginitis

Speaking of vaginitis, it is very common for female friends. It is also a gynecological inflammation. However, we should not ignore it just because it is common. We should know that the mixed bacterial and fungal vaginitis we are talking about today is a contagious disease, so we must treat it early to avoid further development of the disease. It is very necessary to understand the treatment of this mixed vaginitis. Let's talk about how to treat mixed bacterial and fungal vaginitis.

Both can be treated at the same time. Clotrimazole vaginal tablets can be used to treat candidal vaginitis, and should be used as directed by the doctor. Vaginitis congestion is caused by vaginal inflammation. Candidal vaginitis can also be transmitted through sexual intercourse, so it should be checked and treated at the same time. Avoid sexual intercourse during treatment, pay attention to personal hygiene, take frequent baths and change underwear, drink plenty of boiled water, eat more fruits and vegetables, and avoid spicy and irritating foods.

Mixed bacterial and fungal vaginitis can be treated together, usually with vaginal medication or flushing. Sexual intercourse is prohibited during treatment. It is best for the husband to come to the hospital for examination. The husband may have no symptoms of infection, so cross-infection between the couple can be prevented in the future. After treatment, the follow-up examination is conducted for 3 months. If the results are negative for 3 months, it is considered a complete treatment.

Local medication: Use antifungal suppositories to insert deep into the vagina, such as miconazole suppositories, clotrimazole suppositories, nystatin suppositories, etc.

Systemic medication: For those who cannot tolerate local medication or unmarried women, oral medication can be used. Commonly used drugs include: fluconazole, itraconazole, etc. For simple fungal vaginitis, the efficacy of systemic medication is similar to that of local medication, with a cure rate of 95%. For complicated fungal vaginitis, whether it is local medication or oral medication, the treatment time should be extended.

Mixed fungal and candidal vaginitis can recur, with a recurrence rate of 5%. Some recurrent cases have inducing factors, but the recurrence mechanism of most patients is unknown. Antifungal treatment for recurrent cases is divided into initial treatment and maintenance treatment. Initial treatment is basically the same as the above method, but it needs to be prolonged. As for maintenance treatment, commonly used drugs are: fluconazole, clotrimazole suppository, itraconazole. Fungal culture should be performed before treatment to confirm the diagnosis, and regular follow-up during treatment should be performed to monitor the efficacy and side effects of the drug. Once side effects are found, the drug should be stopped immediately.

Sexual partners should also be treated at the same time. About 15% of men develop balanitis after contact with female patients, most of whom have no obvious symptoms. Symptomatic men should be tested and treated for Candida albicans, and sexual intercourse should be abstained during treatment to prevent repeated infection in women.