What medicine is used to treat fungal vaginitis

Women often feel discomfort in specific parts of their body, local itching or abnormal vaginal discharge, but usually they don't take it seriously and think it's insignificant. Little do people know that this is a precursor to candidal vaginitis. When the body's immunity is low, this Candida will multiply in large numbers. Especially when local cellular immunity is low, the consequences are even more serious, causing symptoms such as vaginitis. So how to prevent and treat candidal vaginitis?

Vulvovaginal candidiasis (VVC) is a common and frequent vulvovaginal inflammatory disease caused by Candida albicans. Candida albicans is a conditionally pathogenic bacterium. 10% to 20% of non-pregnant women and 30% of pregnant women have this fungus parasitic in their vagina, but the amount of bacteria is small and does not cause symptoms.

Causes

Candida is a fungus, and the one that usually causes vaginitis is Candida albicans. Candida is not resistant to heat and will die after being heated to 60°C for 1 hour. However, it is more resistant to dryness, sunlight, ultraviolet rays and chemicals.

Clinical manifestations

The typical symptom of candidal vaginitis is vulvar itching, and the itching symptoms vary from mild to severe, and come and go. When the itching is severe, the patient will be restless and unable to sleep or eat. When the inflammation is severe, urination pain and sexual intercourse pain may also occur. Increased vaginal discharge is another major symptom of this disease. The vaginal discharge is usually thick and appears to be dregs or curd-like.

examine

Gynecological examination showed that the leucorrhea was white, thick and resembling tofu dregs; the vaginal mucosa was red and swollen, and in severe cases, shallow ulcers were formed in the vagina. The secretion was placed on a 10% KOH slide and the hyphae were found under a microscope. If there are symptoms but multiple microscopic examinations are negative, culture can be used.

diagnosis

1. The vulva is extremely itchy, and the leucorrhea is white, thick and resembling tofu dregs;

2. Redness and swelling of the vaginal mucosa, with shallow ulcers forming in severe cases;

3. Candida albicans is found in vaginal secretions. You can take a small amount of vaginal secretions, put it on a 10% KOH or saline slide, mix it well, and find the hyphae under a microscope to confirm the diagnosis. 10% KOH can dissolve other cell components, and the positive detection rate is 70% to 80%. If there are symptoms but multiple microscopic examinations are negative, culture can be used to confirm the diagnosis.

1. Change the acidity and alkalinity of the vagina:

If you use alkaline drugs to flush the vagina, you can use 2-4% soda solution to flush the vagina to change the living environment of the fungus.

2. Fungicide:

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

2) Oral administration of nystatin 500,000 U, 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 that is very effective and widely used, but it has the disadvantage of contaminating underwear.

2) Rational use of drugs for candidal vaginitis:

Fungal vaginitis is a vaginitis caused by infection with Candida albicans, a type of fungus. Mild infections may cause no symptoms. The following points should be noted during treatment:

1) Active treatment after diagnosis

We strive to achieve a complete cure, otherwise the disease will linger and recur, causing many troubles to the patient. Pregnant women with candidal vaginitis may recover after delivery, but the newborn is at risk of infection, so timely treatment is still required. In addition, male carriers must also receive regular treatment, which is one of the important measures to prevent recurrence of female patients.

2) Pay attention to personal hygiene

Change your 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.

People with diabetes should actively treat the underlying disease.

4) The drug treatment for fungi is mainly local 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 flush the vulva and vagina, and then insert the Baofukang suppository into the vagina once a night for 7 to 8 days as a course of treatment, and use it for 16 consecutive days, and then use it for another 16 days after the second menstrual period. Baofukang suppository has a good effect on candidal vaginitis.