What Is a Fungal Vaginal Infection?

Fungal vaginitis is caused by Candida albicans. Candida is the most common conditional pathogen in fungi, also known as Candida. So often said fungal vaginitis is also called candida vaginitis, or fungal vaginitis.

Basic Information

nickname

Candidal vaginitis

English name

colpomycosis, colpitis mycotica

Visiting department

Gynecology

Common locations

vaginal

Common causes

Infected by Candida albicans

Common symptoms

Increased vaginal discharge, vulvar, vaginal itching, burning sensation, painful urination, redness and edema around the vulva

Causes of fungal vaginitis

Caused by Candida albicans.

Clinical manifestations of fungal vaginitis

Fungal vaginitis patients show increased vaginal discharge, vulvar, vaginal itching, burning sensation, pain in the urine, redness and edema around the vulva. Leucorrhea is not necessarily a prominent symptom of vaginitis, but watery leucorrhea can occur up to curd-like or ointment-like leucorrhea. If it is completely thin, it is like a clear serous exudate, but it often contains white flakes; some are thick, such as curd or crumbs. There are often two distinct clinical manifestations. About half of the patients had a large amount of watery or purulent leucorrhea without white flakes, and the vaginal mucosa was moderately red and edema, without severe itching and burning sensations, but with a moist feeling in the vulva. Another type of patient's leucorrhea is typically curd-like or sheet-like viscous leucorrhea, the vaginal mucosa is highly red and swollen, and white flakes (such as thrush) are adhered and easily peeled off; the eroded base of the damaged mucosa or the formation of superficial ulcer In severe cases, bruising may be left, with itching and burning sensation. The pruritus of fungal vaginitis is more severe during pregnancy.

Fungal vaginitis check

1. Examination of vaginal discharge.

2. Perform mold culture.

Fungal vaginitis diagnosis

Based on typical clinical manifestations and visual inspection of vaginal discharge, the diagnosis of fungal vaginitis is usually not difficult.

Fungal Vaginitis Treatment

1. Change the pH of the vagina

If the vagina is flushed with alkaline drugs, the vagina can be flushed with 2% to 4% soda fluid to change the living environment of mold. But its effect is still controversial.

2. Drug treatment

(1) Nystatin vaginal suppository, which is inserted deep into the vagina, once each morning and evening or once every night for a total of 2 weeks. Clotrimazole or miconazole suppositories can also be used.

(2) Oral nystatin or fluconazole.

(3) Apply topical rubbing such as compound nystatin cold cream or miconazole cream twice daily.

Pregnant women suffer from fungal vaginitis. Although there is a possibility of self-healing after childbirth, the newborn is at risk of being infected. Therefore, it is still necessary to treat it promptly, and topical medication is appropriate.

3. Male carriers

For male carriers, routine treatment is also required, which is one of the important measures to prevent female patients from recurring.

Fungal vaginitis prevention

The main prevention of this disease is to develop good hygienic habits, frequently change the underwear and dry it in a ventilated place; dry pots and towels are for their own use; underwear and socks are washed in different basins. Avoid irrigating the vagina and avoid unnecessary antibiotics.