How Do I Choose the Best Vaginitis Treatment?

Mycotic vaginitis or candidal vaginitis, or vulvovaginal candidiasis (VVC), is a common multiple vulvovaginal inflammatory disease caused by Candida. Candida albicans is a conditional pathogen. 10% to 20% of non-pregnant women and 30% of pregnant women have this parasite in the vagina, but the amount of bacteria is small and does not cause symptoms. Only when the overall immunity of the whole body and vagina is reduced, especially the local cellular immunity, candida albicans multiply in large numbers, will it cause vaginal inflammation.

Basic Information

nickname

Candida albicans vaginitis

Visiting department

Gynecology

Multiple groups

Pregnant women, diabetics, and patients receiving estrogen therapy

Common causes

Candida albicans

Common symptoms

Itching of the vulva, and the symptoms of itching are mild and severe, and sometimes stop

Contagious

Have

way for spreading

Indirect contact, sexual intercourse, etc.

Causes of mycotic vaginitis

Candida is a fungus. Candida albicans is the cause of vaginitis. Candida is not resistant to heat and can die after heating to 60 ° C for 1 hour. However, it has strong resistance to dryness, sunlight, ultraviolet rays and chemical agents.

Clinical manifestations of fungal vaginitis

The typical symptoms of candidal vaginitis are pruritus pruritus, and the pruritus symptoms are mild and severe, and sometimes stop when it is severe. When itching is severe, you are restless when you are sleeping and eating. If you have severe inflammation, you may also have painful urination and sexual intercourse. . Increased leucorrhea is another major symptom of the disease. Leucorrhea is usually very thick, showing a bean curd-like or milky clot shape.

Mycotic vaginitis test

Gynecological examination showed white thick tofu-like leucorrhea; vaginal mucosa was red and swollen, and severe vaginal ulcers formed. The secretions were placed on 10% KOH slides and the hyphae were found under a microscope. If there are symptoms and multiple microscopy tests are negative, culture can be used for culture.

Diagnosis of mycotic vaginitis

1. The vulva is itchy and the vaginal discharge is white and thick tofu residue;

2. The vaginal mucosa is red and swollen, and the superficial ulcer is severely formed;

3. Candida albicans was found in vaginal secretions. Take a little vaginal secretion and put it on 10% KOH or saline slide. After mixing, find the hypha under the microscope to confirm the diagnosis. 10% KOH can dissolve other cell components, and the positive rate of detection is 70% 80%. If there are symptoms and multiple microscopy tests are negative, culture can be used to confirm the diagnosis.

Mycotic vaginitis treatment

For simple vulvovaginal candidiasis, topical medication is the main choice. Generally, the symptoms are reduced or disappeared after 2-3 days. Clotrimazole vaginal suppositories, used every 3 days, a total of 2 times.

Regarding the treatment of complex vulvovaginal candidiasis, the drugs selected are basically the same as those of simple vulvovaginal candidiasis, and the treatment time should be appropriately extended regardless of local or systemic use.

The principle of treatment of vulvovaginal candidiasis during pregnancy is: the first question that must be considered during treatment is whether the drug harms the fetus; the treatment is mainly local and not systemic; it is limited to pregnant women with symptoms and signs.

Prognosis of fungal vaginitis

Generally, the prognosis is good, and the effective rate is 80% to 90%. Complex vulvovaginal candidiasis recurs easily.

Mycotic vaginitis prevention

1. Exercise and eat a balanced diet, but eat foods with high sugar content.

2. Develop good hygiene habits. Dress reasonably.

3. Avoid sitting toilets when using public toilets; showers are encouraged. Don't pay attention to hygiene.

4. Do not abuse antibiotics.

5. Actively treat diabetes.

6. If women with drug contraception repeatedly develop candida vaginitis, they should stop using contraceptives and use other methods of contraception.