How serious is candidal vaginitis?

Vaginitis candidiasis is a common type of vaginitis, which is mainly caused by fungal infection of the female vagina. Patients with candidal vaginitis usually experience symptoms such as itching and pain in the vulva area, and the frequency of attacks is relatively high, which can also cause great mental harm to the patient. If candidal vaginitis is not treated in time, the condition will continue to worsen. So, how serious is candidal vaginitis?

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.

treat

For simple vulvovaginal candidiasis, local medication is the main choice. Generally, the symptoms will be alleviated or disappear within 2-3 days after medication. Clotrimazole vaginal suppository, use every 3 days, 2 times in total. Regarding the treatment of complicated vulvovaginal candidiasis, the selected drugs are basically the same as those for simple vulvovaginal candidiasis. Whether local or systemic medications are used, the treatment time should be appropriately extended. The principles of treatment for vulvovaginal candidiasis during pregnancy are: the primary issue that must be considered during treatment is whether the drug is harmful to the fetus; treatment is mainly local medication, and systemic medication is not used; it is limited to pregnant women with symptoms and signs.

The prognosis is generally good, with an effective rate of 80% to 90%. Complicated vulvovaginal candidiasis is prone to recurrence.

prevention

1. Exercise, eat a balanced diet, and avoid foods high in sugar.

2. Develop good hygiene habits. Dress appropriately.

3. When using public toilets, try to avoid sitting toilets; showers are encouraged. Don't be overly particular about hygiene.

4. Do not abuse antibiotics.

5. Actively treat diabetes.

6. If women who take contraceptive pills suffer from repeated candidal vaginitis, they should stop taking contraceptive pills and use other contraceptive methods instead.