How to treat vulvovaginitis?

The structure of women's genitals is relatively complex. Compared with men, women's genitals are more prone to inflammation, such as the well-known vulvitis. Once vulvitis occurs, the patient's genitals will experience severe itching. This itching will make people very uncomfortable and embarrassed, and the leucorrhea will appear abnormal. At this time, you must seize the time for treatment. The correct treatment methods are as follows.

Treatment of vulvovaginal inflammation:

The treatment of complicated vulvovaginal candidiasis can be based on its type and can refer to the following schemes:

(1) Severe vulvovaginal candidiasis: Oral medication is the first choice. For patients with severe symptoms, low-concentration glucocorticoid ointment or azole cream can be applied topically.

1. Oral medication: ① Itraconazole 200 mg, 1 tablet each morning and evening, for 2 days; ② Fluconazole 150 mg, taken all at once, repeat once after 3 days.

2. Vaginal medication: Based on the treatment plan for simple vulvovaginal candidiasis, extend the course of treatment.

(2) Pregnancy complicated by vulvovaginal candidiasis: During early pregnancy, the pros and cons should be weighed and medications should be used with caution. Azoles, which are harmless to the fetus, can be chosen for vaginal administration instead of oral antifungal drugs. The specific plan is the same as that for simple vulvovaginal candidiasis.

(3) Recurrent vulvovaginal candidiasis: Treatment principles include intensive treatment and consolidation treatment. The drug is selected based on secretion culture and drug sensitivity testing. After intensive treatment achieves mycological cure, consolidation treatment is given for half a year.

Intensive therapy can be given by oral or topical agents, as follows:

1. Oral medication: ① Itraconazole 200 mg, 1 tablet each morning and evening, for 2 to 3 days; ② Fluconazole 150 mg, taken all at once, repeat once after 3 days.

2. Vaginal medication: ① Miconazole suppository 400 mg, once every night for 6 days; ② Miconazole suppository 200 mg, once every night for 7-14 days; ③ Clotrimazole suppository 500 mg, repeat once after 3 days; ④ Clotrimazole suppository 100 mg, once every night for 7-14 days.

Consolidation therapy: Since there are no mature plans at home or abroad, the following plans are for reference only.

1. Oral medication: small dose, long course of treatment up to 6 months.

2. Vaginal medication: ① Miconazole suppository 400 mg, once a day, 3-6 days a month, for 6 months; ② Clotrimazole suppository 500 mg, once a month, for 6 months.