What medicine should I use if mycotic vaginitis is very itchy?

Candidal vaginitis may cause abnormal leucorrhea, severe itching of the vulva, redness and swelling of the vaginal mucosa, etc. It is caused by a fungus called Candida albicans. Many women and pregnant women have this fungus in their vaginas, but the amount is very small so there are no symptoms. However, it will cause vaginal inflammation when the body's immunity is reduced.

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 medication, the treatment time should be appropriately extended and the dosage should be increased. Regular follow-up during treatment is important.

The treatment principles for vulvovaginal candidiasis during pregnancy are: the primary issue that must be considered during treatment is whether the drugs are harmful to the fetus; treatment is mainly based on local medication, and no systemic medication is given.

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 on 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 have recurrent candidal vaginitis, they should stop taking contraceptive pills and use other contraceptive methods.