How many courses of treatment are needed for candidal vaginitis?

Candidal vaginitis is a disease that is prone to recurrence. The reason for the recurrence is that people do not have good treatment or formal methods to deal with it, which leads to the aggravation of candidal vaginitis. The treatment of candidal vaginitis requires several courses of treatment, eliminating the inducing causes and using local medications. Systemic medication is mainly for patients with more serious conditions, while local medication mainly needs to be continued for a week.

The treatment for candidal vaginitis is to eliminate the cause and choose local or systemic antifungal drugs according to the patient's condition.

(1) Eliminate the triggering factors. If you have diabetes, you should be treated actively and stop using broad-spectrum antibiotics, estrogen and corticosteroids promptly. Change your underwear frequently, and wash used underwear, basins and towels with boiling water.

(2) Topical medication. The following drugs can be placed in the vagina: miconazole suppository, 1 pill (200MG) every night for 7 consecutive days; or 1 pill (400MG) every night for 3 consecutive days. Clotrimazole suppository, 1 tablet (150MG) every night, inserted deep into the vagina, for 7 consecutive days; or 1 tablet (150MG) each morning and evening, for 3 consecutive days; or 1 tablet (500MG) as a single dose. Nystatin suppository, 1 capsule (100,000 U) every night for 10-14 days.

(3) For those who cannot tolerate topical medications, unmarried women, or those who do not want to use topical medications, oral medications can be used. Commonly used drugs: Fluconazole 150mg, taken all at once; you can also use itraconazole 200mg each time, once a day, for 3-5 days; or use a one-day therapy, orally take 400mg a day, divided into 2 doses.