What medicine is used to treat fungal vaginitis?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 04, 2024
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The clinical symptoms of yeast vaginitis include a curd-like or cottage cheese-like discharge, itching, and no foul odor. Once diagnosed with yeast vaginitis at a hospital, it is essential to treat the condition based on its specifics. Generally, a washing solution such as baking soda water can be used, and topical medications common for treating yeast vaginitis can be applied. Oral medications for yeast vaginitis can also be taken. After a week of targeted treatment, most cases tend to improve. However, this fungus is prone to recurrence, particularly around the time of menstruation, when it may flare up again. At such times, another course of treatment can be used, and generally, using the medication consecutively for three menstrual cycles can treat yeast vaginitis effectively.

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Written by Li Li Jie
Obstetrics and Gynecology
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Can you get pregnant with fungal vaginitis?

It is not advisable to become pregnant with yeast vaginitis, primarily for the following reasons: First, yeast vaginitis can affect the vaginal pH, impact sperm motility, reduce sperm quality, and make it difficult for fertilization to occur. Second, the yeast can spread through the cervix and cause infection of the amniotic membrane, which may lead to intrauterine infection or rupture of the membranes, easily causing miscarriage or premature birth. It is recommended to try to conceive after treatment has returned the condition to normal. It is essential to maintain good hygiene habits regularly, such as frequently changing and sun-drying underwear, boiling them in hot water. Additionally, under favorable conditions, engaging in more physical activities like yoga and running can help boost the body's resistance.

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Written by Zhang Lu
Obstetrics
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What should a pregnant woman do if she has candidal vaginitis?

During pregnancy, changes occur in the vaginal flora of women, leading to decreased resistance in the vagina. Many pregnant women develop candidal vaginitis. Once diagnosed with candidal vaginitis, it is essential to undergo proper treatment. However, many pregnant women worry that medication might affect the fetus, which is a misconception. There are safe medications available for treating candidal vaginitis during pregnancy, and proper treatment generally does not harm the fetus. On the other hand, if candidal vaginitis is left untreated and allowed to progress, the inflammation might spread through the cervix into the uterine cavity, potentially leading to chorioamnionitis. In severe cases, it can cause premature rupture of membranes or intrauterine infection. Therefore, it is crucial for pregnant women diagnosed with candidal vaginitis to seek proper treatment.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Treatment methods for fungal vaginitis

Yeast vaginitis can be classified into simple yeast vaginitis and complex yeast vaginitis. Simple yeast vaginitis refers to the initial occurrence of the infection, which often presents abruptly with severe itching of the vulva and typical cottage cheese-like vaginal discharge. This type of discharge can be diagnosed visually. The treatment for this type of vaginitis can involve the use of Clotrimazole vaginal tablets, or oral administration of Fluconazole or Itraconazole. Generally, one course of treatment is sufficient. Complex yeast vaginitis occurs when a yeast infection is accompanied by a bacterial infection. The treatment of this form of vaginitis starts with addressing the yeast infection using antifungal medication. If it is not cured, antibiotics are then administered. Additionally, probiotics can be placed within the vagina. Generally, treatment may require two courses to be effective.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How to treat candidal vaginitis during pregnancy

During pregnancy, due to the increased secretion of estrogen, the environment in the vagina will also increase, making this time very susceptible to yeast vaginitis. In the early stages of pregnancy, contracting yeast vaginitis can easily lead to threatened miscarriage, or the embryo stopping development, so it is necessary to treat it promptly. Common treatments include vaginal medication, such as clotrimazole vaginal tablets, miconazole cream, and externally applied traditional Chinese medicine preparations, which are very effective in treating yeast vaginitis and have no adverse effects on pregnancy, as the absorption of topical medications is minimal.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How does fungal vaginitis occur?

Under normal circumstances, women have yeast present around the vagina, anus, and mouth. Usually, it does not cause disease, but yeast infection in the vagina may occur under certain triggers. Many women also experience recurrent episodes. For example, if a woman has diabetes, an increase in local blood sugar levels can trigger a yeast infection of the vagina. Additionally, women with decreased resistance or immune deficiencies, the use of immunosuppressants, or the large-scale use of antibiotics can also trigger an infection. Furthermore, some women, especially in the summer, prefer to wear tight synthetic underwear, which can prevent timely discharge of vaginal secretions, accumulate around the external genitalia, and potentially lead to infection.