What should a pregnant woman do if she has candidal vaginitis?

Written by Zhang Lu
Obstetrics
Updated on September 06, 2024
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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 Qu Chun Yao
Obstetrics and Gynecology
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How is fungal vaginitis caused?

Yeast vaginitis can be caused by several reasons. First, women are prone to yeast vaginitis during their specific physiological periods because the vaginal environment becomes more acidic during menstruation, which favors the growth of yeast and thus causes yeast vaginitis. Second, medicinal factors may play a role. The use of a large amount of antibiotics by women can lead to a disruption of the vaginal flora, allowing yeast to proliferate. Additionally, individuals with diabetes are also more susceptible to yeast vaginitis. Third, contact with items infected with yeast can lead to yeast vaginitis. It could also occur during unhygienic sexual activities. Other causes may include the growth of yeast in underwear, which can subsequently spread to the vagina, leading to yeast vaginitis.

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

Yeast vaginitis is a relatively common gynecological disease. It is generally advised to treat yeast vaginitis promptly before attempting to conceive. Mild vaginitis will not affect pregnancy, but if vaginitis is not cured for a long time, it may lead to various gynecological inflammations such as cervicitis and pelvic inflammatory disease, which can affect pregnancy and, in severe cases, lead to threatened miscarriage. Therefore, it is advisable to cure yeast vaginitis promptly before getting pregnant. It's better to delay conception, treat the inflammation in a timely manner, and ideally, visit a hospital for a routine vaginal discharge test three to five days after menstruation ends, followed by comprehensive conditioning and treatment. Additionally, pay attention to hygiene; frequently change and sun-dry underwear, wash with hot water, and avoid consuming cold, spicy food.

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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 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 Li Li Jie
Obstetrics and Gynecology
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What will happen with long-term yeast vaginitis?

Under normal circumstances, the vagina has a relatively safe environment where the microbial flora is balanced and the pH level is also balanced. This suitable environment that allows sperm to temporarily reside and pass through is very important. Once this environment is disrupted, infertility can easily occur. If one suffers from yeast vaginitis, the change in the vaginal pH also inhibits the motility of sperm. Inflammatory cells can also engulf sperm and reduce sperm motility. Candida albicans can agglutinate sperm, and the pain during intercourse and decreased libido that occur with inflammation can all affect pregnancy. Therefore, if one is diagnosed with yeast vaginitis, it is crucial to treat it promptly. Yeast thrives in moist environments, so it is important to frequently change and sun-dry underwear.