How is fungal vaginitis caused?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 04, 2024
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Common causes of candidal vulvovaginitis include long-term use of broad-spectrum antibiotics, patients with diabetes, patients who long-term use immunosuppressive drugs, wearing tight underwear, and moisture in sanitary products. All these factors can lead to the occurrence of candidal vulvovaginitis.

Changing unhealthy lifestyles, stopping the use of antibiotics, actively treating diabetes, wearing breathable cotton underwear, and keeping the vulva clean can all reduce the occurrence of candidal vulvovaginitis.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Which medicine is best for fungal vaginitis?

For the treatment of fungal vaginitis, the main drugs include miconazole nitrate suppositories, clotrimazole-based preparations, or antifungal agents. These medications are generally very sensitive, and only a very few people with long-term fungal vaginitis may develop resistance. In such cases, it is necessary to perform a culture and drug sensitivity test. Only a minority of people require this kind of culture, and the final choice of sensitive drugs can treat the condition. For recurrent fungal vaginitis, it is necessary to strengthen the treatment and extend the course of therapy. Oral medications such as fluconazole can also be used.

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Written by Liu Wei Jie
Obstetrics
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Can you get pregnant with vaginitis?

Vaginitis is a very common gynecological issue among women, occurring countless times in every woman's life. Thus, the ability to get pregnant while having vaginitis indicates that there are no major issues with your body. Vaginitis itself does not affect the development of the fetus, however, during childbirth, it may lead to infections in the fetus. For instance, fungal vaginitis may cause oral thrush in children, and bacterial vaginitis may lead to infections of the uterine lining. In other words, vaginitis could potentially trigger infections during childbirth, affecting both the mother and the fetus. Throughout the pregnancy, it does not cause developmental deformities in the fetus.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What should I do if I have vaginitis?

Vaginitis requires a hospital examination. Because the bacteria responsible for vaginitis vary, the clinical manifestations and medications used also vary. If the vaginal discharge appears like curds or cottage cheese, it suggests yeast vaginitis, and it should be treated with medication specific for yeast infections. In the case of yeast vaginitis, if the discharge becomes watery and has a fishy smell, it generally indicates a trichomonas infection, for which medications such as metronidazole or tinidazole can be used topically. If the discharge is yellow, thick, and abundant, caused by bacteria or cervical erosion, it should be treated as bacterial vaginitis accordingly. Therefore, it is essential to have a laboratory test of the secretions at a hospital to determine the type of infection and treat it accordingly.

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Written by Qu Chun Yao
Obstetrics and Gynecology
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What should I do about acute vaginitis?

Acute vaginitis refers to acute inflammation caused by some kind of pathogen infection, clinically characterized by an increase in vaginal discharge and changes in the nature of the discharge. Symptoms also include itching of the vulva, a burning sensation of the vulva, pain during intercourse, and frequent urination and urgency. Acute vaginitis disrupts the female immune system and damages the reproductive system, affecting the sexual life of couples. For acute inflammation, a vaginal secretion test should be given to understand and identify the pathogen, thereby treating the pathogen specifically. If necessary, bacterial culture may be conducted, and treatment can be administered orally or applied directly to the vagina to treat the vaginitis.

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Written by Li Shun Hua
Obstetrics and Gynecology
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How long does it take for acute vaginitis to heal?

Acute vaginitis is primarily characterized by purulent discharge or cottage cheese-like discharge, with patients experiencing severe itching in the vulva. Additionally, some may feel a contracting sensation during urination; these are all manifestations of acute vaginitis. The treatment duration for acute vaginitis generally requires seven days, so most can be cured after completing one treatment course. Some individuals might still experience symptoms after one course of medication and may need two courses. Common types of acute vaginitis include yeast vaginitis, bacterial vaginitis, and trichomonal vaginitis. These types of vaginitis must be treated promptly when they acutely manifest to avoid progressing to chronic vaginitis, which is more problematic to treat.