How to treat fungal vaginitis with medication?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 19, 2024

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Candidal vaginitis is a common type of vaginitis. It can occur when a woman's immune resistance is weakened or under some special circumstances, leading to the onset of candidal vaginitis. Currently, the treatment of candidal vaginitis in clinical practice often involves the use of vaginal medications. The choice of medication mainly aims to inhibit the growth of the fungus. Therefore, antifungal drugs are commonly selected for the treatment of candidal vaginitis. There are many drugs available, and it is recommended that patients undergo examination at local hospitals before treatment. (Please use medication under the guidance of a doctor)

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What is vaginal inflammation during pregnancy?

Due to the increase in body weight and the rapid rise in hormone levels during pregnancy, pregnant women are prone to vaginitis, and the risk of infection may also significantly increase. The three more common types of vaginitis include trichomoniasis, vulvovaginal candidiasis, and bacterial vaginosis. The presence of these three types of vaginitis can manifest as an increase in vaginal discharge accompanied by vulvar itching. Specific tests for vaginitis are needed based on the characteristics of the vaginal discharge and the results of the vaginitis tests, to determine the specific type of vaginitis and treat accordingly based on the type.

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What should I do if I get vaginitis during pregnancy?

Vaginitis during pregnancy should be actively treated, generally choosing vaginal medications. Vaginal medications typically do not enter the bloodstream and are not absorbed by the fetus, thus not affecting the growth and development of the fetus. Vaginitis during pregnancy can lead to chorioamnionitis, and intrauterine infection of the fetus may lead to premature rupture of membranes, subsequently causing preterm birth or miscarriage. During pregnancy, the vaginal environment undergoes changes. There is an increase in the number of vaginal epithelial cells and secretions, which appear as white, paste-like substances. The glycogen level in the vaginal epithelial cells rises, the lactic acid content increases, and the pH decreases, making it prone to fungal vaginitis. However, this environment is unfavorable for the growth of other pathogenic bacteria and is beneficial in preventing bacterial infections.

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Written by Li Shun Hua

Obstetrics and Gynecology

45sec

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What causes vaginitis?

The most common cause of vaginitis is due to sexual activity because sexual intercourse can cause changes in the pH level of the vagina, leading to a reduction in local resistance and the proliferation of pathogens. This can result in various types of vaginitis, such as fungal vaginitis, trichomonal vaginitis, and bacterial vaginitis, all of which are related to sexual activity. Therefore, it is essential to maintain hygiene during sexual activities, have a fixed sexual partner, maintain good lifestyle habits, avoid overwork and staying up late, as a stronger immune system can also reduce the likelihood of contracting vaginitis.

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How is vaginitis treated?

If you get vaginitis, you should first go to the hospital to have a vaginal discharge test, because there are many types of vaginitis, and the treatment methods and medications vary. Therefore, it is necessary to identify the pathogen causing the vaginitis before medicating. Treatment can include both topical and oral medications. For trichomonal vaginitis, metronidazole can be used, both topically and orally. For fungal vaginitis, clotrimazole vaginal tablets can be used topically, or fluconazole can be taken orally. Bacterial vaginitis requires the use of antibiotics for treatment.

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Obstetrics and Gynecology

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Is bacterial vaginosis serious?

Bacterial vaginosis is not serious; it is a common disease among women. In most clinical cases, when women have vaginal inflammation, bacterial infection may occur. It is generally diagnosed through the analysis of secretions, and after confirming it is bacterial vaginosis, appropriate medication will be selected based on the test results for symptomatic treatment. It's a common condition among women, and after treatment, it is important to maintain good vulvar hygiene. If any discomfort occurs, it is crucial to visit the hospital promptly for further diagnosis and treatment. Bacterial vaginosis is easily treatable, typically showing improvement within a week of medication. If a recurrence occurs around the time of the next menstrual period, another course of treatment may be used. This disease is not serious and is commonly seen in women.