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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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 16sec

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What is the best medicine for vaginitis?

What kind of medicine is best for vaginal inflammation depends primarily on the type of bacteria causing the infection and the nature of the vaginal inflammation. Since different bacteria cause different clinical symptoms, the treatment and medications vary accordingly. Generally, if the treatment is symptomatic, whether using common medications or specific ones, it will certainly be effective as long as it matches the symptoms. If treatment is not based on the correct diagnosis, and medication is used blindly without a clear diagnosis of vaginal inflammation, this will definitely not be appropriate. Generally, in cases of trichomonas infection, the vaginal discharge appears watery and has a foul smell, and treatment must be specifically targeted against trichomonas infection. If the discharge is curdy or cheese-like, these are typical symptoms of fungal vaginitis, and treatment must be conducted with effective medications specifically for fungal infections. Therefore, the type of medication for vaginal inflammation must be determined after an examination and based on the results, appropriate treatment should be administered.

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Written by Gan Hai Ying

Obstetrics and Gynecology

59sec

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What should I do about yeast vaginitis?

Candidal vaginitis is an inflammation caused by a Candida infection in the vagina, leading to abnormal vaginal discharge and vulvar itching among other discomforting symptoms in women. Therefore, active treatment is generally necessary for candidal vaginitis. Fungi do not grow well in alkaline environments, thus washing the vulva with alkaline medicinal solutions can reduce symptoms of vulvar itching and aid in healing the disease. Additionally, local vaginal medications such as antifungal drugs like nystatin or clotrimazole vaginal tablets should be applied. In severe cases, oral treatment with drugs like fluconazole may also be necessary. Typically, symptoms of candidal vaginitis can be thoroughly alleviated after antifungal treatment. (Please follow medical advice regarding medication use.)

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Written by Zhang Yin Xing

Obstetrics

1min 1sec

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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 Zhang Xiu Rong

Obstetrics and Gynecology

1min 4sec

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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 Xu Xiao Ming

Obstetrics and Gynecology

40sec

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Symptoms of postmenopausal bacterial vaginitis

If a patient in menopause has bacterial vaginosis, the typical symptoms are itching in the vagina, local discomfort, and there may be a foul odor and increased discharge, with the secretions becoming more abundant. It is recommended that patients with these symptoms promptly visit a hospital to check their vaginal discharge to determine if they have bacterial vaginosis and identify the pathogen causing it. This way, targeted treatment measures can be adopted, and appropriate medication can be administered. Therefore, it is advised that such patients should seek medical consultation and examination at a hospital. (The use of medication should be under the guidance of a doctor.)