Which medicine is best for fungal vaginitis?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on September 03, 2024
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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 Li Shun Hua
Obstetrics and Gynecology
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What are the medicines for treating vaginitis?

There are many medications for treating vaginitis, but there are also many types of vaginitis, and the medication course and treatment methods vary for different types. If one contracts vaginitis, it is necessary to go to the hospital promptly for tests on vaginal discharge to identify the pathogen before starting medication. For trichomoniasis vaginitis, oral metronidazole or tinidazole can be used for treatment. For fungal vaginitis, clotrimazole vaginal tablets can be inserted, or oral itraconazole or fluconazole can be taken. For bacterial vaginitis, oral clindamycin can be used, or metronidazole can be administered. Treatment should be based on the specific pathogen, enabling quick recovery from vaginitis. Note: Medications should be used under the guidance of a doctor.

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Written by Qu Chun Yao
Obstetrics and Gynecology
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Is fungal vaginitis serious?

Yeast vaginitis is a type of gynecological inflammation. Yeast vaginitis should be treated according to the course of treatment. If it is not treated in time, it can become very serious. Yeast vaginitis causes redness and swelling of the vaginal skin and mucous membranes. There may be itching of the vulva, vaginal discharge that appears like cottage cheese or curd-like and white. There may also be accompanying symptoms such as burning pain, pain during sexual intercourse, and pain during urination. If these symptoms occur, it is necessary to visit the hospital in time for a routine examination of the secretions to determine the type of vaginitis. If yeast vaginitis is confirmed, it needs to be treated according to the treatment course, including necessary vaginal medication or oral medication.

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Written by He Jing
Obstetrics and Gynecology
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Early symptoms of fungal vaginitis

The early symptoms of candidal vaginitis primarily manifest as an increase in vaginal discharge, accompanied by itching of the vulva, and the discharge may appear curd-like or resembling cottage cheese. Since candidal vaginitis causes noticeable itching of the vulva, which can severely affect the patient's study and daily life, it is necessary to visit a hospital for a routine vaginal discharge examination when encountering these symptoms. Once diagnosed, under the guidance of a doctor, appropriate alkaline washes can be used to cleanse the vulva, followed by the placement of clotrimazole vaginal suppositories or nystatin vaginal soft capsules for symptomatic treatment. Typically, symptomatic treatment for about a week can lead to recovery. Note that during treatment, sexual intercourse should be avoided to prevent worsening of the condition.

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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 to completely cure vaginitis?

There are many causes of vaginitis, and the treatments vary depending on the type. For fungal vaginitis, which is prone to recurrence, there are both simple and recurrent forms. Simple fungal vaginitis can be treated with medication over two treatment courses, whereas recurrent fungal vaginitis requires longer treatment, needing 3-6 months to heal completely. For trichomonal vaginitis, it is necessary to complete a course of medication, then stop the medication for a week before re-examination. If two consecutive re-examinations are negative, it indicates that the trichomonal vaginitis is cured. For bacterial vaginitis, after it is cured, probiotics must be placed in the vagina. As long as the probiotics proliferate normally, the bacterial vaginitis will also be cured. However, most bacterial vaginitis is caused by frequent sexual activity and relationships within the vagina, so it is essential to change these unhealthy lifestyle habits.