What should I do about yeast vaginitis?

Written by Gan Hai Ying
Obstetrics and Gynecology
Updated on November 10, 2024
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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 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 Zhang Yin Xing
Obstetrics
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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 Yan Qiao
Obstetrics and Gynecology
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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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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to treat fungal vaginitis with medication?

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 Li Shun Hua
Obstetrics and Gynecology
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How to treat vaginitis with medication

Vaginitis can be treated with oral medication and vaginal medication. For trichomoniasis vaginitis and yeast vaginitis, vaginal medications are quite effective, but these types can also be treated with oral medications. If it is bacterial vaginitis, it is best to use oral medication. Vaginitis is mainly related to sexual activity, so it is essential to maintain hygiene during sexual activity. It is important to wear breathable, cotton underwear and to expose sanitary products to sunlight to reduce the occurrence of vaginitis. It is advisable to have a steady sexual partner and avoid frequent sexual activity; generally, two to three times a week is most suitable.