What are the methods to treat fungal vaginitis?

Fungal vaginitis can be treated through lifestyle intervention, topical medication, oral medication, traditional Chinese medicine conditioning, and recurrence prevention. Fungal vaginitis is usually caused by Candida albicans infection and mainly manifests as vulvar itching, bean-like leucorrhea and other symptoms.

1. Life intervention

Keep your vulva clean and dry, avoid tight-fitting chemical fiber underwear, and choose breathable cotton underwear. Wash your vulva with warm water every day and avoid using alkaline lotions to rinse your vagina. Sexual intercourse is prohibited during treatment to prevent cross-infection. Reduce the intake of high-sugar foods and appropriately supplement yogurt containing lactic acid bacteria.

2. Topical application

Clotrimazole vaginal tablets can directly act on the lesions and inhibit fungal cell membrane synthesis. Miconazole nitrate suppositories can interfere with fungal sterol synthesis and relieve vulvar burning sensation. Nystatin vaginal effervescent tablets have a strong bactericidal effect on Candida albicans. Please clean your hands before use, place it deep in the vagina before going to bed, and use it continuously for 7-14 days.

3. Oral drugs

Fluconazole capsules exert antifungal effects by inhibiting fungal cytochrome P450. Itraconazole dispersible tablets have strong penetration into the vaginal mucosa and can effectively kill deep-seated fungi. Oral drugs are suitable for patients with recurrent attacks or combined with systemic symptoms. Liver function monitoring should be paid attention to.

4. Traditional Chinese Medicine Conditioning

You can use Chinese medicine decoctions such as Sophora flavescens and Cortex Phellodendron to be used for fumigation and washing, which have the effect of clearing away heat and drying dampness. Chinese patent medicines such as Fuyankang Tablets can improve the vaginal microenvironment and reduce secretions. Acupuncture uses acupuncture points such as Sanyinjiao and Guanyuan to regulate immunity. Avoid spicy and irritating foods during treatment.

5. Prevent recurrence

Leucorrhea routine needs to be reviewed after 3 menstrual cycles after cure. People who use antibiotics for a long time need to use antifungal drugs prophylactically. Diabetic patients must strictly control blood sugar. Avoid overusing vaginal douches to disrupt the balance of flora. It is recommended to use condoms during intercourse.

During the treatment period, you should follow the doctor's instructions to complete the entire course of medication, and do not stop taking the medication on your own. Change sterilized underwear regularly and expose to sunlight for sterilization. If drug allergy occurs or symptoms worsen, timely follow-up is required. Strengthen daily exercise to improve immunity and maintain a regular schedule. Review once a month within 6 months after treatment to prevent chronic infection.