What are the main causes of candidal vaginitis? What are the treatments for candidal vaginitis?

Vaginal candidiasis is mainly caused by Candida albicans infection. The main clinical symptoms are vulvar itching, which is sometimes mild and sometimes severe. When the itching is severe, the patient will be restless and unable to eat or sleep. When the inflammation is severe, there may also be pain during urination and sexual intercourse, and the vaginal discharge may increase in the form of bean curd or curd. Vaginal candidiasis is a common disease among women, and 80% of women will have it at least once in their lifetime. It is more common in women who are pregnant, have diabetes or use antibiotics for a long time.

1. Vulvar pruritus The vulva and vagina are burning and itchy. The itching symptoms are sometimes light and sometimes heavy, and sometimes come and go. When the itching is severe, the patient cannot sit or lie down, and cannot sleep or eat well. When the inflammation is severe, urination pain and sexual intercourse pain may also occur. In addition, vulvar erythema and edema may occur, often accompanied by vulvar scratches. In severe cases, there may be vulvar skin cracks and peeling. 2. Abnormal leucorrhea The leucorrhea increases, is white and sticky, and is curd-like or tofu-like. It adheres to the inner side of the labia minora and the vaginal mucosa, and is prone to bleeding due to friction. About 50% of patients have a large amount of watery or purulent leucorrhea without white flakes. The symptoms are not severe, and only the vulva is wet. In addition, about 10% of women and 30% of pregnant women are carriers of mold, but have no clinical manifestations.

Excessive cleaning is the cause of trouble. Female friends should not use excessive cleaning disinfectants, which will destroy the microenvironment of the vagina, cause imbalance in the internal balance of the vagina, and weaken the self-resistance of the vagina, thus causing vaginitis. Pathogenic yeasts are not only found in the vagina and vulva, but also in the human mouth or intestines. Fungal infections in these parts can spread to each other. Candida albicans often exist in damp environments, such as baths, toilets, swimming pools, damp rooms and wardrobes. If you don't pay attention, you will easily get infected. Sometimes Candida albicans already exists in the vagina, but it does not get sick or have symptoms. When the body's resistance decreases, vaginitis and vulvitis can occur. Abuse of antibiotics Improper use of antibiotics or abuse of broad-spectrum antibiotics may lead to serious consequences, because while antibiotics kill pathogens, they also inhibit some beneficial bacteria, and uninhibited and foreign resistant bacteria will take the opportunity to multiply in large numbers, including mold. Pregnant women, diabetics or people who use broad-spectrum antibiotics for a long time are prone to fungal vulvitis. Cross-infection between husband and wife If one of the spouses is sick, the disease can also be transmitted to the other spouse. If you have candidal vaginitis, you can also infect the other spouse. Since the male reproductive organs are relatively dry, there will be no symptoms of infection, but the mold spores in the male body can be transmitted to the female again, causing direct infection caused by sexual intercourse. This may be the reason for the recurrence of candidal vaginitis in women. Tight-fitting synthetic fiber underwear has many disadvantages. It can increase the temperature and humidity of the local vagina. The stuffy and hot environment is the best living environment for mold to multiply in large numbers. According to the reasons listed above, I believe that as long as targeted prevention plans are made, the incidence of candidal vaginitis can be effectively and thoroughly reduced. At the same time, it should be noted that after a woman is infected with candidal vaginitis, the husband must also be treated, otherwise it will lead to cross infection. Therefore, female friends must pay more attention.

1. Do not eat foods with high sugar content. Eat less after the fungal vaginitis is cured. Do not eat spicy and irritating foods. 2. If the fungal vaginitis patient is really itchy, you can cut open the vitamin E capsule and apply some of it to the vaginal opening with a sterilized round-headed cotton swab, which has a certain anti-itching effect. 3. You can drink more yogurt (especially the kind of yogurt with active Lactobacillus acidophilus, which can eliminate harmful yeast-like fungi). 4. To cure fungal vaginitis, do not use body deodorants, alkaline and perfumed bath lotions, which will irritate the vaginal area. 5. If the fungal vaginitis recurs in a short period of time after treatment (for example, 3 times within 3 to 6 months), you must go for a check-up to rule out potential and more serious diseases. 6. Pay attention to hygiene in public places: There may be a lot of mold hidden in public places. When going out, do not use the hotel bathtub, wear long pajamas, put toilet paper before using the toilet, etc. At the same time, choose appropriate personal cleaning and care products. 7. Correct contraception: Estrogen in contraceptives has the effect of promoting mold invasion. If you have recurring candidal vaginitis, try not to use contraceptive drugs. 8. Treat your partner together: If you are infected with candidal vaginitis, it is not only you who need to be treated, but also your partner, so that the desired effect can be achieved. 9. Wearing cotton underwear: Tight synthetic underwear will increase the temperature and humidity of the local vagina, which is a "living" environment that mold applauds! It is better to choose cotton underwear! 10. Do not over-clean the vagina Under normal circumstances, our vagina (disease) will maintain the balance of pH value by itself. Try not to clean the vagina with detergents or disinfectants, or even over-scrub it. This may not only destroy the balance of the vaginal environment, but also cause vaginal damage, so just rinse with warm water at ordinary times. 2. Wear cotton breathable pants Try to wear cotton ventilated underwear and underwear as much as possible to keep dry. If there is not much secretion, try not to use sanitary pads. If you use them, you must change them frequently to avoid the breeding of bacteria. 13. Eat less irritating food. Under normal circumstances, our natural immune system will automatically deal with these invading bacteria, so we should have a healthy and balanced diet and eat less irritating food to keep the immune system functioning normally. 14. Do not abuse antibiotics. The use of antibiotics must be approved and prescribed by a doctor, because although antibiotics can kill bacteria, they will promote the growth of mold, so do not abuse antibiotics. 15. Keep a happy mood. Keeping a happy mood is also a good way to enhance immunity. In addition, your daily life and work schedule should be normal so that the immune system can function normally.

General treatment 1. Western medicine treatment 1) Drug treatment 1. Change the pH of the vagina, such as flushing the vagina with alkaline drugs, and flushing the vagina with 2-4% soda solution to change the living environment of mold. 2. Bactericide 1) Nystatin vaginal suppository (containing nystatin 250,000 U), inserted deep into the vagina, once in the morning and evening or once every night, for a total of 2 weeks. 2) Oral nystatin 500,000 U, 4 times a day. 3) Compound nystatin cold cream is applied topically, twice a day. 4) Oral ketoconazole (ketoconazole) 400 mg, twice a day, for a total of 5 days. 5) Trichomycin (trichomycin), see the treatment of trichomoniasis vaginitis for details. In addition, oral clotrimazole (clotrimazole) or clobendazole 0.5-1g, 3 times a day, or local application of 1-5% ointment cream or liniment, 3-4 times a day, also has good efficacy. 6) Topical application of 1-2% gentian violet solution is a long-standing treatment method that is also very effective and widely used, but it has the disadvantage of contaminating underwear. 2) Rational use of drugs for candidal vaginitis Candidal vaginitis is caused by infection with white candida in the mold. Mild infection may be asymptomatic. The following points should be noted during treatment: 1) Active treatment should be carried out after diagnosis to strive for a complete cure, otherwise it will be prolonged and recurrent, causing many troubles to the patient. Pregnant women with candidal vaginitis may recover after delivery, but the newborn is at risk of infection, so timely treatment is still required. In addition, male carriers must also take routine treatment, which is one of the important measures to prevent recurrence of female patients. 2) Pay attention to personal hygiene and change underwear frequently. Used underwear, basins, towels, etc. should be washed with boiling water and dried in the sun. 3) Antibiotics and hormone drugs should be used reasonably. People with diabetes should actively treat the primary disease. 4) Drug treatment for fungi is mainly local medication. Because fungi are not easy to grow in an alkaline environment, alkaline solution plus 2% to 4% sodium bicarbonate solution can be used to wash the vulva and vagina, and then Baofukang suppository can be inserted into the vagina, once a night, 7 to 8 days as a course of treatment, for 16 consecutive days, and then for 16 consecutive days after the second menstrual period. Baofukang suppository has a good effect on fungal vaginitis. 5) Patients with repeated fungal infections or those who have not been cured for a long time should undergo a comprehensive systemic examination to rule out diabetes and other organ infections. At the same time, pay attention to whether antibiotics and hormone drugs are used irrationally. If necessary, oral nystatin, ketoconazole and other drugs can be taken under the guidance of a doctor. 6) Pregnant women with fungal vaginitis should be treated seriously with local medication as the main method to avoid neonatal infection. Treatment of fungal vaginitis in traditional Chinese medicine based on syndrome differentiation and treatment II. Treatment in traditional Chinese medicine 1. Folk remedy Sophora flavescens 30 grams, Cnidium monnieri 20 grams, Kochia scoparia 20 grams, Dictamni 20 grams, Pulsatilla 20 grams, and Mentha 10 grams. 2. Usage: Add 2000ml of water to the above and soak for 15 minutes. Boil for 5 minutes on high heat, add mint, and continue to boil for 10 minutes. Pour out the liquid medicine. Steam the vulva while it is hot, and sit in the bath for 15-20 minutes after the water becomes warm, once or twice a day for ten consecutive days.

1. Suitable foods include Chinese cabbage, which is rich in nutrients. In addition to carbohydrates, iron, fat, protein, thiamine, crude fiber, calcium, phosphorus, and carotene, it also contains rich vitamins. Its vitamin C and riboflavin content are 5 times and 4 times higher than apples and pears respectively; the trace element zinc is higher than meat, and it contains molybdenum that can inhibit the absorption of nitrosamines. Among them, vitamin C can increase the body's resistance to infection, and is used to prevent and treat scurvy, bleeding gums, various acute and chronic infectious diseases, and can effectively prevent fungal vaginitis.

2. Suitable foods include kelp, which is a food with high nutritional value and certain medicinal value. It is rich in iodine and other mineral elements needed by the human body. Kelp is low in calories, medium in protein content, and rich in minerals. Studies have found that kelp has many important biological functions such as regulating immunity, anti-tumor, detoxification and anti-oxidation, and is also very helpful in helping to prevent fungal vaginitis.

3. Suitable foods include bananas, which are high-calorie fruits, especially in some tropical regions where bananas are the main food. Moreover, banana pulp has high nutritional value, with 20 grams of carbohydrates, 1.2 grams of protein, 0.6 grams of fat per 100 grams of pulp, as well as a variety of trace elements and vitamins. To prevent candidal vaginitis, it is best to eat foods rich in protein and vitamins.

4. Suitable foods include leeks. The main nutrients of leeks are vitamin C, vitamin B1, vitamin B2, niacin, carotene, carbohydrates and minerals. The unique spicy flavor of leeks is formed by the sulfides they contain. These sulfides have certain bactericidal and anti-inflammatory effects, which help the human body improve its own immunity and are very helpful in preventing candidal vaginitis. Although leeks have many benefits to the human body, the amount should be controlled. People with fever or hyperactivity should not eat them.

1. Avoid spicy foods and drinks such as pepper, raw onion, chili (red, pointed, dry), scallion, onion, shallot, shallot, raw garlic, and white wine, so as not to delay the treatment effect and delay the cure. 2. Avoid irritating foods. Sea fish, shrimp, clams, hairy clams, oysters, abalone and other aquatic products are all irritating foods. These foods are not conducive to the disappearance of inflammation. 3. Avoid sweet and greasy foods as well as greasy and fried foods. For example, overly sweet foods such as candy, eight-treasure rice, cream cake, glutinous rice cake, lard and fatty pork, mutton fat, fat meat, and egg yolks have a moistening effect, which will reduce the effect of treating candidal vaginitis and make the disease protracted and difficult to treat. 3. Alcohol is a warm and stimulating food. Drinking alcohol will increase dampness and heat, making the condition worse. Do not eat moldy or pickled foods. These foods are of no help to the recovery of the condition.