How to treat candidal vaginitis in unmarried women

How to treat candidal vaginitis in unmarried women? Candidal vulvitis is an inflammation of the vulva caused by a yeast-like fungus. The most common pathogen is Candida albicans. It often coexists with candidal vaginitis and is called candidal vulvovaginitis. Candidal vaginitis causes itching, burning sensation and pain when urinating. Many women complain of pain during sexual intercourse. At the same time, the area around the vulva is often red and edematous.

Examination of candidal vaginitis

Severe and persistent vulvar itching should first be considered as a fungal infection. The diagnosis can be confirmed by direct smear examination and culture of local secretions. The fungal hyphae and spores can be easily seen under the microscope. Candida albicans is oval and Gram-negative, but the staining is often uneven, about 3 to 5 μm (several times larger than Staphylococcus), and often produces long buds that do not fall off (spores), so that they look like hyphae but are not hyphae, so they are called pseudohyphae.

Treatment of candidal vaginitis

Wash the vulva or take a sitz bath with 1:5000 potassium permanganate solution, and apply 200 molecule gentian violet solution locally.

Usage: 100,000 U vaginal suppository, once in the morning and evening, inserted deep into the vagina for 5 days. Wash the vulva and apply nystatin ointment (100,000 U/g) topically 2-3 times/d. After treatment, in order to promote vaginal epithelial regeneration, a small amount of estrogen (ethyl estradiol 0.25-0.5 mg/day, 3-5 days) can be used. In recurrent cases, digestive tract bacteria should be considered, and nystatin 500,000 U/time, 4 times a day can be taken at the same time.