The incidence of candidal vaginitis in women is second only to that of trichomonas vaginitis. It is more common in young women, pregnant women, patients with diabetes, and patients who use high doses of estrogen. Generally speaking, local and oral medications are mainly used to treat candidal vaginitis. 1. Local administration: vaginal administration. The drug is easily dissolved in the vagina, and the systemic absorption is low, so it is highly safe. For simple candidal vaginitis (non-diabetic, pregnant women, etc.), the symptoms are relatively mild, and vaginal medication is preferred. Showering is the best way to bathe, and warm water should be used to wash the vulva. Vaginal tablets are water-soluble and dissolve slowly; vaginal soft capsules are fat-soluble and can dissolve at body temperature within 5 minutes, which is more suitable for middle-aged and elderly women. 2. Oral medication. Symptoms are more serious, especially leucorrhea in the form of tofu residue, vulvar erythema, edema, often accompanied by scratches, skin cracks, epidermal excoriation, vaginal erosion, cervical congestion and other symptoms. It is best to choose oral medication, combined with vaginal medication when necessary. However, oral medications for candidal vaginitis have certain gastrointestinal reactions and liver toxicity, and are contraindicated for pregnant women. In the early stage of the disease, patients can take fluconazole orally or use antifungal drugs topically under the guidance of a doctor, and continue to take the medicine for 2 weeks to a month. After a course of treatment, stop taking the medicine for three days and go to the hospital for a reexamination of leucorrhea. If the test results show that it has turned negative, continue to take fluconazole, itraconazole and other drugs orally, and clotrimazole suppositories for local treatment, just like in the early stage of the disease, and continue the treatment for 6 months to prevent the recurrence of candidal vaginitis. |
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