What are the treatments for fungal vaginitis?

Fungal vaginitis can be treated by keeping the perineum clean, applying topical medications, oral medications, adjusting the balance of flora, and avoiding triggering factors. Fungal vaginitis is usually caused by Candida albicans infection, weakened immunity, abuse of antibiotics, uncontrolled diabetes, elevated estrogen levels and other reasons.

1. Keep the perineum clean

Wash your vulva daily with warm water and avoid using harsh lotions. Choose breathable cotton underwear and change them daily. After washing, expose them to sunlight for disinfection. Sexual partners need to cleanse simultaneously and avoid sexual intercourse during treatment. Improper cleaning may cause symptoms to worsen or return.

2. Topical application

Clotrimazole vaginal tablets kill Candida by inhibiting fungal cell membrane synthesis and are suitable for simple infections. Miconazole nitrate suppositories can interfere with fungal metabolism and relieve vulvar itching and abnormal secretions. Nystatin effervescent vaginal tablets are effective for stubborn infections, and mixed infections must be ruled out before use.

3. Oral medications

Fluconazole capsules are systemic antifungals and are suitable for recurrent or severe infections. Itraconazole dispersible tablets have little effect on liver enzymes, and liver function needs to be monitored. Oral medications may cause gastrointestinal discomfort and are contraindicated during pregnancy.

4. Adjust the balance of bacterial flora

Vaginal lactic acid bacteria preparations can restore the acidic environment and inhibit fungal reproduction. Consume moderate amounts of probiotic-containing yogurt or supplements and avoid long-term use of antibacterial lotions. When the bacterial flora is imbalanced, bacterial vaginosis is likely to occur and requires combined treatment.

5. Avoid triggering factors

Keep blood sugar under control and reduce high-sugar food intake. Avoid long-term use of broad-spectrum antibiotics or estrogen-based drugs. Wear breathable clothing and change sanitary napkins frequently during menstruation. Wash in time after swimming to avoid cross-infection in public baths.

During the treatment period, the entire course of medication should be completed. After the symptoms disappear, the leucorrhea should be checked routinely to confirm the efficacy. Avoid excessive vaginal washing on a daily basis, use panty liners rationally, and strengthen exercise to improve immunity. People with diabetes need to monitor their blood sugar, and pregnant women should choose topical medication under the guidance of a doctor. If recurrence occurs, underlying diseases or drug resistance may need to be investigated.