How to treat vaginal candidal infection with medication?

How to treat vaginal candidal infection with medication?

The treatment of common candidal vaginitis is not complicated, especially for the first attack, there is no need to be particularly nervous. Candida, especially the common Candida albicans, rarely has drug-resistant strains, so almost all vaginal antifungal drugs available on the market are effective. The drug can be inserted into the vagina or taken orally. Miconazole, clotrimazole, nystatin, amphotericin, etc. are common vaginal inserts. Oral ones include Dafukang and Sporanox. The drug has different usage methods according to the dosage form or type, such as Canestin, inserted into the vagina 1-2 times, with an interval of 3-7 days, and most of the drugs used daily are for a course of about 7 days. Oral drugs such as Dafukang 150mg, taken orally once. If the symptoms of candidal vaginitis are severe or complicated, the medication time is doubled, but generally not more than 2 weeks. If the symptoms disappear, reexamination is not necessarily required. Pay special attention to the first attack. Candidal vaginitis does not require long-term medication, and flushing is not recommended to avoid damaging the local vaginal environment and reducing resistance.

Complicated candidal vaginitis Candidal vaginitis usually refers to candidal vaginitis that occurs more than 4 times a year. For this type of vaginitis, a standardized assessment must be conducted at the hospital, including medical history, fungal culture, AIDS, diabetes and other immune-related diseases, long-term antibiotics, high-dose estrogen, oral contraceptives, immunosuppressants and other high-risk factors, and vaginal microecological assessment when necessary. Based on a careful evaluation, various high-risk factors or disease-related factors are removed and corrected, and then standardized treatment is carried out, which usually requires a course of more than 6 months. Sexual partners usually do not need to be treated at the same time, but if the disease is obviously related to sexual life or the sexual partner has related symptoms, the sexual partner should also receive relevant treatment.

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