Candidal vaginitis

　　It is very painful to pay attention to the trouble caused by candidal vaginitis in life, which has already made everyone very troubled. This is not the most serious among them. What is even more annoying is that after the cure, it seems that people are reluctant to see the patient return, making the patient lose confidence in treatment. So, what are the reasons for the occurrence of candidal vaginitis?

　　Gynecological experts introduce: The causes of the recurrence of candidal vaginitis are generally as follows:

　　Firstly, the patient cannot persist in taking medication, and incomplete treatment is an important reason for the recurrence of the disease. Generally, after the treatment of candidal vaginitis, the vaginal discharge needs to be checked three times consecutively after the menstrual period is clean, and only when there is no candidal growth can it be determined that the disease has been cured.

　　Secondly, both the patient and their sexual partner need to be treated simultaneously for candidal vaginitis. Because candidal vaginitis can be transmitted through sexual contact, making the sexual partner also a carrier, about 10% of men can develop balanoposthitis. Otherwise, it is easy to lead to reinfection and the phenomenon of repeated infection that cannot be cured.

　　Third, not taking appropriate isolation measures during treatment. For example, if underwear is not separated, towels and other items are not disinfected.

　　Fourth, frequent or long-term use of antibiotics, or some patients with poor hygiene habits, due to long-term use of antibiotics or using some over-the-counter vaginal disinfectants, disrupt the balance of vaginal flora, and destroy the restraint relationship between bacterial flora.

　　Fifth, patients with low body immunity are prone to recurrent candidal infections. For example, diabetic patients have recurrent candidal vaginitis because the acidity in the vagina increases, and long-term urination of glucose provides favorable conditions for the growth of Candida.

　　Sixth, not paying attention to hygiene, washing underwear and socks together. Although it is rare for candidal vaginitis to be caused by tinea pedis, it is possible. If the bacteria causing tinea pedis is Candida albicans, the aforementioned practice can cause self-infection. In addition, frequently using unstandardized sanitary napkins, toilet paper, or having the habit of using the same basin for washing can also lead to recurrent candidal vaginitis.

　　Seventh, complications with other bacterial infections. Clinically, many patients have other pathogen infections, such as mycoplasma and chlamydia infections, at the same time as candidal vaginitis. However, some patients buy some external drugs at pharmacies instead of going to the hospital due to reluctance to seek medical attention, so vaginitis can recur.

　　Many patients with candidal vaginitis have been treated multiple times but cannot be completely cured, leaving them at a loss. They believe that this disease is incurable, but in fact, the treatment of candidal vaginitis is not as difficult as everyone imagines. Good nursing care can help it leave them.

　　1. Vaginitis can cause other diseases. If candidal vaginitis is not treated for a long time, it is easy to cause inflammation to ascend, leading to cervicitis and cervical erosion. If the pathogen enters the uterine cavity, it can cause salpingo-ovarian inflammation, pelvic inflammatory disease, and finally affect pregnancy.

　　2. Vaginitis can affect the quality of life. Women with candidal vaginitis may experience symptoms such as pruritus vulvae, which can cause many inconveniences and impacts on their lives and work, as well as affect their conjugal life.

　　3. Vaginitis can cause infertility. Under normal circumstances, the vagina has a relatively safe environment with a balanced bacterial flora and pH. This environment is important for the temporary storage and passage of sperm. Once this environment is destroyed, infertility is more likely to occur.

　　4. Vaginitis can affect fetal development. After infection, a small number of people may have Candida albicans in the vagina that can ascend through the cervix, penetrate the amniotic membrane to infect the fetus, and cause preterm labor.

　　5. During pregnancy, candidal vaginitis often leads to adverse perinatal outcomes such as chorioamnionitis, amniotic fluid infection, premature rupture of membranes, preterm labor, and endometritis after cesarean section or vaginal delivery. Therefore, it is relatively safe for women to become pregnant after recovery.

　　1. Pruritus vulvae and burning pain. There may also be frequent urination, dysuria, and sexual pain.
　　2. Increased vaginal discharge, presenting as white, thick, curd-like or film-like.
　　3. The vaginal mucosa is congested, and there may be white film-like membranes that are not easily peeled off on the surface.

　　1. Candidal vaginitis can be transmitted between couples, so if the female partner finds a candidal infection, the male partner should also be examined.

　　2. For patients with tinea pedis, it is recommended to separate the washing of underwear and socks, and finally expose them to the sun for more than one hour, or boil them for 15-30 minutes if there are no conditions.

　　3. Pay attention to the rational use of antibiotics or estrogens, and timely treat diabetes.

　　4. Avoid sexual life or use a condom during treatment, avoid vaginal medication and sitting in a bath during menstruation, and for those who often have relapses, perform local flushing and medication one week before each menstrual period and one week after the menstrual period, continue flushing and medication for three months, and the white discharge is negative for a cure.

　　5. Oral medications during pregnancy can affect the fetus, so local treatment should be used mainly, and the operation should be gentle to avoid abortion or preterm birth.

　　6. Advocate for showering without using other people's towels, basins, buckets, etc., avoid wearing tight clothing, synthetic clothing, and not using sanitary napkins, and wear cotton underwear to ensure cleanliness and dryness below the waist.

　　7. Avoid unclean sexual intercourse.

　　8. Prevent cross-infection in the hospital, strictly disinfect equipment, clothing, and other items, and achieve the goal of one person, one item.

　　9. Avoid sexual life and vaginal flushing or local medication for 24-48 hours before taking the secretion, do not perform a double and诊 before taking the secretion, and do not apply lubricant to the speculum to prevent misdiagnosis.

　　1. Routine leukorrhea examination: differentiate between candidal and trichomonas vaginitis, determine the vaginal pH value, vaginal cleanliness, clue cells, and amine test.

　　2. Mycoplasma and Chlamydia detection: can diagnose non-gonococcal vaginitis caused by mycoplasma and chlamydia infection. If there is sexual life, especially those with sexual pain, abdominal distension, more than two sexual partners, not improving or recurrent after taking medication, or cervical disease, a check-up is needed.

　　3. Bacterial culture examination: can detect the pathogenic bacteria of bacterial vaginitis. If there are no fungi or trichomonads, and the cleanliness is above 3 degrees, a test is needed.

　　1. Avoid spicy fried and hot foods:Spicy fried foods such as chili, pepper, fennel, Sichuan pepper, star anise, onions, fried dough sticks, roasted lamb, electric roasted chicken, fried quail, fried pork chops, and fried chicken wings; hot foods such as beef, mutton, and dog meat, and various roasted snacks such as roasted pumpkin seeds, roasted peanuts, and roasted chestnuts, will all cause heat and inflammation after eating, exacerbating vaginal inflammation and congestion, so they should be avoided.

　　2. Avoid seafood that causes inflammation:Sea products such as shrimps, crabs, crabs, yellow eels, scallops, silver clams, oysters, and abalones, most of which are 'invigorating' foods, will exacerbate itching in the perineum after eating, which is not conducive to the regression of inflammation, so they should be avoided.

　　3. Avoid sweet and greasy foods:Excessive sweet and greasy foods such as candy, butter, chocolate, cream cakes, glutinous rice dumplings, eight-treasure rice, lard, and fatty pork, sheep fat and mutton fat, egg yolks, and duck yolks, all of these foods have the effect of moistening, which will increase the secretion of leukorrhea and reduce the therapeutic effect.

　　4.忌烟、酒：烟、酒及含酒食品如酒酿圆子、人参酒，鹿茸酒等，食后会加重炎症充血，不利于本病的治疗，故忌食。

　　5.药物禁忌：因本病由湿热之邪所引起，故患病期间，禁止使用具有温里补阳作用的药物，如红参、附子、干姜、吴茱萸、丁香、细辛、荜拔、高良姜、鹿茸、补骨脂、菟丝子、巴戟天、淫羊藿、牛鞭子、仙茅、黄狗肾、锁阳、蛤蚧、肉苁蓉等，中成药如十全大补丸、右归丸、金匮肾气丸等。

　　27. First, you can choose to change the acidity and alkalinity of the vagina, you can choose to use alkaline drugs for rinsing, you can choose soda solution for cleaning, so you can inhibit the growth environment of mold, that is, the best pH value for fine living is 5.5, so using alkaline rinsing solution can effectively control the growth of bacteria.

　　26. Oral medication: That is, there are many ways for mold to spread, and it is possible to be infected during sexual intercourse between couples, so oral medication can also inhibit the growth of bacteria, such as fluconazole, ketoconazole, itraconazole, terbinafine (Therapeutic Molds), for 7 consecutive days.

　　25. External treatment: Insert the nitromiconazole vaginal soft capsule into the deep part of the vagina once a day in the morning and evening, for 5 consecutive days. Clean the vulva and apply nystatin ointment locally. To promote the regeneration of vaginal epithelium after treatment, a small amount of estrogen can be applied. In the case of recurrence, consider gastrointestinal carriage of bacteria, and simultaneously take nystatin.

　　24. Use 2% soda water to rinse the vagina, vulva, and other areas once a day. A course of treatment consists of 10 consecutive rinses. Normally, the vagina is rinsed before the medication is inserted. Alternatively, tablets, ointments, and other medications can be inserted into the vagina, or directly into the vulva. In this case, it should be done once a day, and about two weeks of continuous treatment is considered a course.

　　23. Insert 500mg of clotrimazole suppository into the vagina, 3-4 times a day, for 2 consecutive weeks.

　　22. Apply gentian violet solution to the vagina and vulva, 3-4 times a week, for 2 consecutive weeks.