How to treat candidal vaginitis during pregnancy

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 13, 2024
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During pregnancy, due to the increased secretion of estrogen, the environment in the vagina will also increase, making this time very susceptible to yeast vaginitis.

In the early stages of pregnancy, contracting yeast vaginitis can easily lead to threatened miscarriage, or the embryo stopping development, so it is necessary to treat it promptly. Common treatments include vaginal medication, such as clotrimazole vaginal tablets, miconazole cream, and externally applied traditional Chinese medicine preparations, which are very effective in treating yeast vaginitis and have no adverse effects on pregnancy, as the absorption of topical medications is minimal.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What are the symptoms of yeast vaginitis?

Candidal vaginitis, also known as yeast vaginitis, is a common gynecological condition in women. Clinically, the yeast infection manifests as curd-like or cottage cheese-like vaginal discharge. There is significant itching of the vulva. Generally, there is no foul odor. In severe cases of yeast vaginitis, there may be swelling of the vulva and extreme dryness in the vaginal area. Pain during intercourse or bloody discharge after intercourse may occur, which is why it is crucial for patients with yeast vaginitis to seek active treatment at a hospital. The first step in treatment involves going to the hospital to get a lab test of the discharge to confirm a yeast infection. If it is indeed a yeast infection, treatment can be administered according to the medication for yeast vaginitis. Typically, the symptoms can be alleviated after a week of treatment.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Treatment methods for fungal vaginitis

Yeast vaginitis can be classified into simple yeast vaginitis and complex yeast vaginitis. Simple yeast vaginitis refers to the initial occurrence of the infection, which often presents abruptly with severe itching of the vulva and typical cottage cheese-like vaginal discharge. This type of discharge can be diagnosed visually. The treatment for this type of vaginitis can involve the use of Clotrimazole vaginal tablets, or oral administration of Fluconazole or Itraconazole. Generally, one course of treatment is sufficient. Complex yeast vaginitis occurs when a yeast infection is accompanied by a bacterial infection. The treatment of this form of vaginitis starts with addressing the yeast infection using antifungal medication. If it is not cured, antibiotics are then administered. Additionally, probiotics can be placed within the vagina. Generally, treatment may require two courses to be effective.

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Written by Li Li Jie
Obstetrics and Gynecology
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Can you get pregnant with fungal vaginitis?

It is not advisable to become pregnant with yeast vaginitis, primarily for the following reasons: First, yeast vaginitis can affect the vaginal pH, impact sperm motility, reduce sperm quality, and make it difficult for fertilization to occur. Second, the yeast can spread through the cervix and cause infection of the amniotic membrane, which may lead to intrauterine infection or rupture of the membranes, easily causing miscarriage or premature birth. It is recommended to try to conceive after treatment has returned the condition to normal. It is essential to maintain good hygiene habits regularly, such as frequently changing and sun-drying underwear, boiling them in hot water. Additionally, under favorable conditions, engaging in more physical activities like yoga and running can help boost the body's resistance.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What medicine is used to treat fungal vaginitis?

The clinical symptoms of yeast vaginitis include a curd-like or cottage cheese-like discharge, itching, and no foul odor. Once diagnosed with yeast vaginitis at a hospital, it is essential to treat the condition based on its specifics. Generally, a washing solution such as baking soda water can be used, and topical medications common for treating yeast vaginitis can be applied. Oral medications for yeast vaginitis can also be taken. After a week of targeted treatment, most cases tend to improve. However, this fungus is prone to recurrence, particularly around the time of menstruation, when it may flare up again. At such times, another course of treatment can be used, and generally, using the medication consecutively for three menstrual cycles can treat yeast vaginitis effectively.

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Written by Zhang Lu
Obstetrics
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What should a pregnant woman do if she has candidal vaginitis?

During pregnancy, changes occur in the vaginal flora of women, leading to decreased resistance in the vagina. Many pregnant women develop candidal vaginitis. Once diagnosed with candidal vaginitis, it is essential to undergo proper treatment. However, many pregnant women worry that medication might affect the fetus, which is a misconception. There are safe medications available for treating candidal vaginitis during pregnancy, and proper treatment generally does not harm the fetus. On the other hand, if candidal vaginitis is left untreated and allowed to progress, the inflammation might spread through the cervix into the uterine cavity, potentially leading to chorioamnionitis. In severe cases, it can cause premature rupture of membranes or intrauterine infection. Therefore, it is crucial for pregnant women diagnosed with candidal vaginitis to seek proper treatment.