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

1min 6sec

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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

1min 20sec

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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 Zhang Xiu Rong

Obstetrics and Gynecology

1min 3sec

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Little Tips for Treating Yeast Vaginitis

If you are looking for a home remedy for yeast vaginitis, you can typically use baking soda from home, or carbonated water, and then dilute it with water for rinsing. This can treat yeast vaginitis. However, the best treatment method is still to go to the hospital to obtain a secretion sample for testing. After confirming that it is yeast vaginitis, then based on the test results, select the appropriate medication for symptomatic treatment. Yeast vaginitis usually presents with abnormal vaginal discharge and itching, generally the discharge looks like cottage cheese or is curd-like. Therefore, most cases of yeast vaginitis need to be treated symptomatically with medication. If you prefer not to go to the hospital, you can also try washing at home with carbonated water or baking soda. Additionally, if you have yeast vaginitis, avoid consuming too many anti-inflammatory drugs, as they can exacerbate the condition.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 19sec

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What causes yeast vaginitis?

Fungal vaginitis, clinically manifested as curdy or cottage cheese-like vaginal discharge, itching, and no peculiar smell, must be treated symptomatically based on diagnosis and test results if confirmed as fungal vaginitis. The cause of fungal vaginitis is generally very likely due to improper care. Normally, the vaginal environment is acidic. If improperly handled, such as washing with water or cleansers, and various intimate hygiene products daily, it can disrupt the vaginal microbiota and lead to recurrent fungal vaginitis infections. Long-term use of high doses of anti-inflammatory drugs can also cause microbial imbalance and trigger fungal vaginitis. Washing socks afflicted with athlete's foot together with underwear can also cause recurrent fungal infections. Furthermore, patients with diabetes who do not have good blood sugar control can also experience recurrent fungal infections. Routine attention to vulvar hygiene is necessary, as improper hygiene care can also lead to fungal outbreaks. Therefore, those with fungal vaginitis must receive proper symptomatic treatment.

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Written by Li Li Jie

Obstetrics and Gynecology

57sec

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What will happen with long-term yeast vaginitis?

Under normal circumstances, the vagina has a relatively safe environment where the microbial flora is balanced and the pH level is also balanced. This suitable environment that allows sperm to temporarily reside and pass through is very important. Once this environment is disrupted, infertility can easily occur. If one suffers from yeast vaginitis, the change in the vaginal pH also inhibits the motility of sperm. Inflammatory cells can also engulf sperm and reduce sperm motility. Candida albicans can agglutinate sperm, and the pain during intercourse and decreased libido that occur with inflammation can all affect pregnancy. Therefore, if one is diagnosed with yeast vaginitis, it is crucial to treat it promptly. Yeast thrives in moist environments, so it is important to frequently change and sun-dry underwear.