What is the medication used for treating fungal vaginitis?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on September 15, 2024
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The commonly used medications for treating the dilemma of recurrent vulvovaginal candidiasis include clotrimazole vaginal tablets, nitrofurantoin, mycostatin suppositories, and miconazole cream. These vaginal medications are effective for treating yeast infections of the vagina. However, vulvovaginal candidiasis tends to recur easily. It is crucial to complete the full treatment course during the initial treatment to prevent recurrence. It is also important to wear breathable cotton underwear and avoid prolonged vaginal douching. Sexual intercourse should be avoided during treatment. (Use of medications should be under the guidance of a doctor.)

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Written by Li Li Jie
Obstetrics and Gynecology
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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.

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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 Shen Li Wen
Obstetrics and Gynecology
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What is yeast vaginitis?

Normally, women have yeast present around the vagina, anus, and mouth, which usually does not cause illness. Only when a woman's immunity is lowered, or due to other factors such as having diabetes, taking oral immunosuppressants, or irregularly taking large doses of antibiotics, which alters a woman's resistance, can yeast-induced vaginitis be triggered. It is caused by an infection with Candida, a type of fungal pathogen. This infection can cause vaginal discharge to become particularly thick, sticking to the vaginal walls and unable to be expelled, leading to congestion and swelling of the vaginal walls, causing severe itching of the vulva, and pain and cracking at the vaginal opening during intercourse.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What to do if yeast infection coincides with menstruation?

If you get your period during the treatment of yeast vaginitis, you should stop using vaginal medication and can switch to oral medication. You can also wait until after your period is over to resume placing medication in the vagina. Yeast vaginitis is relatively easy to treat and there are many effective drugs available; generally, it can be cured after seven days of use. However, it is essential to maintain good hygiene of the vulva regularly, wear pure cotton breathable underwear, and place sanitary products in the sun for disinfection.

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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.