What should a pregnant woman do if she has candidal vaginitis?

Written by Zhang Lu
Obstetrics
Updated on September 06, 2024
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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.

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Written by Li Shun Hua
Obstetrics and Gynecology
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What is the medication used for treating fungal vaginitis?

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

Yeast vaginitis is a relatively common gynecological disease. It is generally advised to treat yeast vaginitis promptly before attempting to conceive. Mild vaginitis will not affect pregnancy, but if vaginitis is not cured for a long time, it may lead to various gynecological inflammations such as cervicitis and pelvic inflammatory disease, which can affect pregnancy and, in severe cases, lead to threatened miscarriage. Therefore, it is advisable to cure yeast vaginitis promptly before getting pregnant. It's better to delay conception, treat the inflammation in a timely manner, and ideally, visit a hospital for a routine vaginal discharge test three to five days after menstruation ends, followed by comprehensive conditioning and treatment. Additionally, pay attention to hygiene; frequently change and sun-dry underwear, wash with hot water, and avoid consuming cold, spicy food.

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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.