What to do about fungal vaginitis and bacterial vaginosis

Fungal vaginitis and bacterial vaginosis can be treated by keeping the perineum clean, avoiding the abuse of antibiotics, using antifungal drugs, adjusting the vaginal microecological balance, and regular review. Fungal vaginitis is usually caused by Candida albicans infection, and bacterial vaginosis may be related to vaginal flora imbalance, frequent vaginal washing and other factors.

1. Keep the perineum clean

Wash your vulva daily with warm water and avoid using harsh lotions or soaps. Choose breathable cotton underwear and change them daily. Keep the perineum dry after cleaning to reduce the breeding of pathogens in a moist environment. Avoid wearing tight pants or chemical fiber clothing to prevent local temperature rise and sweat accumulation. Pay attention to cleanliness before and after sex to reduce the chance of cross-infection.

2. Avoid overuse of antibiotics

Long-term or inappropriate use of broad-spectrum antibiotics may disrupt the balance of normal vaginal flora and increase the risk of infection by mold or opportunistic pathogens. It is necessary to strictly follow the doctor's instructions when using antibiotics and avoid buying and taking them on your own. If you need to use antibiotics for a long time due to other diseases, you can consult your doctor for preventive use of probiotic preparations. When abnormal vaginal discharge occurs, you should seek medical treatment in time instead of self-medication.

3. Use antifungal drugs

For fungal vaginitis, antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, and nystatin effervescent vaginal tablets can be used as directed by your doctor. Antibacterial drugs such as metronidazole vaginal gel and clindamycin phosphate vaginal cream are commonly used for bacterial vaginosis. Avoid sexual intercourse during medication and complete the entire course of treatment to prevent recurrence. Pregnant patients need to choose safe drugs under the guidance of a doctor.

4. Adjust microecological balance

Lactobacillus preparations can be used orally or vaginally to help restore normal vaginal flora. Consume moderate amounts of yogurt or fermented foods containing probiotics every day. Avoid frequent vaginal douching to destroy the acidic environment. Increased pH will promote the growth of pathogens. People with diabetes need to control their blood sugar, as a high blood sugar environment can easily induce fungal infections.

5. Regular review

After the symptoms disappear, you still need to follow the doctor's advice for a follow-up visit, and confirm whether the pathogen has been eliminated through routine leucorrhea examination. Patients with recurrent attacks need to be investigated for underlying diseases such as diabetes and immune deficiency. Monitor adverse drug reactions during treatment. If mucosal irritation or allergic reactions occur, seek medical advice promptly to adjust the plan. Routine treatment is not required when the partner is asymptomatic, but in case of recurrence, partner medication may be considered.

You should avoid excessive cleaning of the perineum on a daily basis and reduce the use of non-breathable products such as panty liners. Pay attention to limiting the intake of high-sugar foods, and appropriately supplement vitamin B complex and high-quality protein to enhance immunity. Choose loose-fitting, breathable clothing to avoid perineal moisture caused by sitting for long periods of time. Monthly re-examinations will be conducted within 3 months after treatment. If there is an increase in itching, odor or secretions during this period, please seek medical attention promptly. Maintaining a regular schedule and moderate exercise can help maintain vaginal microecological balance and overall resistance.