Is vaginal discharge routine Candida positive fungal vaginitis?

A routine positive result for Candida albicans in vaginal discharge usually indicates fungal vaginitis. Fungal vaginitis is mainly caused by infection with Candida albicans, manifested as itching of the external genitalia, tofu like discharge, and other symptoms. It can be diagnosed through routine vaginal discharge examination.

1. Etiology and Symptoms

Mycotic vaginitis is mostly caused by excessive reproduction of candida, and common incentives include long-term use of antibiotics, pregnancy, diabetes, etc. The typical symptoms are severe itching and burning pain in the external genitalia, with white discharge resembling curd or tofu residue. Some patients may also experience pain during urination or sexual intercourse. Candida is a conditionally pathogenic bacterium that can also be present in small amounts in the vagina of healthy women. When the body's immune system is weakened or the vaginal microenvironment changes, it can easily cause infections.

2. Diagnostic basis

The routine examination of vaginal discharge and the discovery of positive Candida are important diagnostic criteria that need to be comprehensively judged based on clinical symptoms. Under the microscope, false hyphae or spores can be seen, and the pH value is usually less than 4.5. If recurrent or ineffective treatment occurs, fungal culture and drug sensitivity testing should be performed. It should be differentiated from other types of vaginitis, for example, bacterial vaginosis is characterized by fishy smell of leucorrhea, and trichomonal vaginitis is mostly yellow green foam secretion.

3. Medication therapy

Antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, and nystatin vaginal suppositories can be used according to medical advice. Stubborn infections require oral fluconazole capsules or itraconazole capsules, and spouses need to receive synchronous treatment. Sexual activity is prohibited during medication, and the use of irritating washes to wash the vagina should be avoided. Pregnant patients should choose local medications that are safe for the fetus under the guidance of a doctor.

4. Daily care

Keep the external genitalia clean and dry, choose cotton breathable underwear and replace it daily. Avoid long-term use of pads and wipe from front to back after defecation. Reasonably control blood sugar and stop unnecessary antibiotics. Avoiding spicy and stimulating foods as well as high sugar foods during treatment, and supplementing yogurt containing lactic acid bacteria appropriately can help restore vaginal microbiota balance.

5. Prevention of recurrence

Patients with recurrence need to check diabetes and other basic diseases, and extend the consolidation treatment cycle if necessary. Avoid frequent vaginal douching and change swimsuits promptly after swimming. Pay attention to cleanliness before and after sexual intercourse, and use non irritating weakly acidic care solution. If there are more than 4 episodes within a year, an intermittent preventive medication plan should be developed under the guidance of a doctor. After being diagnosed with fungal vaginitis, the treatment course should be completed in a standardized manner, and even if the symptoms disappear, the medication should not be stopped on its own. Pay attention to the changes in vaginal discharge characteristics in daily life. If there are abnormal secretions or worsening itching, timely follow-up is necessary. Strengthen exercise to improve immunity, use hygiene products reasonably, and avoid wearing tight synthetic underwear. Regularly check the routine of vaginal discharge during treatment until the results of three consecutive tests turn negative.