Is vaginal discharge routine fungal positive fungal vaginitis

A routine examination of vaginal discharge showing positive for mold 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 needs to be comprehensively judged based on clinical symptoms.

1. Candida infection

Fungal vaginitis is often caused by excessive proliferation of Candida, and common triggers include long-term use of antibiotics, hormonal changes during pregnancy, or weakened immunity. The typical symptoms are severe itching, burning pain, and white curd like discharge from the external genitalia. After diagnosis, antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, or nystatin vaginal effervescent tablets can be used under the guidance of a doctor. Keep the external genitalia dry and clean in daily life, and avoid wearing tight synthetic underwear.

2. Mixed vaginitis

Some patients may be accompanied by bacterial vaginosis or trichomoniasis infection, which may be manifested by odor and thin foam secretion. Pathogen types need to be identified through routine vaginal discharge examination. In case of mixed infection, doctors may jointly prescribe metronidazole vaginal gel and antifungal drugs. Sexual activity is prohibited during the treatment period, and spouses need to undergo simultaneous examinations.

3. diabetes induced

diabetes patients with poor blood glucose control are prone to recurrent fungal infections, and high glucose environment promotes fungal growth. These patients need to monitor their blood sugar levels and use fluconazole capsules orally or terbinafine cream topically. It is recommended to thoroughly dry the external genitalia after daily cleaning to reduce intake of sugary foods.

4. Fluctuations in hormone levels

Postmenopausal women may increase their risk of fungal infections due to decreased estrogen levels, thinning of vaginal mucosa, and reduction of lactobacilli. According to the doctor's advice, estriol cream can be used to improve the local environment, and boric acid wash solution can be used in combination with sitz bath. It is recommended to supplement fermented dairy products containing probiotics in moderation on a daily basis.

5. Misdiagnosis possibility

In rare cases, the laboratory may mistake vaginal exfoliated cells or impurities for fungal spores. If the patient is asymptomatic but tests positive, it is recommended to have a routine check of vaginal discharge or undergo fungal culture to confirm. Avoid using antifungal drugs without indications that may cause dysbiosis of the microbiota. After being diagnosed with fungal vaginitis, it is necessary to complete the treatment course in a standardized manner, and after the symptoms disappear, it is still necessary to check the routine of vaginal discharge. During treatment, choose cotton breathable underwear and wash it with hot water above 60 ℃, avoiding baths and public swimming pools. Patients with recurrent episodes need to be screened for underlying diseases and undergo vaginal microbiota adjustment treatment if necessary.