How to treat pregnant women with fungal vaginitis

Pregnant women suffering from fungal vaginitis can be treated through lifestyle intervention, topical medication, and traditional Chinese medicine conditioning. Fungal vaginitis is usually caused by imbalance of vaginal flora, decreased immunity, changes in hormone levels, uncontrolled diabetes, poor hygiene habits, etc.

1. Life intervention

Keep the vulva clean and dry. Wash the perineum with warm water every day and avoid using harsh lotions. Choose pure cotton breathable underwear and change it every day. After washing, expose it to the sun. Wipe from front to back after using the toilet to prevent intestinal bacteria from contaminating the vagina. Reduce the intake of high-sugar foods and appropriately supplement yogurt containing lactobacilli to help maintain the balance of vaginal microecology.

2. Topical application

Clotrimazole vaginal tablets or nystatin vaginal suppositories can be used under the guidance of a doctor. These topical antifungal drugs have less impact on the fetus. It is necessary to clean your hands before using the medicine and place the medicine before going to bed for better effect. Avoid oral antifungal medications, such as fluconazole capsules, which may increase the risk of fetal malformations. If vulvar itching occurs, miconazole nitrate cream can be used topically.

3. Traditional Chinese Medicine conditioning

Traditional Chinese medicine believes that this disease is related to dampness and heat, and it can be fumigated and washed with decoctions of Chinese medicines such as Sophora flavescens and Cortex Phellodendron. It needs to be carried out under the guidance of a professional Chinese medicine practitioner, and avoid using medicinal materials that promote blood circulation and remove blood stasis. When fumigating and washing, pay attention to the water temperature not being too high, and the time should be controlled within 10 minutes. During the treatment period, avoid eating spicy and irritating foods, and drink Adzuki Bean and Coix Seed Decoction appropriately to assist in diuresis.

4. Control incentives

Patients with gestational diabetes need to strictly monitor their blood sugar. High blood sugar can easily induce fungal infection. Avoid long-term use of antibiotics and use probiotics under the guidance of a doctor when necessary. Reduce sedentary time and get up and move every hour to promote blood circulation in the perineum. Sleep on your side to reduce moisture and heat in the perineum.

5. Regular review

Even if the symptoms disappear, the full course of treatment must be completed, and the leucorrhea routine must be reviewed one week after stopping the drug. If it recurs, it is necessary to investigate whether it is combined with other pathogenic infections. It is necessary to ensure cure before delivery to avoid infection of the newborn through the birth canal. Avoid sexual intercourse during treatment. If your spouse has symptoms, you need to receive simultaneous treatment.

Pregnant women need to pay special attention to drug safety when treating fungal vaginitis, and all drugs must be evaluated by an obstetrician. You can wear loose clothes every day to reduce friction. If abnormalities such as vaginal bleeding and uterine contractions occur, seek medical attention immediately. Maintain a regular schedule and a good attitude, exercise moderately to enhance immunity, but avoid bathing, swimming and other behaviors that may cause infection. It is recommended to review the vaginal microecology after delivery to prevent postpartum recurrence.