Mycosis fungoides is a common vulvar and vaginal inflammatory disease, also known as vulvovaginal pseudomycosis and vulvovaginal candidiasis. The main clinical manifestations: for vulvar itching and burning pain, in severe cases sitting and lying down, abnormal pain, also accompanied by frequent urination, painful urination and painful intercourse. Some patients have increased vaginal discharge. The typical leucorrhea is white curd or bean curd-like. If accompanied by vulvovaginitis, erythema and edema of the vulva is seen, often accompanied by scratch marks. Common triggers: pregnancy, diabetes mellitus, heavy application of immunosuppressants and broad-spectrum antibiotics, oral contraceptives or frequent vaginal douching, non-menstrual use of pads, and after various vaginal and uterine surgeries. Treatment: Eliminate the causative factors and give topical or systemic application of antifungal drugs according to the patient’s condition. Here are some clinical questions that patients often encounter: 1. Some patients are surprised to learn that they have mycosis vaginalis and ask: I usually pay attention to personal hygiene, how can I get vaginitis? We say that poor personal hygiene can cause mycosis vaginalis, but some patients usually pay too much attention to personal hygiene, often douche their vagina or like to take long baths, which in turn gives the germs a chance to take advantage of it. Because the vaginal environment is weakly acidic and many flora exist together, the mutual restraint between flora can inhibit the excessive growth of a certain genus of bacteria, which is a natural defense system of the body. Pseudomonas is one of the normal vaginal flora, so if you douche excessively, it will change the pH of the vagina and facilitate the reproduction of germs, thus causing vaginitis. Why do you say I have mycosis vaginalis if no fungus was detected in my routine leucorrhoea test? The detection rate of mycosis vaginalis is only about 39%, if the symptoms are obvious gynecological examination and you see obvious tofu-like discharge, you should consider treating it as mycosis vaginalis. 3. Is it that my mycosis vaginitis has never been cured? Why can’t I get well all the time? Actually, no, we say that when your symptoms improve, it is a sign of improvement and you should continue to consolidate your treatment. Under normal circumstances, mycosis vaginalis should be rechecked after one course of treatment and no fungus is detected in two consecutive routine leucorrhoea tests before it is considered cured. However, most patients stop taking the medication when the symptoms improve slightly, resulting in recurrent vaginitis. Moreover, mycotic vaginitis can easily recur before and after menstruation, so the vaginal discharge and medication should be rechecked before and after menstruation. Also, some patients take a lot of antibiotics and like to use sanitary pads during the non-menstrual period, which can increase the incidence of vaginitis. 4. Does the male partner need treatment? Men with symptoms should be examined and treated to prevent repeat infection in women, but no treatment is needed for those without symptoms. It is important to avoid intercourse with mycosis vaginalis to avoid aggravating the disease or infecting each other. 5. Swelling and pain in the vulva and feeling swelling, is it a bad thing to grow? If mycosis vaginalis is accompanied by vulvovaginitis, there can be redness, swelling and pain in the vulva. Some of them can be seen on the labia minora with white masses, and after erasing, small red particles can be seen in patches, accompanied by vulvar itching. Most patients will use hot water to wash or scratch the vulva to stop itching, which can aggravate vaginitis and cause vulvar skin breakdown. Prevention: 1. Exercise, eat a balanced diet, and do not eat foods with high sugar content. 2, good hygiene habits: wash your hands before going to the toilet; do not abuse unclean toilet paper; wipe your vulva from front to back after defecation; wash your vulva daily, change your underwear and put it in a ventilated place to dry; use your own basin and towel; wash your underwear and socks in different pots. 3, reasonable clothing: do not wear chemical fiber underwear, do not borrow and wear other people’s underwear, underwear and swimwear. 4. Avoid sitting toilets when using public toilets; advocate showering, not taking tub baths, not sitting directly on bathroom chairs; do not swim in poorly disinfected pools. 5, not excessive hygiene: normal bathing or washing the vulva once a day is enough, do not abuse health products. 6, do not abuse antibiotics: long-term application of a large number of antibiotics will destroy the constraint relationship between vaginal bacteria, so that Candida lose inhibition, too much growth and cause disease. 7, active treatment of diabetes: diabetic patients should control blood sugar, and those with symptoms should go to the hospital in time for symptomatic treatment. 8, drug contraception women if repeated mycosis vaginitis, should stop using contraceptives, change to other methods of contraception. 9. If you are unfortunate enough to contract mycotic vaginitis, you should be thoroughly treated under the guidance of your doctor and make sure that you have the same diagnosis and treatment between your sexual partners to avoid repeated cross-infection. There are many kinds of vaginitis, and mycotic vaginitis is only one of them. The medication for each one is different, so it is recommended that you should go to the hospital in time to have your vaginitis checked, and avoid using medication on your own, as it will often aggravate your condition and be counterproductive.