How to treat mycotic gynecological inflammation

The main pathogen of mycotic gynecological inflammation is Pseudomonas aeruginosa, which is an opportunistic pathogen, mainly endogenous infection, and treatment options are local or systemic antifungal therapy, with local medication being the mainstay. Local medications for simple vulvovaginitis include clotrimazole suppositories, mycophenolate suppositories, nifurtimox, etc. One capsule is inserted into the vagina every night for 7-10 days. Systemic medication is mainly for unmarried women. Those who cannot take local medication can choose oral medication, commonly used is fluconazole tablets 150mg, once a day, to keep the vulva clean. In complicated vulvovaginitis, treatment should be prolonged with vaginal medication for 7-14 days, and if systemic once oral medication is given, an additional dose can be given at 72 hours. In case of recurrent vulvovaginal fungal infections, intensive treatment and consolidation regimen is used. Intensive treatment is an extension of 1-2 courses of treatment on top of simple treatment. For consolidation treatment, there is no proven protocol at home and abroad. Oral fluconazole tablets 150mg can be used once a week for 6 months, but liver function should be paid attention to and the drug should be stopped if necessary. A course of topical medication can also be administered once a month for 6 months. In combined vulvovaginitis during pregnancy, topical medication should be administered in small doses and long courses, with oral administration prohibited. Review 7-10 days after the end of treatment, and perform drug sensitivity tests if symptoms still persist.