Vulvovaginitis oral fluconazole 3 days did not get well, need to take medication, surgical treatment for the cause of the disease.
Fluconazole is mainly used to treat vulvovaginitis caused by Candida infection, if the vulvovaginitis caused by other reasons, taking fluconazole treatment is not effective. It is recommended that patients with vulvovaginitis take fluconazole for 3 days without good, need to consult a doctor to check the cause of the disease.
If the vulvovaginitis caused by Candida albicans infection, you need to follow the doctor’s instructions with fluconazole, clotrimazole and other antifungal drugs, usually at least 4 weeks of medication to have an effect. For vulvovaginitis due to inflammation of the vestibular gland, treatment with antibiotics such as cefixime and cefuroxime is required as prescribed by the doctor.
If the patient has non-specific vulvovaginitis, sitz baths with 1:5000 potassium permanganate solution or 0.1% povidone iodine solution are needed, followed by topical antibiotics such as roxithromycin ointment and mupirocin ointment. For patients with vestibular gland cysts, they can be treated with incision and drainage of vestibular gland abscesses and cystostomy.
Patients with vulvovaginitis who are not well on oral fluconazole treatment for 3 days need to see a doctor to check the cause of the disease. If it is due to vulvovaginal pseudomycosis, it may be due to insufficient medication time, and the patient can continue treatment with medication for 3 weeks. If the vulvovaginitis is caused by other reasons, you need to see a doctor, and the doctor will treat the cause. Patients usually need to keep the perineum clean and avoid the abuse of antibiotics.
Patients should be treated with fluconazole under the guidance of the doctor and should not use the medicine without authorization. Because some patients with fluconazole may have nausea and vomiting, diarrhea, rash and other adverse reactions.