”Mycosis fungoides” is the common name for mycosis fungoides, which is easy to understand and is often used by most doctors and patients. This article introduces the name “mycosis fungoides” in order to make it easy to understand.
1. What is “mycobacteria”?
This is a common question that many patients ask when they get back their leucorrhea test results. The medical name of “mold” is “fungus”, which exists widely in nature and is a kind of eukaryotic microorganism, many patients say they have never seen it, I often give patients a simple example, steamed buns placed in a humid environment for a long time will grow “Green hair”, in fact, “green hair” is “fungus”, many patients will understand.
2. Why do I get “mycosis vaginalis”?
The fungus is widely found in nature and can reside in women’s vagina. It is an opportunistic pathogen that can multiply and cause disease when the body’s resistance is reduced, when antibacterial drugs (antibiotics) are used for a long time, when pregnancy is used, when tight-fitting chemical fiber clothing is worn in humid weather, when immunosuppressants (glucocorticoids) are used in large quantities, and when diabetes is present. It is very distressing.
3. What are the symptoms of mycosis fungoides?
Typical symptoms are burning pain in the vulva and vagina, leucorrhea in the form of “tofu sludge”, itchy vulva, and heavy leucorrhea, and in some patients, the symptoms of burning pain in the vulva and vagina are severe and often recur before menstruation.
4.Interpretation of laboratory results
The leucorrhea test is positive for mycobacteria (detectable). 80%-90% of the vaginal secretion culture results are Candida albicans and 10%-20% are other yeasts.
If the doctor only prescribes routine leucorrhoea without culture, sometimes the result of leucorrhoea is negative (undetectable), but the typical tofu-like leucorrhoea seen in gynecological examination still needs to be considered as possible mycosis fungoides.
5. How to treat and can I be cured?
I have received telephone consultation from two patients with recurrent mycosis vaginalis and online consultation from many patients with recurrent mycosis vaginalis, whose troubles are not only known by the patients themselves, but also by the professional doctors, who can appreciate the pain of recurrent attacks. After my guidance and introduction of medication, the patient was cured of mycosis vaginalis and no corresponding symptoms reappeared in the following months, and the leucorrhoea was negative for mycobacteria. Drug treatment.
(1) Simple mycotic vaginitis
For first or infrequent attacks with mild clinical symptoms, clotrimazole vaginal tablet 0.5g (water soluble, good vaginal acceptability) is recommended to be inserted vaginally once; followed by dacrynic acid pessary 1.2g (oily, some patients have increased vaginal burning pain after use) to be inserted vaginally once; or mycophenolate pessary 100,000 units to be inserted vaginally for 10-14 days. Patients who are not sexually active and cannot receive vaginal plugs can take oral antifungal Itraconazole capsule (Spironol) 1 capsule, 2/day, for 3 days.
(2) Severe mycosis fungoides
Patients with severe clinical symptoms (e.g. burning pain, obvious congestion of the vaginal wall) and frequent attacks can use clotrimazole vaginal tablets 0.5g or dacrynic suppositories 1.2g once again at 3 days interval in the vagina.
(3) Recurrent mycosis fungoides
For those who have symptoms within one year and have 4 or more episodes of fungal infection, intravaginal clotrimazole vaginal tablet 0.5 can be inserted and used again on the 4th night, and itraconazole capsule (Spirinol) 1 capsule orally, 2/day, for 3-6 days; after rechecking negative leucorrhea, 3 courses of treatment can be used continuously. Check liver function when taking Spirinol for a long time.
(4) Mycosis fungoides during pregnancy
Intravaginal clotrimazole vaginal tablets are used for treatment, followed by 1 time on the 4th day if necessary; oral antifungal drugs are not recommended.
It is better not to have sexual intercourse during the onset of the disease. After eliminating the causative factors and regular treatment, mycosis vaginalis can be cured in general, but the fungus is a conditional pathogen and there is a possibility of recurrence in the future, so try to remove the causative factors and high-risk factors to reduce recurrence.
6. Do sexual partners need to be treated?
Male sexual partners are generally not susceptible to fungal infections and do not need routine treatment, but can wash and pay attention to hygiene.