”Vulvovaginal pseudomycosis, commonly known as candidiasis and mycosis fungoides, is medically referred to as VVC. About 75% of women have had the disease at least once in their lives, and 45% have experienced it two or more times. If you don’t know about it and don’t take an active role in preventing it, it may come back to haunt you one day.
Pseudomonas vulvae is 80-90% “Pseudomonas albicans” infection.
It has 2 living states.
1. Yeast phase: spore state, asymptomatic in human body, can spread
2, mycelial phase: spores grow into mycelium, strong invasive power
Its fatal weakness: afraid of heat, heated to 60 degrees Celsius, 1 hour to die.
Yeast phase exists in 10-20% of non-pregnant women and 30% of pregnant women’s vagina, but there are no symptoms. It is only when the immunity decreases and the yeast proliferates into the mycelial phase that you will experience discomfort.
So, you must know which conditions may cause a drop in immunity: application of antibiotics, pregnancy, diabetes, heavy application of immunosuppressants, heavy estrogen. Others are gastrointestinal pseudofilamentous yeast, wearing tight clothes and pants, and obesity.
Is it true that women are better suited to dresses in the humid and sultry summer months?
How is it transmitted?
1.Mainly self-infection: Pseudomonas parasiticus is found in the vagina, mouth and intestines. These three parts can infect each other.
2, a few are sexually transmitted.
3. Very rarely, it is transmitted by clothing.
Since so many people have the disease, how does Pseudomonas infect the vagina from the oral and intestinal tracts (anus)? Everyone’s habits are different, so think about it and change your bad habits to get healthy!
What discomfort do you have?
1, vulva itching, this “strange itch” makes you restless, lifelong unforgettable.
2, tofu-like leucorrhea
3.Vulvar burning pain, painful intercourse, painful urination
Diagnosis
Test for leucorrhea: find the “budding spores” or “pseudomycorrhiza” of Pseudomycetes to confirm the diagnosis
Individualized treatment
”Improving your immune system” is the most important thing, followed by medication.
If you don’t have the disease, you can ignore the treatment, because that is the job of the doctor. But if you are experiencing pain, or have experienced it, you may want to find out if your treatment is “in place”, because there are more patients with relapses, and you know that relapses are extremely troublesome and difficult to treat.
Avoid relapses by treating them once in place.
1. Treatment of simple VVC:
Miconazole suppositories: vaginal use, 200 mg for 7 days each time; or 400 mg for 3 days; or 1200 mg for 1 day is sufficient.
Clotrimazole suppositories: vaginally, 150 mg for 7 days or 500 mg for 1 day.
Fluconazole: 150 mg orally for 1 time. (Only for unmarried patients or those who do not want to use vaginal medication)
2. Treatment of severe VVC:
The doctor scores the severity of the disease in order to diagnose it as severe. Whether oral medication or vaginal medication is used, the treatment time needs to be extended.
Fluconazole: Oral dose, 150 mg, once on the first day and once on the fourth day. The duration of vaginal dosing is extended to 7-14 days.
3. Treatment of recurrent VVC
5% of patients who have 4 or more episodes in a year are called recurrent VVC. Consolidate treatment up to 6 months.
4.Treatment of VVC during pregnancy
The incidence of VVC in pregnant women is high and treatment is difficult. Use drugs with caution during early pregnancy.
Vaginal medication is the mainstay. According to FDA standard, clotrimazole and mycophenolate are class B drugs and miconazole is class C drugs.
What about sexual partners?
Concurrent treatment is not required. However, in 15% of men who develop glans after contact with an affected woman, then medication is recommended.