The clinical name for this disease is vulvovaginal pseudomycosis. To explain briefly: pseudofilamentous yeasts are a group of molds that invade mucous membranes and cause disease in humans. Since pseudofilamentous yeasts are awkward to say and not easy to remember, and since the drugs used to treat this disease are basically the same as those used to treat other molds, doctors and patients simply call this disease mycosis fungoides (since we all understand it, I won’t bother to add double quotes below). Of course there is also mycotic vulvovaginitis, and since it usually occurs at the same time as vaginitis, it is collectively referred to as mycotic vaginitis. 1. Is the bacteria terrible? Some girls who have never seen a gynecologist before come for a checkup because of itchy lower body and leucorrhea, and when they look at the test results, they think they have syphilis and are quite scared. Here first of all to tell you that the two diseases are a hundred thousand miles apart. Second, foreign data show that about 75% of women have the disease at least once in their lives, and 45% of women have experienced two or more episodes. Pregnant women are more likely to get this disease. Therefore, we do not need to worry too much, and the cure rate of this disease reaches 80-90%. 2. Why is the incidence so high and how does it lead to the disease? Pseudomonas aeruginosa is an opportunistic pathogen; it is found in the vagina of 10%-20% of non-pregnant women and 30% of pregnant women, but the amount of bacteria is very small and does not cause symptoms. Symptoms appear only when the immune system decreases and Pseudomonas aeruginosa multiplies. The common causes are: application of broad-spectrum antibiotics, pregnancy, diabetes mellitus, heavy application of immunosuppressants, high estrogen therapy, tight fitting chemical underwear and obesity. 3, how to treat is the standard treatment? Many patients say that although mycosis vaginalis is not serious, the itchiness is really killing me and makes me restless, which affects my normal work life. First, eliminate the causative factors. Actively treat diabetes and stop using the above mentioned drugs in time. Change your underwear regularly, and wash your used underwear, basin and towels with boiling water. There is no way to change the state of pregnancy, there are drugs that can treat it. It is strongly not recommended to give up pregnancy because of mycosis vaginalis! Secondly, if it is a simple mycosis vaginalis, that is, a first episode, or if you have had it once a long time ago and this time you have it again. The main focus is on short-acting vaginal plugs. The efficacy of azoles is higher than that of mycoplasma. Introduce the use of several common drugs in pharmacies: miconazole suppositories, 1 capsule (200mg) every night for 7 days; clotrimazole suppositories (divided into 150mg a capsule and 500mg a capsule), 1 capsule (150mg) every night for 7 days; 1 capsule (500mg) on day 1 and one on day 4. If the patient is unable to receive vaginal medication, such as those who are not sexually active, oral fluconazole 150mg can be used as an optional dose. Again, for severe mycosis fungoides, double the duration of medication. For severe vulvovaginal itching, low concentration glucocorticoid ointment or azole cream can be used locally. Finally, for recurrent mycosis vaginalis (symptomatic with 4 or more test-confirmed episodes within 1 year), it needs to be divided into initial treatment and consolidation treatment. This treatment requires drug selection based on culture and drug sensitivity results. The initial treatment is the same as for severe mycosis fungoides, and after the test confirms the cure, consolidation treatment is given until six months. The initial treatment is the same as severe mycotic vaginitis, and there is no mature plan for consolidation treatment at home and abroad. Fluconazole 150mg is recommended to be taken orally once a week for 6 months; generally, the recurrence pattern is before and after menstruation, so clotrimazole 500mg can be used vaginally topically once a month before menstruation, and then vaginally topically after menstruation with one clotrimazole 500mg for 6 months. 4.Should my husband be treated together? No need. The common explanation is as follows: “mold” usually occurs in dark and humid places, men’s belong to “Yang”, so “mold” is not easy to multiply. Unless the husband has symptoms of glansitis, should be examined and treated, but also to prevent repeated infection of women. 5.Do I have to go to the hospital if I don’t itch? You can stop going to the hospital after regular treatment, but if you have a recurrence within 2 months, you need to follow up again. Patients with recurrence need to be followed up once in 1-2 weeks, 1 month, 3 months and 6 months after treatment. 3 months and 6 months are recommended for fungal culture.