For those who look closely, why is “mycosis” in double quotation marks? Because the clinical term for this disease is pseudomycosis vulvovaginalis. A simple explanation: Pseudomycetes are a group of molds that invade mucous membranes and cause disease in humans. Since pseudomycetes are awkward to say and not easy to remember, and 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 vaginalis (since we all understand it, I won’t bother adding 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. Is mold scary? 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, there is no need to worry too much, as the cure rate of this disease is 80-90%. Why is the incidence so high and how does it cause the disease? Pseudomonas aeruginosa is an opportunistic pathogen that 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. Common triggers for the development of the disease include the use of broad-spectrum antibiotics, pregnancy, diabetes, heavy use of immunosuppressants, high levels of estrogen therapy, wearing tight fitting chemical underwear, and obesity. Many patients say that although mycosis vaginalis is not serious, the itchiness is really killing me and makes me restless, affecting 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 use boiling water to wash used underwear, basins and towels. There is no way to change the pregnancy status, there are medications to treat it. It is strongly not recommended to give up pregnancy because of mycosis vaginalis! Secondly, if it is simple mycosis vaginalis, that is, if it 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. A few common pharmacy drugs are introduced: miconazole suppositories, 1 capsule (200mg) per night for 7 days; clotrimazole suppositories (divided into 150mg a capsule and 500mg a capsule), 1 capsule (150mg) per night for 7 days; 1 capsule (500mg) on day 1 and 1 capsule on day 4. If the patient is unable to receive vaginal medication, such as those who are not sexually active, oral fluconazole 150mg in a single dose can be an option. 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 mycosis fungoides, but 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 around menstruation, so clotrimazole 500mg can be used vaginally topically once a month before menstruation, and then one clotrimazole 500mg can be used vaginally topically after menstruation for 6 months. Should my husband be treated together? ”No!” (Many men see this as a relief.) 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 infections in women. Do I need to go to the hospital if I don’t itch anymore? You can stop going to the hospital after regular treatment, but if you have a recurrence within 2 months, you need to be seen again. Recurrent patients need to be followed up 1-2 weeks, 1 month, 3 months, and 6 months after treatment. fungal culture is recommended at 3 months and 6 months.