I. What is mycosis fungoides?
Mycosis vaginalis is caused by a mycobacterial infection. The medical term for mycobacterial infection is Candida infection, so mycotic vaginitis is also called Candida vaginitis. It is mostly seen in young girls, pregnant women, diabetic patients, and patients who have been treated with higher doses of estrogen after menopause.
Diagnosis of mycosis fungoides
1, the most common symptoms of mycosis fungoides are leucorrhea, burning and itching of the vulva and vagina; when it spreads to the urethra, there can also be frequent urination, urinary urgency and painful urination.
The typical signs of leucorrhea are curd-like or beanbag-like white flakes. The vaginal and vestibular mucosa is highly edematous, covered with white curd-like film, distributed in dots or flakes, easily peeled off, with a damaged flushed substrate underneath, or forming ulcers, or leaving petechiae, or in severe cases, swollen and adherent labia minora. But the leucorrhoea does not always have the above typical features, from watery to curd-like leucorrhoea can appear, such as some completely thin and clear plasma exudate, which often contains white flakes.
3. White belt smear test is positive for mycobacteria.
Chinese medicine treatment features
Chinese medicine treatment of vaginitis starts from the whole, or clearing dampness and heat, or strengthening the spleen and dampness, or tonifying the liver and kidney, or dredging the liver and spleen, with insecticide and antipruritic; at the same time of internal treatment, combined with external treatment method, at present, because the external treatment medicine acts directly on the diseased area, which is targeted, and the medicine is absorbed quickly, with less interference to the internal environment of the body, which is effective quickly, a non-traumatic treatment mode, and simple to operate.
Topical fumigation with Chinese herbs: Use Chinese herbs with the function of clearing heat and detoxifying, killing insects and relieving itching (such as Serpentine, Phellodendron, Bitter Ginseng, Plantain, Dandelion, etc.) to decoct water and fumigate the vulva, which can not only reduce the symptoms, but also inhibit and eliminate Candida. It is more suitable for women with acute mycosis vaginalis because the itching and burning symptoms of vulva are significantly reduced after fumigation, which can alleviate patients’ pain.
In addition, it can be combined with herbal suppositories vaginally for treatment.
Chinese medicine has good clinical efficacy with no obvious side effects and drug dependency. It is especially suitable for recurrent mycosis vaginalis.
Western medicine treatment
1. General treatment: Keep the vulva clean and dry, avoid scratching and scalding with soap, forbid sexual intercourse during treatment, and do not eat spicy and irritating food, active treatment can eliminate susceptibility factors.
2.Change the vaginal pH: use 2% to 4% baking soda to rinse the vagina once or twice a day for 2 weeks. Keep the vulva dry after douching to inhibit the growth of Candida.
3. Vaginal medication: vaginal medication with imidazole suppositories is very effective for mycosis fungoides. Clotrimazole suppository 1 capsule per night, after douching into the vagina, 10-14 days for a course of treatment; or Dacrynin suppository 1 capsule per night, after douching vaginal drug, 7 days for a course of treatment.
4, topical ointment: the use of clotrimazole ointment or dacrynic ointment applied externally, can treat vulvovaginitis caused by mycobacterial infection, reduce the symptoms of vulvar itching and pain. Apply topically several times a day for 2 weeks.
5, oral medication: because mycobacterial infection can be transmitted between husband and wife through sexual life, so you can treat both sides through oral medication, oral medication can also inhibit intestinal Candida. Fluconazole oral: 150 mg once, in a single dose. Or Spironol: For first time Candida vaginitis infection, 200 mg per dose after breakfast and dinner for 1 day only; for recurrent mycosis vaginitis, the dosage of Spironol should be increased to 200 mg per dose once a day for 3 days or 100 mg twice a day for 3 days. The medication should be taken after meals.
Five, prevention of mycosis fungoides six attention
1. Wear cotton underwear and change them regularly. Wash the towel and basin separately. The underwear should be placed in the sun after washing, not in the bathroom.
2, wear clothing must be breathable, do not continuously wear pantyhose or tight jeans.
The direction of wiping after a bowel movement should be from front to back to avoid bringing Candida from the anus to the vagina.
4.If you used to like to sit by the pool in your swimsuit and chat, you will have to change that.
5, please try to maintain a cheerful mood, because psychological reasons will also reduce the body’s immunity, so that Candida take advantage of the situation.
6. Do not use disinfectants or various cleansers to rinse your vulva and vagina frequently. It is better to use water rather than various kinds of lotions to wash the pubic area.