What should I do if mycotic vaginitis has leucorrhea with blood?

Leucorrhea and blood due to fungal vaginitis can be treated by keeping the area clean, using antifungal drugs, adjusting living habits, avoiding irritating factors, and regular review. Fungal vaginitis is usually caused by Candida albicans infection, decreased immunity, hormonal changes, antibiotic abuse, poor control of diabetes, etc.

1. Keep the area clean

Wash your vulva with warm water every day and avoid using alkaline lotions or excessive vaginal douching. Choose pure cotton breathable underwear and change it daily, wash it and dry it in the sun. Wipe from front to back after using the toilet to prevent intestinal bacterial contamination. During menstrual period, you need to change sanitary napkins more frequently and avoid using sanitary products containing fragrance.

2. Use antifungal drugs

Antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, and nystatin effervescent vaginal tablets can be used under the guidance of a doctor. These drugs can directly inhibit the growth of Candida albicans and relieve symptoms such as vulvar itching and bean-dregs-like leucorrhea. If there is significant bleeding, it may be necessary to use hemostatic drugs such as Yunnan Baiyao Capsules.

3. Adjust living habits

Reduce high-sugar dietary intake and control blood sugar levels. Ensure 7-8 hours of sleep every day and exercise moderately to enhance immunity. Avoid wearing tight pants for long periods of time or sitting in humid environments for long periods of time. Sexual partners need to undergo simultaneous examination and treatment and avoid sexual intercourse during treatment.

4. Avoid irritating factors

Discontinue broad-spectrum antibiotics that may disrupt vaginal flora. Reduce the use of sanitary pads and avoid local hot and humid conditions. Do not douche or use chemical irritants such as vaginal sprays. Change your swimsuit promptly after swimming and avoid sitting in public baths.

5. Regular review

After completing drug treatment, the leucorrhea routine needs to be reviewed to confirm that the fungus has turned negative. If recurrence occurs, underlying diseases such as diabetes and HIV infection need to be investigated. Pregnant patients should take medication under the guidance of an obstetrician to avoid affecting fetal development.

When fungal vaginitis is complicated by bleeding, it is recommended to avoid spicy and irritating foods and drink more water to promote metabolism. You can consume sugar-free yogurt in moderation to supplement probiotics. Maintain a regular schedule to avoid staying up late, which may lead to a decline in immunity. If the amount of bleeding increases or lasts for more than 3 days, you need to seek medical treatment promptly to rule out other causes such as cervical lesions. During the treatment period, strictly follow the doctor's instructions and do not stop taking the medicine on your own to prevent recurrence.