What medicine should I use if my leucorrhea is tofu-like and my vagina is itchy?

Tofu-like leucorrhea and vaginal itching are usually typical manifestations of vulvovaginal candidiasis. Clotrimazole vaginal tablets, miconazole nitrate suppositories, nystatin effervescent vaginal tablets, fluconazole capsules, itraconazole capsules and other drugs can be used as directed by the doctor. The disease may be related to factors such as decreased immunity, long-term use of antibiotics, pregnancy, diabetes, etc. Self-medication should be avoided, and it is recommended to seek medical treatment in time for a clear diagnosis.

1. Clotrimazole vaginal tablets

Clotrimazole vaginal tablets are mainly used for the local treatment of vulvovaginal candidiasis. Its active ingredient, clotrimazole, can destroy fungal cell membranes. Burning sensation or irritation may occur during use. Pregnant women should use it under the guidance of a doctor. This drug is effective against Candida albicans infection, but it must be avoided during menstrual period.

2. Miconazole Nitrate Suppository

Miconazole nitrate suppositories exert antifungal effects by inhibiting ergosterol synthesis and are suitable for the treatment of simple vulvovaginal candidiasis. After use, local redness, swelling or worsening of itching may occur, requiring discontinuation of medication and medical attention. Breastfeeding women should consult a doctor before use to avoid the drug affecting the baby through breast milk.

3. Nystatin vaginal effervescent tablets

Nystatin vaginal effervescent tablets have antibacterial effects against Candida and are especially suitable for recurrent vaginal fungal infections. Vaginal secretions may increase during medication, so the vulva needs to be kept clean and dry. Patients with severe liver and kidney dysfunction should use it with caution and avoid sexual intercourse during treatment.

4. Fluconazole capsules

Fluconazole capsules are oral antifungal drugs suitable for the systemic treatment of moderate to severe or recurrent vulvovaginal candidiasis. Common adverse reactions include headache and gastrointestinal symptoms, and it is prohibited to be used in combination with terfenadine and other drugs. Liver function needs to be monitored during medication, and routine leucorrhea needs to be reviewed after the course of treatment.

5. Itraconazole Capsules

Itraconazole capsules interfere with fungal growth by inhibiting cytochrome P450 enzymes and are effective in refractory vaginal candidiasis. Allergic reactions such as rash or edema may occur, and it is contraindicated in patients with heart failure. During treatment, it is recommended to use probiotics to regulate the vaginal microecology and avoid wearing tight chemical fiber underwear.

Pay attention to the cleanliness of the perineum on a daily basis, choose cotton breathable underwear and change it daily. Avoid excessive vaginal washing or the use of alkaline lotions, and reduce the intake of high-sugar foods in your diet. If your partner has redness, swelling or itching of the glans, simultaneous treatment is required. Using condoms during treatment can reduce the probability of cross-infection. If the symptoms last for more than 1 week or are accompanied by fever and abdominal pain, the possibility of mixed infection needs to be ruled out and a follow-up visit must be made in a timely manner.