What should I do if I get fungal vaginitis during pregnancy?

Nov 15, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, fungal vaginitis refers to vulvovaginal candidiasis. Pregnant women may develop vulvovaginal candidiasis due to hormonal changes, decreased immunity, antibiotic overuse, endocrine disorders, diabetes, and other factors. Pregnant women should be particularly cautious when using medications and must strictly follow medical advice. It is important to choose loose-fitting, cotton underwear and change it daily.

In general, fungal vaginitis refers to vulvovaginal candidiasis. Pregnant women may develop vulvovaginal candidiasis due to hormonal changes, reduced immunity, antibiotic abuse, endocrine disorders, diabetes, and other factors. Treatment under medical guidance may include general management and medication. Specific analyses are as follows:

1. Hormonal Changes

During pregnancy, estrogen levels significantly increase, leading to thickening of the vaginal mucosa and increased glycogen content, which creates favorable conditions for fungal growth and results in vulvovaginal candidiasis. It is important to maintain cleanliness and dryness of the external genitalia and avoid wearing tight synthetic underwear.

2. Reduced Immunity

The body is in a special state during pregnancy, and immunity may decrease, making it easier for fungi to invade and cause vulvovaginal candidiasis. Maintaining a healthy lifestyle, balanced diet, and moderate exercise in daily life is recommended.

3. Antibiotic Abuse

Overuse of antibiotics due to physical discomfort or self-medication can disrupt the balance of vaginal flora, leading to excessive fungal growth and triggering vulvovaginal candidiasis. This condition is often accompanied by symptoms such as rashes and infections. Under medical guidance, patients may use medications such as azithromycin capsules, clindamycin capsules, or amoxicillin capsules to alleviate symptoms.

4. Endocrine Disorders

Factors such as low immunity and emotional fluctuations may lead to endocrine disorders, potentially causing a natural decline in estrogen levels, resulting in fungal infection and vulvovaginal candidiasis. Symptoms may include menstrual irregularities and excessive sleepiness. Patients may follow medical advice to use medications such as progesterone soft capsules, conjugated estrogens tablets, or Wuji Baifeng pills for treatment.

5. Diabetes

Diabetes may be caused by improper diet or reduced immunity. Gestational diabetes can lead to increased glycogen content in the vagina, creating conditions conducive to fungal growth and causing vulvovaginal candidiasis. Symptoms may include increased thirst and frequent urination. Under a doctor's recommendation, patients may use medications such as metformin hydrochloride tablets, nateglinide tablets, or insulin aspart injection for treatment.

Pregnant women should be particularly cautious when using medications and must strictly follow medical instructions. It is advisable to wear loose, cotton underwear and change it daily to maintain cleanliness and dryness of the external genital area.

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