What medicine should pregnant women use if they have fungal vaginitis?

When pregnant women suffer from fungal vaginitis, they can use clotrimazole vaginal tablets, miconazole nitrate suppositories, nystatin vaginal suppositories, lactic acid bacteria vaginal capsules, boric acid lotion and other drugs under the guidance of a doctor. Fungal vaginitis is mainly caused by Candida infection and manifests as vulvar itching, tofu-like leucorrhea and other symptoms. Self-medication should be avoided.

1. Clotrimazole vaginal tablets

Clotrimazole vaginal tablets are suitable for the local treatment of fungal vaginitis in pregnant women. Its active ingredient, clotrimazole, can inhibit fungal cell membrane synthesis. When using, please note that local burning sensation or redness may occur, and it is contraindicated to use it in combination with other antifungal drugs. This drug has a good effect on Category B infections during pregnancy, but the course of treatment must be strictly followed according to the doctor's instructions.

2. Miconazole nitrate suppository

Miconazole nitrate suppository exerts a bactericidal effect by destroying fungal cell membranes and is suitable for vaginal candida infection in the second and third trimester of pregnancy. Common adverse reactions include vaginal mucosal irritation symptoms, and tampons should be avoided during medication. This drug is relatively safe for use during pregnancy, but it must be excluded from use by those who are allergic to imidazoles.

3. Nystatin vaginal suppository

Nystatin vaginal suppositories exert antibacterial effects by binding to fungal cell membrane sterols and are suitable for the treatment of recurrent fungal vaginitis during pregnancy. Slight irritation of the vulva may occur, and the vulva must be kept dry and clean during medication. This drug is a polyene antifungal drug and has no obvious teratogenic effect on the fetus.

4. Lactobacillus vaginal capsules

Lactic acid bacteria vaginal capsules restore the microecological balance by supplementing vaginal probiotics and are suitable for auxiliary treatment of vaginal flora imbalance during pregnancy. There may be a temporary increase in secretions after use, and vaginal administration with antibiotics at the same time is contraindicated. This biological agent can reduce the probability of recurrence, but it must be used in conjunction with antifungal drugs.

5. Boric acid lotion

Boric acid wash inhibits the growth of fungi by changing the vaginal pH value, and is suitable for auxiliary douching treatment of vaginitis during pregnancy. Excessive concentration may cause mucosal damage, so oral administration or long-term use is prohibited. This topical solution can relieve itching symptoms but needs to be combined with core antifungal medication.

During the treatment period, pregnant women should change pure cotton underwear every day and wash it with boiling water, and avoid wearing tight-fitting chemical fiber clothing. Reduce the intake of high-sugar foods in the diet, and supplement sugar-free yogurt and other probiotic-containing foods in an appropriate amount. If discomfort occurs or symptoms worsen after taking the medication, the medication must be stopped immediately and a follow-up visit is required. Vaginitis during pregnancy may increase the risk of premature birth, and regular obstetric examinations are recommended to monitor the fetal condition.