What to do if the leucorrhea is like tofu and itches on the vulva

Tofu-like leucorrhea with vulvar itching is usually caused by vulvovaginal candidiasis, which can be treated with clotrimazole vaginal tablets, miconazole nitrate suppositories, fluconazole capsules, nystatin vaginal effervescent tablets, itraconazole capsules and other drugs. This symptom may be related to factors such as decreased immunity, long-term use of antibiotics, pregnancy, diabetes, poor hygiene habits, etc.

1. Clotrimazole vaginal tablets

Clotrimazole vaginal tablets are suitable for the local treatment of vulvovaginal candidiasis. The main component is clotrimazole, which can inhibit fungal cell membrane synthesis. Local burning or irritation may occur after use. Pregnant women should use it under the guidance of a doctor. This drug has a clear inhibitory effect on pathogenic fungi such as Candida albicans.

2. Miconazole nitrate suppository

Miconazole nitrate suppository exerts antifungal effects by destroying the fungal cell membrane structure and is suitable for treating tofu-like leucorrhea caused by fungal vaginitis. Sexual intercourse should be avoided during medication, as adverse reactions such as vulvar redness and swelling may occur. Diabetic patients need to strengthen blood sugar monitoring.

3. Fluconazole capsules

Fluconazole capsules are systemic antifungal drugs that inhibit fungal sterol synthesis and are suitable for the treatment of moderate to severe vulvovaginal candidiasis. People with abnormal liver function should use it with caution. Common adverse reactions include headache and gastrointestinal discomfort. Liver function should be reviewed regularly during treatment.

4. Nystatin vaginal effervescent tablets

Nystatin vaginal effervescent tablets exert a bactericidal effect by changing the permeability of fungal cell membranes, and have a significant effect on Candida infections. Vaginal secretions may increase after use, and medication should be suspended during menstruation. Be wary of the risk of secondary infection during long-term use.

5. Itraconazole capsules

Itraconazole capsule is a broad-spectrum antifungal drug suitable for the systemic treatment of recurrent vulvovaginal candidiasis. It is forbidden to take terfenadine and other drugs during the medication, as liver function abnormalities may occur. It is recommended to take it after a meal to increase bioavailability.

It is necessary to keep the vulva clean and dry on a daily basis, choose cotton breathable underwear and change it daily, and avoid using irritating lotions to rinse the vagina. Control blood sugar levels, use antibiotics rationally, and enhance the body's immunity. Sexual intercourse is prohibited during treatment, and spouses need to be checked simultaneously. If symptoms recur or are accompanied by fever, pelvic pain, etc., you should seek medical attention promptly for secretion culture and drug sensitivity testing. Reduce the intake of high-sugar foods and appropriately supplement fermented dairy products containing lactic acid bacteria.