Despite the existence of effective antifungal agents, the problem of vaginal candidiasis is relevant. According to official data, about 78% of women in the world have had an episode of acute vaginal candidiasis at least once in their lives.
In the treatment of vaginal candidiasis, a full course of antifungal therapy is of great importance. The use of ineffective antifungal agents or poor adherence to treatment leads to the development of recurrent forms of vaginal candidiasis.
In this article on estet-portal.com, read about current international recommendations for treatment of vaginal candidiasis, as well as aspects of proper intimate hygiene for a woman during and after therapy.
Acute vaginal candidiasis: modern principles of medical treatment
For the treatment of vaginal candidiasis in non-pregnant women, short courses of antifungal therapy, either systemic or local, are recommended.
Topical azole antifungals are more effective than nystatin (polyene group).
Treatment with azoles is effective in 80%-90% of patients who undergo a full course of therapy.
For local antifungal therapy, the following drugs are used: butoconazole (cream 2% 5g), clotrimazole (2% cream 5g), miconazole (2 % cream 5g) thioconazole (6.5% ointment 5g).
Effective antifungals for the treatment of vaginal candidiasis
For systemic antifungal therapy, use Fluconazole 150 mg once.
Recurrent vaginal candidiasis: international guidelines
According to the international recommendations of the CDC (Center for Disease Control and Prevention), recurrent vaginal candidiasis is a genital infection caused by fungi of the genus Candida, which worsens four or more times a year.
According to statistics, about 5% of women have recurrent candidiasis.
Each individual episode of recurrent C. albicans vaginal candidiasis responds well to short-term systemic or topical treatment with azoles. However, some experts recommend a longer course of antifungal therapy: 7-14 days of topical therapy or three doses of Fluconazole at a dose of 100 mg, 150 mg or 200 mg on days 1, 4 and 7 of treatment. After this, a maintenance dose of Fluconazole at a dose of 150 mg once a week should be used for 6 months.
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Vaginal candidiasis: choice of intimate hygiene products
In the treatment of vaginal candidiasis, the correct choice of products intended for intimate hygiene during antifungal therapy is of great importance.
Zone Control Elle by Nelly De Vuyst is specially formulated for 3-day use in the treatment of vaginal yeast infections.
Its antifungal and anti-inflammatory organic ingredients (hawthorn extract, sodium bicarbonate, salicylic acid) contribute to the normalization of the composition of the intimate microflora, eliminate itching, redness, burning and discomfort.
Short course topical treatment for vaginal candidiasis makes Nelly De Vuyst's Zone Control Elle the most convenient, yet effective and safe solution.
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Intimate hygiene: an important component in preventing recurrence of infections
To prevent recurrence of vaginal candidiasis, it is important to conduct a full course of antifungal therapy, as well as normalize the local pH and microflora of the intimate zone.
BioFemme Elle pH Rebalancing Gel from Nelly De Vuyst helps to normalize the local acid-base state of the intimate zone – a necessary condition to prevent new recurrences of infections. Normally, the pH of the intimate zone is 3.8-4.4, that is, the environment is acidic.
Normal pH is necessary to maintain the vital activity of lactobacilli – "defenders" intimate area from contamination by pathogenic microorganisms.
Thus, the following conclusions can be drawn:
1. In the treatment of acute vaginal candidiasis, international protocols recommend the use of short-term courses of antifungal therapy: local or systemic;
2. For the treatment of recurrent vaginal candidiasis, a longer course of local therapy or a three-day course of treatment with Fluconazole is used;
3. During the treatment of vaginal candidiasis, it is important to use special products for intimate hygiene, such as Zone Control Elle;
4. For the prevention of vaginal candidiasis, it is necessary to carry out maintenance therapy with Fluconazole (for recurrent candidiasis – 150 mg 1p / week for 6 months), as well as the use of BioFemme Elle Gel to restore the pH balance.
Thank you for staying with estet-portal.com. Read other interesting articles in the "Gynecology" section. You may also be interested in: Symptoms and treatment aspects of urogenital candidiasis
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