علاج داء المبيضات الفرجي المهبلي مع حكة الفرج لدى المرأة غير الحامل

References

DOI: 10.1111/myc.13248

• In addition to itching, affected women often complain of vaginal redness, a feeling of soreness, burning, dyspareunia and dysuria.
• In contrast, symptomatic patients require treatment, and there are numerous options to treat these patients.
• Acute VVC can be treated locally with topical imidazole derivatives (ie clotrimazole, econazole, isoconazole, fenticonazole, miconazole) at the first manifestation.
• Alternative treatment options for non-pregnant women are oral triazoles (ie fluconazole, itraconazole, posaconazole, voriconazole), polyenes (ie nystatin), and ciclopiroxolamine.
• Local treatment with 500 mg clotrimazole as vaginal tablet or 10% vaginal cream was proven effective as single oral administration of 150 mg fluconazole.
• If VVC affects the vulva outside of the introitus vaginae or inguinal region, an antifungal cream (e.g., clotrimazole) is recommended twice daily for one week.
• The most efficient treatment strategy should not aim to eradicate all fungi from the lower genital tract but to reduce their number so that the patient is asymptomatic.