Q. How to treat a vaginal infection?

Hello,

Welcome to icliniq.com.

Hope you are doing well.

Having gone through the history provided from your end, it appears to be tinea cruris. Tinea cruris is a fungal infection that affects the folds and unexposed areas of the skin. Most commonly seen on vaginal folds, groin, under the abdomen, under arms, etc. They occur for multiple reasons, including lowered immunity, spread from an infected person due to direct contact and sharing of belongings, stress, climate factors, excess sweating, and stagnation of moisture or sweat.

They usually present as red, skin-colored, white, or black pigmented areas with mild flakes, oozing of secretions sometimes, itching, white scales, pain, and burning sensation. Tinea cruris may require a few weeks to months of treatment but can be managed.

My advice :

Consult your specialist doctor, talk to them, and take medications with their consent.

1. Candid-CL (Clindamycin and Clotrimazole) vaginal suppositories may be inserted into the vagina at bedtime in case of itching. While applying, it is advised to keep the knees flexed to the chest in a lying down position and insert the medication using the applicator. They are to be left overnight to prevent them from dripping out. It can be used for seven days.

2. Ketoconazole 2 % cream may be applied externally on the vaginal area in the morning and at night. Apply a generous amount on the affected area and leave till the next wash. Make sure to wash your fingers after application. It may be used for months.

3. Take one tablet of Fluconazole 400 mg daily after dinner.

4. Ketoconazole dusting powder may be used on the affected area in the afternoons and evenings. They help with the absorption of moisture and prevent their stagnation.

5. Becosules Z (B-complex forte, Vitamin C, Zinc) capsule once daily after breakfast for one month. It helps strengthen immunity and prevent recurrences.

6. Avoid spicy, hot, fried food, red meat, and sweets. Make sure to include more fruits and vegetables, and drink at least ten glasses of water daily.

7. Avoid stagnation of moisture and sweat. Towel dry the area after a bath to prevent stagnation. Make sure to air the affected area well.

8. Ketoconazole soap may be used for bathing only on the affected area. Lather with water and use the lather, apply and leave for 2 minutes before washing. Make sure to avoid using soap on the unaffected areas. Regular soap may be used on normal skin.

Tinea cruris may be managed with long-term medication and consistency. Do not worry; they are not dangerous.

Hope the details provided above were informative and provided clarity.

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Sandhya Narayanan Kutty

Experience: 8 + Yrs

Venereology

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