Women’s Struggles with Vaginal Yeast Infections

Prevention and treatment of vaginal candidiasis

Mr. T.M.D (36 years old, district 10, Ho Chi Minh City), sent a letter to Health magazine about the problem of recurring vaginal candidiasis that has been bothering him for nearly 10 years and often causes inflammation of the foreskin that has been treated many times but after a while the disease relapses, making him extremely uncomfortable and decreasing the quality of life.

Discussing this issue, Dr. Dang Phuong Mai, Deputy Director of Obstetrics at the Phu San International Hospital in Saigon, said that the signs of foreskin inflammation due to candidiasis are itching, redness, very pain and foreskin, pain during sex, pain during urination, and yellow milk discharge. Blood testing will find yeast cells, yeast spores. The disease often occurs in people with certain predisposing factors such as diabetes, pregnancy, immune deficiency, using long-term antibiotics, eating a lot of fat, sugar, an environment with poor hygiene, using sanitary pads for a long time, using improper washing water…

“Preventing and Treating Vaginal Candidiasis: Advice from a Doctor”

Please tell the doctor: can women prevent vaginal candidiasis, urinary tract infections by cleaning, washing regularly and thoroughly? (xuanngoc_222… @yahoo.com).

This is a disease with a high risk of recurrence due to the frequent exposure to a warm and humid environment, tight underwear, during the use of antibiotics or poor hygiene. Moreover, after infection, many people have a habit of cleaning the foreskin with an antibacterial solution, this method will gradually destroy the normal bacteria of the foreskin. At that time, the pH of the foreskin becomes acidic, creating conditions for pathogenic factors to develop. Healthy individuals have the ability to protect against infections, causing glycogen to be converted into lactic acid and maintaining a pH of 3.8 – 4.8 for the foreskin environment. Here, many probiotic bacteria will regenerate, in which up to 7 lactobacilli species help balance the status quo. When the antibacterial solution destroys the balance in the environment, the infection will continue to occur, not only causing discomfort but also affecting the reproductive capacity of women.

Therefore, women should clean the vulva with clean water, then dry after changing, urinating or having sex.

Moreover, during the treatment, it is necessary to abstain from drinking alcohol, smoking, and applying nicotine stimulants in cigarettes, as they can reduce the oxygen level in the blood, thereby reducing the blood supply to the vulva. In addition, alcohol makes the vaginal discharge of women often in a hot and humid condition, so it creates favorable conditions for the growth and development of pathogenic bacteria.

Furthermore, sitting should also be restricted because they can contribute to heating, making the vulva hot and stuffy, causing discomfort and difficult to relieve. Spicy foods should also be avoided because they will increase the amount of heat in the body, make the urine dark red, make the genitalia hot and painful, and create an environment for the bacteria causing vaginal inflammation to grow even more. And do not forget to stay away from heavy meals, greasy foods, lots of oil. High-fat foods, oily foods, and high-sodium foods also have the possibility of increasing the amount of vaginal secretions, causing inflammation of the foreskin to worsen. And specifically, it is necessary to avoid spicy food, oil, which has many salt. These high-cholesterol foods, lots of oil and high-sodium content can cause female secretions to be even higher, making the condition of the foreskin inflammation worse. And, especially, we should stay away from strongly flavored foods, fat, and fish eggs. The daily diet, lots of fish eggs, and foods containing high cholesterol are also factors that make the amount of urine become hot, bloodshot, and establish an environment for bacteria causing candidiasis to grow more causing the disease to worsen. And it is known that it is better not to get the disease from the husband, so use precautions to avoid transmission such as condoms or only treat when the husband is fully treated to prevent. The way to know if there is foreskin inflammation or not is quite simple, that is, after having sex, if a woman feels itching, pain, and redness and the discharge is milky or rice water-like, she should see a doctor quickly.

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In addition, during the treatment period, it is necessary to maintain proper hygiene such as not using sanitary pads for a long time, not using too much washing water, wearing cotton underwear, changing underwear frequently, keeping it dry and airy, reducing fat intake, sugar, and salt. On the other hand, avoid cleaning the foreskin too much with a solution that contains a lot of chlorine or acidic substances because it can cause chemical vaginitis.

Another important point to note is not only getting the disease from the husband but sometimes the husband is also the one who causes the disease for the woman if he has foreskin inflammation. Therefore, when discovering foreskin inflammation, wives should avoid having sex and treat both the wife and the husband to avoid transmission. Recognizing whether or not there is foreskin inflammation is quite simple, that is, after having sex, if a woman feels itching, pain, redness, and discharge with the smell of rice water, she should see a doctor quickly.

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During the treatment process, in addition to applying the above advice, Dr. Dang Phuong Mai also said that patients should not get worse, should avoid drinking alcohol, smoking, and applying nicotine stimulants in cigarettes, as they can reduce the oxygen level in the blood, thereby reducing blood flow to the vulva. Moreover, alcohol makes women’s vaginal secretions often in a hot and humid condition, so it creates favorable conditions for the growth and development of pathogenic bacteria.