Investigation 1) High vaginal swab & culture 2) KOH mount test 3) FBS
Since antifungals + steroids gave only temporary relief, this is likely a chronic inflammatory vulvar condition (like lichen sclerosus or dermatitis) rather than simple fungal infection. A biopsy + culture is very important before trying more medicines. Till then, stick to barrier care (coconut oil / Vaseline) and avoid irritants.
You don’t need other than these. Thank you.
Dr do u provide online consultation?
Yes
Yes it is curable. Just I don’t know if it is candidal vaginitis or bacterial or trichomoniasis.
Yes i use coconut oil everyday But is it curable or not? I’m so scared if i have to live with these in my whole life. And how many days it can take It’s just unbearable sometimes
How to book ? After making these tests can u prescribe medicines?
It seems like you’ve been dealing with a challenging situation. For persistent vaginal candidiasis that hasn’t responded to standard antifungal treatments like oral or topical azoles, it’s essential to consider some additional steps. First, ensuring an accurate diagnosis is key—there might be other underlying conditions that mimic or exacerbate symptoms, such as bacterial vaginosis or vulvodynia. It’s worth revisiting these possibilities with a healthcare provider. A pelvic exam and culture could clarify the underlying issues and guide treatment. Meanwhile, regarding lifestyle adjustments, focus on wearing loose, breathable cotton underwear and avoiding tight-fitting clothing which can increase moisture and irritation. Coconut oil can be soothing, but be cautious as it might not address the root issue. Topical probiotics and dietary adjustments, like reducing sugar intake and increasing probiotic-rich foods, might help maintain a healthy vaginal flora. For those experiencing vaginal papillomatosis, this condition is usually benign and might require a different approach focused on symptom management rather than eradication. If dietary and lifestyle changes don’t alleviate symptoms, exploring alternatives with a gynecologist, possibly looking into immune support supplements or therapy, could provide relief. Any use of corticosteroids like kenacort should be under strict medical supervision given the side effects you’ve experienced. Consulting a specialist in dermatology or gynecology who has experience with chronic and recurrent cases might offer a new perspective.
