Understanding Greenish, Tofu-like Leukorrhea and Its Treatment

1. Cause of Greenish, Tofu-like Leukorrhea

Leukorrhea, a natural secretion from female genitalia and an indicator of health, can signal gynecological issues when abnormal. Abnormal color, particularly greenish with a tofu-like consistency, often accompanies fungal vaginitis. Timely identification of the cause and treatment is crucial. This type of leukorrhea, accompanied by external genital itching, typically stems from fungal vaginitis. Professional medical treatment is advised, as self-medication may alleviate symptoms but not ensure complete recovery or prevent recurrence. Avoid sexual activity during treatment to prevent transmission and ensure concurrent treatment for both partners. Achieving full recovery and preventing recurrent infections are key to effectively managing fungal vaginitis.

2. Treatment of Fungal Vaginitis

① A 2% to 4% sodium bicarbonate solution can be used to wash the external genitalia and vagina daily for 10 days, creating an alkaline environment hostile to Candida.

② Following rinsing, nystatin (in powder, suppository, or ointment form) can be inserted vaginally at a dose of 100,000 to 200,000 units nightly for 10 to 14 days. Additionally, a 3% clotrimazole ointment can be applied to the external genitalia daily for effectiveness.

③ Frequent underwear changes and boiling used underwear, basins, and towels in hot water for 30 minutes or soaking in saturated saltwater for 1 to 4 hours are crucial for disinfection. Candida is heat-sensitive and can be killed by heating to 60°C for 1 hour.

3. Prevention of Fungal Vaginitis

1. Regular exercise, a balanced diet, and avoiding excessive high-sugar foods contribute to prevention.

2. Foster good hygiene habits and appropriate clothing choices.

3. When using public restrooms, avoid sitting on toilet seats; opt for showering instead. Avoid over-sanitizing.

4. Use antibiotics judiciously to prevent misuse.

5. Actively manage diabetes.

6. Women using contraceptives who frequently experience fungal vaginitis should consider alternative birth control methods.