What medicine should I use for Candida albicans on the glans penis?
Candida albicans infection (balanitis) is a common fungal infection problem in men, mainly caused by the overgrowth of Candida. The following are hot discussions and scientific medication recommendations on this topic across the Internet in the past 10 days, compiled based on medical guidelines and patient feedback.
1. Symptoms and diagnosis of Candida albicans infection
Typical symptoms include redness and swelling of the glans penis, itching, white cheese-like discharge, and burning sensation in some patients. It needs to be differentiated from bacterial infection or skin disease, and it is recommended to confirm the diagnosis through secretion microscopy or culture.
| Common symptoms | incidence | Remarks |
|---|---|---|
| Itching of glans penis | 85% | Aggravated at night |
| white discharge | 78% | Easy to peel off |
| Redness, swelling and pain | 62% | obvious during urination |
2. Recommendation of first-line treatment drugs
According to the "Chinese Guidelines for the Diagnosis and Treatment of Andrological Diseases", antifungal drugs are divided into two categories: topical and oral:
| drug type | Representative medicine | Usage and dosage | Course of treatment | efficient |
|---|---|---|---|---|
| topical cream | clotrimazole cream | Apply 2 times a day | 7-10 days | 91% |
| topical cream | Miconazole Ointment | 1 time a day | 7 days | 88% |
| Oral medications | fluconazole | 150mg as a single meal | 1 time | 85% |
3. Combined treatment plan
For those who have recurrent attacks (≥ 4 times in 1 year), it is recommended to adopt an intensive program:
| treatment stage | Plan | Things to note |
|---|---|---|
| initial treatment | Fluconazole 150mg once a week x 2 weeks | Combined with topical medications |
| Maintenance treatment | Fluconazole 150mg once a month x 6 months | Monitor liver function |
4. Answers to patients’ hot spots
1.Can I use Dacnin?Miconazole nitrate (Dacnine) is effective, but bacterial/fungal infection needs to be distinguished
2.Does the partner need therapy?Female partners need to be checked simultaneously, and fluconazole treatment is also recommended for asymptomatic patients.
3.Cause of recurrence?Poor control of diabetes and overuse of antibiotics are the main causes
5. Preventive measures
• Keep genitals dry and clean
• Avoid overuse of antibiotics
• Control blood sugar (diabetics)
• Use condoms during sex
Note:Specific medication needs to be confirmed by a doctor in person. The data sources for this article include:
1. Diagnosis and Treatment Guidelines of the Andrology Branch of the Chinese Medical Association (2023)
2. UpToDate clinical database
3. Patient feedback statistics on medication in the past 10 days (Source: Good Doctor Online, Chunyu Doctor)
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