Health Steward Q&A Women’s Health

What to do if itching of vulva and leucorrhea looks like tofu

Asked by:Fiona

Asked on:Apr 11, 2026 12:22 AM

Answers:1 Views:327
  • Eden Eden

    Apr 11, 2026

    Vulvar itching accompanied by leucorrhea that looks like tofu is usually caused by vulvovaginal candidiasis, which can be treated by keeping the area clean, using antifungal drugs, adjusting diet, avoiding irritants, and regular review. This symptom may be related to factors such as decreased immunity, long-term use of antibiotics, diabetes, changes in hormone levels, and poor hygiene habits.

    1. Keep the area clean

    Wash your vulva daily with warm water and avoid over-cleaning with soap or lotion. Choose cotton underwear and change them daily, washing and drying them in the sun. Pay attention to cleaning from front to back to avoid introducing perianal bacteria into the vagina. During menstruation, you need to increase the frequency of cleaning. It is recommended to change sanitary napkins every 2-4 hours.

    2. Use antifungal drugs

    Clotrimazole vaginal tablets can inhibit Candida cell membrane synthesis and are suitable for the treatment of simple vulvovaginal candidiasis. Miconazole nitrate suppository can interfere with fungal sterol synthesis and has a strong killing effect on Candida albicans. Fluconazole capsules work by inhibiting fungal cytochrome P450 and are suitable for recurrent infections. It is necessary to avoid sexual intercourse while taking the drug and complete the entire course of treatment to prevent recurrence.

    3. Adjust your diet

    Reduce the intake of high-sugar foods and limit refined carbohydrates such as white bread, desserts, etc. Appropriate supplementation of yogurt or sugar-free fermented foods containing probiotics can help restore the balance of vaginal flora. Increasing the intake of fresh vegetables and fruits, especially citrus fruits rich in vitamin C, can help strengthen immunity. Keep drinking water at 1500-2000 ml every day to promote the discharge of metabolic waste.

    4. Avoid irritants

    Suspend the use of personal care products such as sanitary pads and shower gel containing fragrance. Avoid wearing tight synthetic underwear or jeans to reduce local friction and stuffiness. Change your swimsuit promptly after swimming and avoid wearing wet clothes for a long time. It is recommended to use lubricant-free condoms during sex to reduce chemical stimulation.

    5. Regular review

    After the treatment, you need to review the leucorrhea routine after your next menstrual period. Patients with recurrent attacks are recommended to undergo blood glucose testing and immune function evaluation. If your partner develops glans rash or itching, simultaneous treatment is required. Women preparing for pregnancy should complete treatment before considering pregnancy to prevent recurrence during pregnancy and increase the difficulty of treatment.

    In daily life, you need to pay attention to the balance between work and rest, ensure adequate sleep, and avoid excessive fatigue leading to a decrease in immunity. Carry out appropriate aerobic exercise, such as brisk walking, swimming, etc., 3-5 times a week, for more than 30 minutes each time. Maintain an optimistic attitude, reduce mental stress, and seek psychological counseling if necessary. During treatment, avoid bathing, swimming and other activities that may cause cross-infection. If the symptoms last for more than 1 week or are accompanied by fever, lower abdominal pain, etc., you should seek medical treatment in time to rule out other gynecological diseases.

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