孕期酵母菌感染：非处方治疗是否可行？

怀孕期间治疗酵母菌感染的最好方法是什么？

回答 Yvonne Butler Tobah, M.D.

您可以使用各种非处方的阴道抗真菌乳膏剂或栓剂安全地治疗孕期酵母菌感染。但在开始治疗前，最好先与医疗保健提供者确认症状是否确实由酵母菌感染引起。

酵母菌感染在怀孕期间尤为常见，因为激素变化可能扰乱阴道的 pH 平衡。酵母菌感染的常见症状包括阴道瘙痒和白色黏稠分泌物（看起来就像农家奶酪）。

治疗酵母菌感染的非处方药物（如乳膏剂、油膏剂或栓剂）包括：

这些产品可在怀孕期间的任何时候使用，不会带来出生缺陷或其他妊娠并发症风险。为了达到最佳效果，请选择 7 天配方。如果您已怀孕，不建议口服药物。

应避开一些常开具的抗真菌药物，如氟康唑 (Diflucan)，孕早期更是如此。如果您因酵母菌感染而就医，且处于怀孕极早期，请务必告知医生您已怀孕。

With

Yvonne Butler Tobah, M.D.

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Jan. 14, 2023