How should bacterial vaginosis be treated?

Patient's question:

In recent days, the external genital area has been particularly itchy, and there is a significant amount of discharge. Now, every time I urinate, it causes pain. I don't know what might be causing this, and I'm now looking to ask here. If it's bacterial vaginosis, how should it be treated?

Doctor's answer:

Bacterial vaginosis is caused by the blood pathogen Gardnerella vaginalis, primarily transmitted through sexual activity. The main symptoms include abnormal vaginal discharge, external genital itching, burning sensation, and in some patients, recurrent pain during intercourse, dysuria, and difficulty urinating. For the treatment of bacterial vaginosis, lactate or acetic acid solutions can be used for vaginal irrigation, and metronidazole can be taken orally. Maintain cleanliness of the external genitalia, and strictly prohibit sexual activity during treatment. For patients, if gynecological conditions are severe, immediate symptomatic treatment and appropriate medication should be administered. Otherwise, it may lead to recurrent gynecological conditions. Additionally, patients should maintain a positive mood to avoid worsening the condition. I hope the answers above can assist everyone. Thank you.

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