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 here to ask for advice. How should bacterial vaginosis be treated effectively?Doctor's answer:
Bacterial vaginosis is primarily a type of vaginitis caused by Gardnerella vaginalis, which can be spread through sexual contact. Bacterial vaginosis is a condition resulting from an imbalance in the vaginal ecosystem, where Gardnerella vaginalis and anaerobic bacteria increase while lactobacilli decrease. It is worth noting that healthy women's vaginas can also harbor Gardnerella vaginalis.1. Metronidazole 250-500mg, taken twice daily for 7 days. Abstinence from alcohol is required for 2 days during treatment. Pregnant women should discontinue use.
2. Tinidazole 1.0g, taken once daily for 10-15 days.
3. Tetracycline 500mg, taken four times daily for 7 days.
Optionally, a 1% lactic acid or acetic acid solution can be used for vaginal irrigation to restore the normal physiological environment and inhibit bacterial growth.