Patient's question:
Every 10 days before menstruation, the symptoms of vaginal itching reappear. In the past, bacterial vaginosis and cervical erosion were diagnosed, and cervical repair surgery was performed. Oral medications such as ornidazole and cefaclor, as well as topical medications like Shanqing and Susuna, were used. Additionally, topical medications for cervical erosion were applied.Previous treatment history and effectiveness: Not concerned about any help:
Expectation: Explanation of several topical medications for bacterial vaginosis, preferably traditional Chinese medicine, that can eliminate the root cause and show quick results.
Doctor's answer:
Bacterial vaginosis can be divided into Haemophilus vaginalis vaginosis, Corynebacterium vaginallis vaginosis, Bacteroides fragilis vaginosis, Gardnerella vaginalis vaginosis, etc.; this condition is caused by a mixed infection of Gardnerella vaginalis and certain Bacteroides species. It can be transmitted through sexual contact and has a higher incidence rate among individuals with multiple sexual partners. In clinical diagnosis, careful examination of the discharge smear can reveal a large number of pus cells and identify the pathogenic bacteria, but no trichomonas or fungi will be found in the discharge.Recommendations:
1. Oral medication therapy
a. Metronidazole: It is currently widely recognized for its reliable efficacy. If a higher dose is required or to prevent gastrointestinal reactions, vitamin B6 can be added.
b. Miconazole (Micatin): Effective against a variety of Gram-positive and Gram-negative bacteria.
c. Trimethoprim (Trimethoprim): Effective against multiple different Gram-positive and Gram-negative bacteria.