What should I do after experiencing vaginitis?

Patient's question:

I have had this symptom for these days, and it always doesn't get better. I would like to know what should I do if I get vaginitis again after cervical erosion surgery?

Doctor's answer:

Vaginitis. It is likely a case of bacterial vaginosis. It is a mixed infection caused by the imbalance of normal flora in the vagina, but there are no changes in clinical diagnosis or pathology. Anaerobic bacteria are predominant, and the cause is not entirely clear. Some individuals are asymptomatic, while those with symptoms primarily experience increased vaginal discharge with a fishy odor, external itching, or a burning sensation, which may alleviate after intercourse.
The first-line treatment is oral metronidazole 400 mg, taken 2-3 times daily for 7 days. Additionally, local use of metronidazole effervescent tablets 200 mg, once nightly, should be alternated for 7-10 days, achieving an 80% relief rate.
During pregnancy, oral metronidazole is commonly used to treat vaginitis. There are many treatment methods for vaginitis, but since patient symptoms vary, different diagnostic approaches are employed. Therefore, it is essential for patients to receive a prompt diagnosis to ensure appropriate treatment.

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