Vaginitis for over a year, with blood in the discharge, how should it be treated

Patient's question:

My friend's illness has been going on for over a year, and the treatment has not been effective. It has now started with abnormal leukorrhea and has even started to contain blood. The lab tests show many bacteria with a + sign. How can it be treated most effectively? Which medicine is most effective?

Doctor's answer:

After confirmation of the diagnosis, treatment should be implemented based on the different pathogens. For candidal vaginitis, nystatin suppositories can be inserted vaginally. For trichomoniasis, metronidazole should be taken orally. For haemophilus vaginitis, ampicillin can be administered under anesthesia.
A 2% to 4% sodium bicarbonate solution can be used to wipe the external genitalia and vagina, or sitz baths can be taken, with 10 sessions constituting one course of treatment. Under the guidance of a doctor, nystatin 500,000 units should be taken orally four times daily, with 10 days constituting one course of treatment.
Local medication: Use bingpeng powder vaginal suppositories (bingpeng powder, sulfonamide, and soda in equal amounts).

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