How many courses of treatment are generally required for bacterial vaginosis?

Patient's question:

Previous treatment and outcomes: I had been carefully examined for vaginal candidiasis, but since it didn't improve, I had to be rechecked several times before it was discovered that bacterial vaginosis was also present. Now the candidiasis is gone, but I still feel no improvement, frequently experiencing frequent urination, urgency, burning, and dysuria. It has been over a year, but the condition is still the same. The doctor often prescribes levofloxacin dispersible tablets, Gynecological Qianjin tablets, and vitamin B6, but none of them have helped. I have also received intravenous drips. What kind of help do I need: I saw online that people recommend using metronidazole tablets. I have also used metronidazole-chlorhexidine lotion and Shu'an sanitary. Are these medications sufficient for treating bacterial vaginosis? How many treatment courses are needed?

Doctor's answer:

According to the situation you mentioned, you have a fungal vaginal infection, which manifests as various strange skin changes; increased vaginal discharge with a bad odor; itching, burning sensation in the vagina and external genitalia, often with redness and swelling around the external genitalia; sometimes with shallow blisters and papules.
Advice:
It is recommended to use medication, such as povidone-iodine. First, dissolve it in warm water, then rinse the affected area. Afterward, use gauze or cotton balls to soak the solution and place them in the vagina, removing them after two hours. Repeat daily for about a week. This treatment is both time-saving and simple.
Alternatively, you can use clotrimazole cream.
Precautions:
Wash underwear with boiling water and keep the affected area dry at all times. Wishing you a speedy recovery.

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