How should bacterial vaginosis be treated?

Patient's question:

What should I do if I have bacterial vaginosis? Is there any way to solve it? It has been bothering me for a long time, and I feel very uncomfortable. I am looking for a solution. Recently, I have been experiencing lower abdominal pain, especially during my period. I am very worried about it affecting my fertility, and I am also extremely afraid of cold and coldness. Please ask.

Doctor's answer:

Hello, bacterial vaginosis is primarily treated with metronidazole. The dosage is 0.2 to 0.4 grams orally, taken 2 to 3 times daily. If the dose is high or to prevent gastrointestinal reactions, vitamin B6 can be added. The course of treatment lasts for 7 to 10 days. Additionally, vaginal medication can be used. Vinegar and acidic solutions can be used irregularly to rinse the vagina, which can help stabilize symptoms. Alternatively, metronidazole suppositories can be placed in the vagina, one per night, for a total of one week. During treatment, sexual activity must be strictly prohibited to avoid interfering with the therapeutic effect or causing cross-infection. Regular follow-up tests should be conducted during treatment to assess the effectiveness. Additionally, during the treatment of bacterial vaginosis, in addition to timely treatment, the patient's dietary condition and psychological state are also particularly important.

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