Patient's question:
What medications and topical treatments should be used for bacterial vaginosis? The main symptom is a fishy odor in the discharge.Medical history and treatment effectiveness:
At the hospital, a lab test on the discharge confirmed bacterial vaginosis. They performed a swab and applied medication, with results showing slightly elevated squamous epithelial cells, 3+ white blood cells, 3+ red blood cells, 3+ cocci, and a few rods. The cleanliness level was IV. I was prescribed oral metronidazole tablets and topical metronidazole suppositories. Is it okay to use them continuously for 7 days? I don’t want to go back to the hospital for swabbing and medication. This is my first time experiencing this condition.
Doctor's answer:
Considering it may be bacterial vaginosis, metronidazole or clindamycin is recommended. Local medication treatment, such as metronidazole suppositories. During the treatment of this condition, sexual activity must be strictly prohibited, but sexual partners do not need routine treatment. While taking medication, you can use Jie'er Yin or Honghe Fu Jie to rinse the vagina and external genitalia. Patients facing the harm of bacterial vaginosis should promptly follow the principle of symptomatic treatment and should not avoid seeking medical attention. If bacterial vaginosis does not improve with treatment, it is important to promptly change the treatment plan.