How to cleverly handle the judgment of types of vaginitis appropriately

Patient's question:

Vaginal orifice, external genitalia, and labia minora itching. Previous treatment and effectiveness: Treated for trichomoniasis, showing slight improvement but not fully cured. The itching is bearable but accompanied by constant pain. Test results (please create a medical record below): Leukocytes ++, epithelial cells ++, Gram-positive bacteria ++, fungi -, trichomonas -. Is it trichomoniasis? Why can't trichomonads be detected?

Doctor's answer:

The condition you mentioned is primarily considered to be bacterial vaginosis, and it requires anti-inflammatory and symptomatic treatment from you, which will help in the recovery of your condition.
Recommendations for bacterial vaginosis treatment:
1. Metronidazole
2. Sulfamethizole
3. Tetracycline
4. A 1% lactic acid or acetic acid solution can be used for vaginal irrigation to restore the normal physiological environment and inhibit bacterial growth. Potassium permanganate needs to be prepared into a 1/5000 potassium permanganate solution for soaking, as advised by the doctor.
It is important to note that vaginal infections are not always fully cured. Friends with this condition should maintain a positive mindset and face it with optimism. Only in this way can they boost their confidence in combating the infection and believe that recovery is attainable.

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