What to do about bacterial vaginosis in the early stages of pregnancy

Patient's question:

Patient: Female, 25 years old, pre-pregnancy to now
Abnormal vaginal discharge: Sometimes watery and clumped, sometimes yellow or green with a foul odor, but without itching
Previous treatment and outcomes:
At 6 weeks of pregnancy, I went to the hospital for a vaginal discharge test. The report is as follows:
Cleanliness: IV
White blood cells:++++
Epithelial cells: A few
Mixed bacteria:+++
Candida: Detected
Trichomonas: Not checked
Bacterial vaginosis: Positive
The doctor said it was likely a miscarriage and prescribed three days of vaginal irrigation. I didn’t pay attention to other medications.
Seeking help:
The doctor said bacterial vaginosis is likely a miscarriage. This is my first pregnancy, and I really want to have a baby. I’m very worried it will affect the fetus. Previously, when I went for a menopause check-up, the doctor said it wasn’t itchy and didn’t need attention. Now, the situation is different. I suspect it might have worsened. I want to consult now—is it really easy to miscarry? What are some good treatment methods? Can traditional Chinese medicine help? Or should I take [medication name]?

Doctor's answer:

You are 6 weeks pregnant and went to the hospital for a leukorrhea test. The report is as follows: It is recommended to use an external liquid to clean and wipe the vulva, to clear heat, dry dampness, kill insects, reduce swelling, and relieve pain. The results indicate candidiasis, trichomoniasis, and non-specific vaginitis. After washing, you can use Baofukang suppositories externally, which can regulate qi, break blood stasis, promote muscle regeneration, and activate blood circulation. It is used for candidiasis, senile vaginitis, cervical erosion. Finally, during treatment, patients should maintain a balanced diet, follow a regular schedule, actively participate in physical exercise, regulate physical and mental health, and maintain personal hygiene to avoid bacterial invasion due to weakened immunity. Wishing the mother and child peace and health!

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