How is bacterial vaginosis treated?

Patient's question:

Age 30, single, diagnosed with bacterial vaginosis and mild cervical erosion during a hospital examination. Vaginal cleanliness degree 3. Taken two courses of oral metronidazole tablets, 400mg, bid. Currently still experiencing vaginal itching and excessive white discharge from the vulva. How should I focus on treatment next?

Doctor's answer:

General treatment for vaginal infections typically involves oral and topical medications, which are quite effective. It is recommended to use 1% lactic acid or 0.5% acetic acid to rinse the vagina, insert metronidazole into the vagina, and follow a 7-day course for 3 cycles of alternating use. Metronidazole should be taken orally at a dose of 400mg three times a day. During treatment, sexual activity is strictly prohibited, and underwear should be washed frequently, boiled, and exposed to sunlight. It is also strictly forbidden to consume spicy and irritating foods.
In addition to promptly treating bacterial vaginosis, patients should also pay attention to their diet, such as maintaining a balanced diet and keeping a positive mood. At the same time, patients should also pay attention to choosing a professional hospital for diagnosis to achieve better treatment outcomes.

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