Patient's question:
Bacterial vaginosis. The vaginal medication prescribed at the first follow-up caused external genital redness and swelling after the first application, and small red, swollen pimples began to form gradually. The medication was stopped, and an anti-allergic intravenous drip was administered for rescue treatment. After four days of intravenous infusion, the external genitalia returned to normal, and the pain in the red, swollen pimples subsided as the anti-allergic medication was applied. Recovery is still ongoing.At the third follow-up, the doctor suspected herpes because, although the external genitalia had returned to normal, seven red, swollen pimples (two or three of which were clustered together, causing ulcers that had not yet healed) were present. The inflammation was attributed to sexual activity. So, is this a drug allergy or an ulcer? If it’s an ulcer, would the anti-allergic intravenous drip still have been beneficial?
Doctor's answer:
The consideration is the possibility caused by allergic transmission. If it is herpes, it generally expands more quickly. After a drug allergy, intravenous treatment is used for rescue. It doesn't necessarily get better immediately. If there is suspicion of herpes, you can first undergo a herpes virus test. If the test is diagnosed, it is better to use medication for treatment. For the patient, if the condition of bacterial vaginosis is severe, timely symptomatic treatment should be given, and appropriate medication should be used, otherwise it may lead to a recurrence of bacterial vaginosis. In addition, the patient also needs to pay attention to their diet and psychological care.