What is the reason for bacterial vaginosis every time during a self-examination?

Patient's question:

Every time I have a self-examination, it's bacterial vaginosis. I take medication every month, but it doesn't go away. It has been recurring for two years. There is very little discharge, and I have vaginal pain. What is going on?

Doctor's answer:

In your case, it's best to confirm the menstrual situation, as it might be a split with low estrogen. If it's bacterial vaginosis, topical medications can be used in combination for treatment. It's recommended that you eat less spicy food, quit smoking and drinking, and drink more water regularly. Try to maintain external genital hygiene, clean with warm water, use povidone-iodine for sterilization, and then use medication to clean the vagina, insert vaginal suppositories, and complete one course per month. After three courses, a follow-up test is necessary. Long-term use is not advisable. Additionally, patients must pay close attention to their diet, eat more light foods, and avoid unnecessary harm.

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