Patient's question:
I am a woman, 30 years old, who just had a cesarean section. Before pregnancy, I also had a period of time like this. I had a bacterial culture done, which showed no trichomonas or yeast. I searched online and found that it is likely bacterial vaginosis, which is caused by excessive alkalinity in the vagina. It can be treated with acidic washes or vinegar rinses. During the week, I used an acidic wash twice. After the first use, the odor did indeed disappear, but after the second use, the discharge started to reappear with a coffee-colored, egg-white-like texture, and the odor became even stronger. What is going on?Doctor's answer:
You should take oral antibiotics, not just wash your vagina. There is white, egg-like discharge, I don't know if you've been re-infected with Candida again. You should have another thorough examination for vaginal fungus. After that, take metronidazole antibiotics and quinolone-class drugs to treat bacterial infections. If the fungal infection test is positive, you need to add fluconazole to suppress the fungal infection. The daily treatment for bacterial vaginosis mainly focuses on symptomatic treatment. Patients can use many oral medications, combined with various vitamins, and pay attention to self-care, proper diet, and avoid cold foods.