How should bacterial vaginosis be treated?

Patient's question:

I am 24 years old this year. I don't usually like to change my underwear and pants. As a result, one day my lower abdomen started to feel burning and itchy with a bad odor. After seeing a doctor, I was diagnosed with bacterial vaginosis. How should I treat it? What should I pay attention to?

Doctor's answer:

Bacterial vaginosis is caused by an imbalance of the normal flora in the vagina, an increase in lactobacilli, leading to the overgrowth of other bacteria and resulting in mixed infection. It is characterized by an increase in discharge, a fishy odor, external vaginal itching, and a burning sensation. However, vaginal examination does not show changes in inflammation or infection. Treatment primarily involves oral antibiotics, or local antibiotic suppositories can also be used. Follow-up testing is required after treatment.

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