Patient's question:
The hospital conducted a thorough examination of the vaginal discharge, and the results showed a cleanliness of 2, positive BV, and both types of bacteria were negative. The doctor prescribed two topical medications: one called iodine-based wash and the other called metronidazole gel. The course of treatment lasted for 7 days, and after stopping the medication for three days, I did not go for a follow-up test. Over the past week, I've been experiencing some abdominal pain and suspect it might be a gynecological issue. Today, I went to the hospital for an ultrasound. The ultrasound revealed that the uterus is in an anterior position, with the uterine body measuring 5.54.74.0 cm. The uterine cavity line is clear, the endometrial thickness is 1.3 cm, the uterine wall echoes are uniform, and the color Doppler flow is normal.Doctor's answer:
Your condition is indeed bacterial vaginosis, and the current treatment has been ineffective. It is necessary to have an active and comprehensive evaluation of the treatment to go beyond the goal of complete eradication. It is recommended to take clarithromycin dispersible tablets + tinidazole for active anti-inflammatory treatment, use metronidazole suppositories daily to insert into the vagina, drink plenty of water, eat more vegetables and fruits, and maintain a light and easily digestible diet. Strictly prohibit the consumption of irritants such as coriander, seafood, greasy foods, as well as spicy and stimulating foods like chili peppers, ginger, scallions, and garlic.