Can I apply medication during menstruation for the treatment of bacterial vaginosis?

Patient's question:

Currently being treated for bacterial vaginosis, can I use medication vaginally during my menstrual period? The medication prescribed by the doctor for bacterial vaginosis is inserted into the vagina.

Doctor's answer:

Analysis of the condition: Hello, candidal vaginitis is relatively difficult to cure completely. It mainly requires your own patience in treatment and persistent use of medication. It is best to undergo treatment under the guidance of a doctor. During menstruation, medication should not be applied, as it will also be ineffective.
Suggestions: It is recommended to rinse the external genitalia and vagina with an alkaline solution, such as 2~4% sodium bicarbonate or soapy water, to alter the vaginal pH. At the same time, insert nystatin tablets or suppositories into the vagina, with a dosage of 100,000~200,000 units each time, once nightly, for a course of 10~14 days. During treatment, sexual intercourse should be avoided, and underwear should be changed, washed, and boiled daily for disinfection.
After one course of treatment, if the candidal test results are negative, follow-up tests should be conducted after each menstrual cycle to ensure the results remain negative. Continuous consolidation treatment for three courses is required to be considered cured. It is also best for the male partner to undergo treatment concurrently. Shoes and socks should be washed separately from underwear. Condoms are recommended during sexual intercourse.

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