Patient's question:
Please ask if itchy external genitalia and yellow discharge are currently being treated with traditional Chinese medicine. Can I use Jie'eryin for washing? Is it beneficial? Or should I just use clean water for washing during treatment? How effective is traditional Chinese medicine? Thank you.First follow-up question: I only have yellow discharge, not transparent discharge with a slight light yellow tint. There's a small bump on my external genitalia, but it's not painful or itchy. The external genitalia are not itchy. Is it serious? Is it vaginitis? Can polyvinylpyrrolidone-iodine solution be used to wipe the external genitalia or vagina for any type of vaginitis? Is this beneficial?
Doctor's answer:
Hello: Traditional Chinese medicine has certain therapeutic effects. Yellow discharge may indicate bacterial vaginosis. The following treatment plan is recommended:Treatment for Bacterial Vaginosis:
1. Metronidazole (Flagyl)
Dosage: 0.2–0.4g orally per dose, 2–3 times daily, for 7 days. It can also be administered via intravenous infusion.
2. Ampicillin
Dosage: 0.5g orally per dose, 3 times daily. It can also be diluted and administered via intravenous infusion in two divided doses daily (6g total).
Local Treatment
1. Regular cleaning to maintain local hygiene.
2. Periodic rinsing of the vagina with 3% boric acid or dilute acetic acid, followed by rinsing with clean water, can alleviate symptoms.
3. Rinsing with clindamycin solution may also be effective.
4. Intravaginal rinsing with "Jie'eryin" or "Fu Yin Jie" once daily or every other day.
Precautions:
- Sexual partners, regardless of symptoms, should undergo appropriate treatment.
- Bacterial vaginosis may coexist with other sexually transmitted infections, so relevant tests and treatments should be conducted.