Patient's question:
Medical History: Suffering from bacterial vaginosis for 3 years, with no routine treatment in the pastAuxiliary Examinations: High-power microscopic examination, cleanliness ++, mixed bacteria +
Detailed Condition and Purpose of Consultation: Occasional vulvar itching, viscous leukorrhea. One month ago, I visited a hospital and was prescribed a medication called Fupu Wash Solution. I used one bottle, which cost 70 yuan for only 100 ml. I would like to ask if there are any generic alternatives available. Is Jie'er Yin suitable? Also, can Gongyanping Tablets be replaced with Fuyinkang? Can Compound Sea Buckthorn Seed Oil Suppositories be replaced with Hukang Suppositories or other vaginal antifungal suppositories? Finally, how long do I need to use the medication for?
Doctor's answer:
Hello; the specific duration depends on your drug absorption. Treatment for Bacterial Vaginosis:1. Metronidazole (Flagyl)
Usage: Take 0.2-0.4g orally each time, 2-3 times a day, for 7 consecutive days. It can also be administered via intravenous drip.
2. Amoxicillin
Usage: Take 0.5g orally each time, 3 times a day. It can also be diluted and administered via intravenous drip in two divided doses of 6g per day.
Local Treatment
1. Clean regularly to maintain local hygiene.
2. You can use 3% boric acid or dilute acetic acid to rinse the vagina, followed by rinsing with clean water to alleviate symptoms.
3. Using erythromycin solution for rinsing can also be effective.
4. Rinse the vagina with "Jie'eryin" or "Fu Yin Jie" internally, once a day or every other day.
Precautions:
- Sexual partners, regardless of whether they have symptoms, should receive appropriate treatment.
- Bacterial vaginosis may coexist with other sexually transmitted diseases, so relevant tests and corresponding treatments should be conducted.