Patient's question:
Please ask if the external itching 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 aren't itchy. Is it serious? Is it vaginitis? Can polyvinylpyrrolidone-iodine solution be used to clean the external genitalia or vagina for any type of vaginitis? Is this beneficial?
Doctor's answer:
Hello: Traditional Chinese medicine has a certain therapeutic effect. Yellow discharge may indicate bacterial vaginosis. The following treatment plan is recommended:Treatment for Bacterial Vaginosis:
1. Metronidazole (Flagyl)
Dosage: 0.2–0.4g per dose, taken 2–3 times daily for 7 days. It can also be administered via intravenous infusion.
2. Amoxicillin
Dosage: 0.5g per dose, taken three times daily. It can also be diluted and administered via intravenous infusion in two divided doses of 6g daily.
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 erythromycin solution may also be effective.
4. Use of "Jie'eryin" or "Fu Yin Jie" for vaginal rinsing, 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. Relevant tests and corresponding treatments should be conducted.