Patient's question:
Medical history: Previously had cervical erosion of degree 2, after using Xiaomi, checked and cured, but had urinary tract infection and bacterial vaginosis. Starting from August, after menstruation, there was a sensation of itching, and after medication, in December, a vaginal discharge test showed bacterial vaginosis.Detailed condition and consultation purpose: Bacterial vaginosis leading to cervical inflammation, symptoms disappeared after intravenous infusion (antibiotics). After one sexual intercourse (gentle movement), there was pain at the vaginal opening the next day, with a little blood. What medication should be used? Thank you!
First follow-up question:
1. Vaginal discharge test has ruled out trichomonas and mold.
2. Confirmed as bacterial.
Doctor's answer:
Hello: 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 infusion.
2. Amoxicillin
Usage: Take 0.5g orally each time, 3 times a day. It can also be diluted and administered via intravenous infusion in two divided doses of 6g per day.
Local Treatment
1. Keep the area clean by washing regularly.
2. Regularly rinse the vagina with 3% boric acid or dilute acetic acid, followed by rinsing with clean water to alleviate symptoms.
3. Rinsing with clindamycin solution can also be effective.
4. Use "Jie'eryin" or "Fu Yin Jie" for vaginal rinsing, once a day or every other day.
Precautions:
- Sexual partners, regardless of whether they show symptoms, should receive appropriate treatment.
- Bacterial vaginosis may coexist with other sexually transmitted diseases, so relevant tests and treatments should be conducted.
After contracting bacterial vaginosis, attention should be paid to:
(1) Maintaining personal and sexual hygiene, especially avoiding sexual activity during menstruation and postpartum.
(2) Promptly treating gynecological conditions such as chronic pelvic inflammatory disease, chronic cervicitis, and adnexitis.