Patient's question:
What causes bacterial vaginosis? Is it always related to mycoplasma/chlamydia infection? Which medication is more effective?Doctor's answer:
Hello: Bacterial vaginosis is also known as non-specific vaginitis, haemophilus vaginitis, corynebacterium vaginitis, and gardnerella vaginitis, among others; Bacterial vaginosis was named at the international conference in 1984; This disease is caused by a mixed infection of Gardnerella vaginalis and some anaerobic bacteria, and can be transmitted through sexual contact, with a higher incidence in populations with promiscuous sexual relationships; The prominent clinical manifestation is an increase in vaginal discharge with a fishy odor. This is because the discharge emits a special odor. During sexual intercourse or activity, the release of the odor is promoted, and the odor is particularly noticeable due to the presence of a large amount of amines in the vagina, and the pH of the vaginal discharge is also increased; When examining with a speculum, it is found that the vaginal discharge is increased, grayish-white, viscous, but the inflammation of the vaginal wall is not significant.I. Vaginal discharge is grayish-white, viscous, and even resembles a paste, uniform and consistent, but not purulent discharge, with varying amounts.
II. The amine content in the discharge is particularly high, giving it a fishy odor. During sexual intercourse or after activity, the odor often becomes stronger due to the promotion of amine release, and the addition of 10% potassium hydroxide to the discharge can also release an amine odor.
III. The pH value of the vaginal discharge is increased, with a pH range of 5.0-5.5, while normal values are 4.5-4.7.
IV. Trichomonads can be detected in wet mounts of vaginal discharge.
Among the above four criteria, meeting three or more can lead to a diagnosis, with emphasis placed on the fourth criterion as a necessary diagnostic standard. Treatment for bacterial vaginosis:
I. Metronidazole (Flagyl)
Use