Patient's question:
Hello:I experienced lower body pain and itching, along with dysuria, about 4 or 5 years ago. At that time, when I saw a gynecologist, no yeast or trichomonas was found, and only nystatin was prescribed. Since then, there have been no significant symptoms, so I didn’t get further tests. Recently, I had some more tests, and there was still no yeast or trichomonas. The doctor said it was bacterial vaginosis, with a cleanliness level of II. I also checked my urine, and the report showed 0-1 white blood cells, bilirubin +/16, specific gravity 1.020, and pH 5.5. Everything else was normal. The doctor said I have some issues with my urinary system.
I would like to ask, how serious is the condition of my urinary system? Bacterial
Doctor's answer:
Hello; your condition is highly likely to be contagious! Therefore, you must avoid sexual activity during treatment! Treatment for Bacterial Vaginosis:1. Metronidazole (Flagyl)
Usage: Take 0.2-0.4g orally each time, 2-3 times daily, for 7 consecutive days. It can also be administered via intravenous infusion.
2. Amoxicillin
Usage: Take 0.5g orally each time, 3 times daily. It can also be diluted and administered via intravenous infusion in two divided doses of 6g daily.
Local Treatment
1. Wash frequently to maintain cleanliness in the area.
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 may also be effective.
4. Use "Jie'eryin" or "Fu Yin Jie" for vaginal rinsing, once daily or every other day.
Precautions:
Sexual partners, regardless of whether they show symptoms, should undergo appropriate treatment.
Bacterial vaginosis may coexist with other sexually transmitted infections, so relevant tests and corresponding treatments should be conducted.