Patient's question:
Test results:Doctor's answer:
Disease Analysis: When estrogen levels in the human body decline, leading to atrophy of vaginal epithelium and a reduction in glycogen, it becomes unfavorable for lactobacilli to grow. Excessive use of antibiotics or overuse of alkaline fluids for vaginal irrigation also inhibits the growth of lactobacilli. Frequent sexual activity (due to semen pH being 7.2-7.8) and promiscuity result in the overgrowth of pathogenic anaerobic bacteria and Gardnerella vaginalis, causing an imbalance in the vaginal microbial ecosystem. The reduction in facultative lactobacilli ultimately leads to bacterial vaginosis.Guidelines:
1. Oral medication therapy
a. Metronidazole: It is widely agreed to be highly effective. The dosage is 0.2-0.4 grams per time, taken 2-3 times daily. Vitamin B6 can be added if the dose is high or to avoid gastrointestinal reactions. The course of treatment is 7-10 days.
b. Miconazole (Mycostatin): Take 2 tablets per time, 2 times daily, for a total of 3 days.
c. Trimethoprim (Trimethoprim): It is effective against various Gram-positive and Gram-negative bacteria and also has a good therapeutic effect on anaerobic bacteria, making it a suitable option. The dosage is either 10 tablets taken at once or 1-2 tablets per time, 3 times daily, for a total of 3 days. Additionally, clindamycin and ampicillin can be used. However, long-term and large-scale use of broad-spectrum antibiotics is not recommended to avoid disrupting the normal vaginal flora. Some also advocate that asymptomatic individuals do not require treatment.
Lifestyle Care:
1. Maintain cleanliness of the external genitalia.
2. Avoid sexual activity during treatment.
3. Follow a light diet and avoid spicy and greasy foods.