Patient's question:
I have had vaginitis for nearly four months! I have had three sexual experiences! The second one was on the last day of my period! After that, I started itching! At first, I didn't feel like going to the doctor, so I used a wash solution myself! Later, it became more frequent and severe, and I went to the hospital for the first time to see Dr. Neizhen. The results were as follows:Symptoms: Vulvar and vaginal oxygenation, occasional mild lower abdominal pain / back and waist pain
Examination conclusion: Vulva normal, vagina normal, mucosa slightly congested, moderate white discharge, white in color, cervix smooth. Impression: Vaginitis
The doctor prescribed Lifekang Le liquid (Chinese medicine, vaginal irrigation) and
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. Maintain cleanliness by frequently cleaning 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 erythromycin 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 examinations and treatments should be conducted.
After developing bacterial vaginosis, attention should be paid to:
(1) Personal and sexual hygiene, especially avoiding sexual activity during menstruation and postpartum.
(2) Timely treatment for gynecological conditions such as chronic pelvic inflammatory disease, chronic cervical inflammation, and adnexitis.
Chronic cervical inflammation is one of the most common diseases among women. It often develops from acute cervical inflammation and is more prevalent in married women with weakened constitutions. The cause is typically bacterial invasion due to damage to the cervix during sexual activity or childbirth.
An increase in vaginal discharge is the primary symptom, usually appearing viscous or purulent.