What medications should be used in combination therapy for non-gonococcal vaginitis and pelvic inflammatory disease?

Patient's question:

What medications should be used in combination therapy for non-gonococcal vaginitis and pelvic inflammatory disease? What precautions should be noted during treatment? Thank you

Doctor's answer:

Hello, patients with non-gonococcal urethritis must pay attention to early diagnosis and early treatment; treatment should be carried out in regular hospitals, and both partners should be treated simultaneously. Do not give up halfway. During treatment, rest is important, strenuous exercise should be avoided, sexual life should be prohibited, irritating foods should be avoided, and clothing and utensils should be washed, sun-dried, and disinfected. The external genitalia should be cleaned daily with a high-manganese potassium permanganate solution (1:5000 to 1:8000) or Jieryin.
　　There are many effective antibiotics for treating non-gonococcal urethritis. These drugs include tetracycline, doxycycline, azithromycin, clarithromycin, roxithromycin, erythromycin, etc.; streptomycin and spectinomycin are effective against mycoplasma but have little effect on chlamydia infections; cefalexin is largely ineffective against chlamydia, so it is not used. Many people have antibiotic resistance, so it is best to conduct a drug sensitivity test and use effective medications. Follow-up should still be done after treatment. If it is ineffective, another treatment method should be used, so patience is required in treatment.
Care
　　1. Pay attention to personal hygiene, keep the external genitalia clean, change underwear frequently, and use external genitalia utensils exclusively.
　　2. Strengthen public health facilities, such as public restrooms, swimming pools, and bathtubs. Take precautions to prevent cross-infection in public places.
　　3. Both partners should receive treatment simultaneously and be checked for recovery. Avoid sexual life during the treatment period.
　　4. Use vaginal suppositories correctly under the guidance of a doctor. When mixing topical liquids, pay attention to the concentration.
　　5. During treatment, frequently disinfect contact items, such as bath towels and underwear. Boiling for 5–10 minutes can eliminate parasites.
　　6,