Patient's question:
Detailed medical condition and consultation purpose: I was diagnosed with candidal vaginitis and mycoplasma infection in early August 2005. After three months of treatment, a follow-up test showed negative mycoplasma, and a white discharge test revealed no candidiasis. However, during the following month, I still experienced itching in the vagina. A re-examination (no candidiasis in white discharge test, transvaginal ultrasound showing slightly thickened bilateral fallopian tubes) led to a diagnosis of bacterial vaginosis and adnexitis. How can this be cured? Will it affect future fertility?Duration and persistence of the current condition: From early August 2005 to the present (December 18, 2005).
Current general condition: Mild symptoms in the vagina.
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 daily.
Local Treatment
1. Clean the area regularly to maintain hygiene.
2. You can use 3% boric acid or dilute acetic acid to rinse the vagina, 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" to rinse the vagina internally, once daily or every other day.
Precautions:
- Sexual partners, whether symptomatic or not, should receive appropriate treatment.
- Bacterial vaginosis may coexist with other sexually transmitted diseases, so relevant tests and corresponding treatments should be conducted.