Patient's question:
Symptoms: Cervicitis, also found a 3cm right adnexal cyst. The uterus is anteverted with smooth walls. The last menstrual period was on October 31st, and menstruation has not returned since. Married for nearly a year and still not pregnant, with no history of miscarriage procedures. Yellow discharge with a bad odor. Occasional lower back pain. Dizziness when bending and standing up. Pale complexion.Purpose of consultation: I would like to ask the doctor if such symptoms can be treated with medication. If so, which medications are recommended? Additionally, what other treatments are needed? I have not conceived yet, is it related to these symptoms?
(Note: My husband was diagnosed with...)
Doctor's answer:
Hello:According to the records, the diagnosis is:
1. Ovarian cyst
2. Bacterial vaginosis
For the ovarian cyst, it can be monitored.
Treatment for bacterial vaginosis:
1. Metronidazole (Flagyl)
Usage: 0.2-0.4g orally per dose, 2-3 times daily, for 7 days. It can also be administered via intravenous infusion.
2. Amoxicillin
Usage: 0.5g orally per dose, 3 times daily. It can also be diluted and administered via intravenous infusion in two divided doses of 6g daily.
Local treatment:
1. Regular cleaning to maintain local hygiene.
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 can 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 diseases, so relevant tests and treatments should be conducted.
Genital warts cannot be completely cured and require attention to prevention. Spouses may experience cross-infection and should be tested and treated together.