Patient's question:
Reward: 30 Health CoinsWhat kind of help do you want: What medicine is good for bacterial vaginosis symptoms (Thank you, doctor, for quickly answering——how should it be treated and prevented.)
Doctor's answer:
Bacterial vaginosis can be classified into Haemophilus vaginalis vaginosis, Corynebacterium vaginallis vaginosis, Bacteroides fragilis vaginosis, Gardnerella vaginalis vaginosis, etc.; this condition is caused by a mixed infection of vaginal Gardnerella and some Bacteroides, and can be transmitted through sexual contact, with higher incidence rates among populations with promiscuous sexual relationships. In clinical settings, examination of secretions under a microscope can reveal a large number of pus cells and identify the pathogenic bacteria, but there will be no trichomonas or fungi in the secretions.1. Oral medication therapy
a. Metronidazole: Currently, there is a general consensus that it has reliable efficacy. If the dosage is high or to avoid gastrointestinal reactions, vitamin B6 can be added.
b. Miconazole (Micatin):
c. Clindamycin (Cleocin): Effective against multiple Gram-positive and Gram-negative bacteria, and also has good efficacy against anaerobic bacterial growth, making it a suitable option. Additionally, options include clarithromycin and amoxicillin. However, long-term or high-dose broad-spectrum antibiotics are not recommended to avoid disrupting the normal vaginal flora. Some also advocate that asymptomatic individuals do not need treatment.
2. Local therapy
Regular vaginal irrigation with acetic acid or acidic solutions can alleviate symptoms and help control the condition. Additionally, metronidazole suppositories can be inserted into the vagina, one per night, for a total of one week.