Patient's question:
Doctor, I have been experiencing discomfort in my lower abdomen recently. Today, I had a routine vaginal discharge test, and the results showed "B.V. positive, cleanliness 3." The doctor diagnosed me with bacterial vaginosis and prescribed medication (Nifuratel tablets [Makota], Povidone-iodine suppository [Guangtai], Shenbai Shuyin Wash). The doctor advised me to take the medication for a 12-day course first, then stop for 3 days before rechecking.However, I remember having sex with my husband a few days ago without using a condom, and I’m worried about transmitting it to him. But the doctor didn’t tell me how to check or treat him. Will I transmit it to my husband? How can I tell if he has been infected?
Doctor's answer:
Treatment:1. Metronidazole (Flagyl)
Usage: Take 0.2-0.4g orally per dose, 2-3 times daily, for 7 consecutive days. It can also be administered via intravenous infusion.
2. Amoxicillin
Usage: Take 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. Clean the area frequently 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. Using erythromycin solution for rinsing may also be effective.
4. Rinse the vagina with "Jie'eryin" or "Fu Yin Jie" 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, and relevant examinations and corresponding treatments should be conducted.