Patient's question:
Test results:Doctor's answer:
Disease Analysis: When the estrogen level in the human body decreases, leading to atrophy of the vaginal epithelium and a reduction in glycogen, it is not conducive to the growth of lactobacilli. Excessive use of antibiotics or overuse of alkaline liquids for vaginal irrigation also inhibits the growth of lactobacilli. Frequent sexual activity (due to the pH of semen being 7.2-7.8) and other factors lead to the overgrowth of pathogenic anaerobic bacteria and Gardnerella vaginalis, causing an imbalance in the vaginal microbial ecosystem. The reduction of facultative lactobacilli ultimately results in bacterial vaginosis.Treatment Suggestions:
1. Oral medication therapy
a. Metronidazole: It is currently widely believed to have reliable efficacy. The dosage is 0.2-0.4 grams per time, taken 2-3 times daily. Vitamin B6 can be added if the dose is high or to avoid gastrointestinal reactions. The course of treatment is 7-10 days.
b. Miconazole (Mycostatin): Take 2 tablets per time, 2 times daily, for a total of 3 days.
c. Trimethoprim (Trimethoprim): It is effective against various Gram-positive and Gram-negative bacteria and also has a good therapeutic effect on anaerobic bacterial growth, so it can also be chosen. The dosage is 10 tablets taken at once, or 1-2 tablets per time, 3 times daily, for a total of 3 days. Additionally, clindamycin and ampicillin can be used. However, long-term and large-scale use of broad-spectrum antibiotics is not recommended to avoid disrupting the normal vaginal flora. Some also advocate that asymptomatic individuals do not need treatment.
Lifestyle Care:
1. Maintain cleanliness of the external genitalia.
2. Avoid sexual activity during treatment.
3. Follow a light diet, avoiding spicy and greasy foods.