Patient's question:
Usually, leukorrhea is light yellowish-green, occasionally itchy. Sometimes after sexual intercourse, leukorrhea turns red, and there is pain in the external genitalia during urination. Since undergoing medication-induced abortion, leukorrhea has been excessive, and it has been ignored. For nearly a year, the examination revealed bacterial vaginosis.Doctor's answer:
Disease Analysis: Bacterial vaginosis is one of the common gynecological diseases among married women. This condition can be caused by bacteria such as Haemophilus, Bacteroides, and Gardnerella; however, it is mostly caused by a mixed infection of Gardnerella and some Bacteroides. Sexual contact is a possible route of transmission.Guidance:
a. Metronidazole: It is currently widely agreed that it has reliable efficacy. The dosage is 0.2 to 0.4 grams taken orally twice or three times a day. Vitamin B6 can be added if the dose is high or to avoid gastrointestinal reactions. The course of treatment is 7 to 10 days.
b. Miconazole (Ketoconazole): Take 2 tablets twice a day for 3 days.
c. Trimethoprim (Trimethoprim): It is effective against various Gram-positive and Gram-negative bacteria and has good efficacy against anaerobic bacteria, so it can also be chosen. The dosage is either 10 tablets taken at once or 1 to 2 tablets taken three times a day for 3 days.
1. Maintain cleanliness of the external genitalia.
2. Abstain from sexual activity during treatment.
3. Maintain a light diet and avoid spicy and greasy foods.