What are the treatments for bacterial vaginosis?

As we all know, bacterial vaginosis (BV) is a mixed infection caused by vaginal Gardnerella and some hypoxic bacteria, which leads to an imbalance of the microecological balance in the vagina, causing a syndrome of increased vaginal discharge, fishy leucorrhea, and vulvar itching and burning. Many people are troubled by bacterial vaginitis. How should this inflammation be treated? What are the classifications of bacterial vaginitis treatment? Let me explain to you the classification and treatment methods of bacterial vaginitis.

Bacterial vaginitis can be divided into Haemophilus vaginitis, Corynebacterium vaginitis, Hypoxic bacterial vaginitis, Gardnerella vaginitis, etc. This disease can also be transmitted through sexual contact, and the incidence rate is higher among people with promiscuous sexual relations. A smear examination of the secretions can reveal a large number of pus balls and find the pathogenic bacteria. 10% to 50% of patients are asymptomatic, while those with symptoms complain of grayish-white leucorrhea with a fishy odor, vaginal burning and itching. Increased leucorrhea is not a unique symptom of this disease. Gonorrhea, candidal vaginitis, and Trichomonas vaginitis can all present with clinical symptoms of increased leucorrhea. Most patients with this disease are women of childbearing age. The disease has a slow onset and the subjective symptoms are not obvious, with the main manifestation being increased leucorrhea. The examination of vaginal secretions has the following characteristics: ① The pH value reaches 5.0-5.5, which is higher than normal. ② The leucorrhea is gray or gray-green, homogeneous, with a paste-like consistency, and may contain bubbles. ③There is a foul smell like rotten fish. The odor of women becomes worse after menstruation or sexual intercourse, and their sexual partners' genitals may also emit the same odor. ④ Patients with combined Trichomonas or Candida infection may experience vulvar itching, vaginal burning sensation, or pain during sexual intercourse.

1. General treatment

Keep the vulva clean and dry and avoid scratching. Do not eat spicy foods. Change your underwear frequently and wash it with warm water. Do not mix it with other clothes to avoid cross infection.

2. Medication

(1) Metronidazole is currently considered to have reliable therapeutic effects and should be taken twice a day for 7 consecutive days.

(2) Methicillin (clomiphene) is used for 3 days.

(3) Thiamphenicol (Thiamycin) is effective against a variety of Gram-negative and Gram-positive bacteria, and has a good therapeutic effect on the growth of anaerobic bacteria, so it can also be used.

(4) Cleansing and ampicillin can also be used. In recent years, it has been advocated that no treatment is needed for asymptomatic people.

3. Local therapy

Topical medications can be used for treatment, such as metronidazole suppositories, once a night for 7 consecutive days.

4. Treatment of comorbidities

If other pathogens are detected, use medications targeting those pathogens to avoid the abuse of antibiotics. Pay attention to the medication for systemic conditions, and provide support and immunotherapy at the same time, and pay attention to adverse drug reactions.

5. Partner therapy

Male sex partners are treated at the same time.

Through the above, everyone has a certain understanding of the treatment methods of bacterial vaginosis. It is very important for women to correctly understand the treatment methods of bacterial vaginosis. Women's physical health is an aspect that women need to pay great attention to. To cherish yourself, you must understand yourself. In the next stage, we will continue to introduce the clinical manifestations and complications of bacterial vaginosis. Please continue to pay attention to our website.