Is bacterial vaginosis easy to treat? What are the methods?

Many girls do not have vaginitis during puberty because there is a layer of hymen protecting their vagina, which blocks the bacteria outside the hymen. After marriage, especially after childbirth, vaginitis occurs frequently. Accidental bacterial invasion may cause bacterial vaginitis. So is bacterial vaginitis easy to treat? How to treat it?

treat

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.

In normal women of childbearing age, under the action of endocrine hormones, the vaginal epithelial cells proliferate and their surface cells are rich in glycogen, which is very conducive to the growth of facultative anaerobic lactobacilli. This bacterium accounts for more than 90% of the vagina. The presence of a large number of this lactobacilli inhibits the growth of other pathogenic bacteria and forms a normal ecological balance in the vagina.

When the body's estrogen level drops, it causes vaginal epithelial atrophy and a decrease in cell glycogen, which is not conducive to the growth of lactobacilli. Excessive use of antibiotics or excessive flushing of the vagina with alkaline fluids inhibits the growth of lactobacilli. Promiscuous sex and frequent sexual intercourse (because the pH of semen is 7.2-7.8) lead to the proliferation of pathogenic anaerobic bacteria and Gardnerella, causing an imbalance in the ecological balance of vaginal microorganisms, a decrease in facultative aerobic lactobacilli, and ultimately leading to bacterial vaginosis.

The decarboxylase produced by anaerobic bacteria can stimulate Gardnerella to produce certain amino acids, resulting in volatile amines, which release an unpleasant fishy smell. Amines increase the pH value and inhibit the reproduction of lactobacilli. The vaginal epidermal cells that are attached to bacteria fall off, increasing vaginal secretions, thus leading to this disease. Due to the disorder of flora, vaginal inflammation is not obvious, and the white blood cells in the secretions are reduced. Therefore, bacterial vaginosis is more appropriately called vaginitis than vaginitis.

Is bacterial vaginitis easy to treat? In fact, the reason why vaginitis causes symptoms of itching and pruritus is the breeding of bacteria, which makes it impossible to form a normal ecological balance in the vagina. On weekdays, we can use bactericidal and anti-inflammatory liquids to analyze and pay more attention to personal hygiene.