How long does it take to cure bacterial vaginitis?

Bacterial vaginosis is a clinical disease that troubles many female friends. Targeted treatment methods should be found after the disease occurs. First of all, patients should keep their vulva clean and hygienic, and prevent scratching with their hands. When scratching, some bacteria on their hands will enter the affected area and induce more serious gynecological diseases.

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 effect on anaerobic bacteria, so it can also be used.

(4) Cleansiacin 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

Sex partners are treated at the same time.

Common complications include gynecological cervicitis, pelvic inflammatory disease, and often Trichomonas vaginitis. Bacterial vaginosis during pregnancy can cause adverse perinatal outcomes, such as chorioamnionitis, amniotic fluid infection, premature rupture of membranes, premature birth, and endometrial infection after cesarean section or vaginal delivery.

1. Pelvic inflammatory disease

The most commonly isolated bacterial flora in the genital tract secretions of women with pelvic inflammatory disease are consistent with those of BV, including Bacteroides, Streptococcus, and Gardnerella vaginalis.

2. Abnormal uterine bleeding and endometritis

Abnormal uterine bleeding is caused by endometritis. Abnormal uterine bleeding is caused by an abnormal response of the infected endometrium to ovarian hormones or by direct destruction of the endometrium by infection or inflammation.

3. Gynecological postoperative infection

Among women who had surgical termination of pregnancy, the incidence of pelvic inflammatory disease in women with BV was 3.7 times that of women without BV.

4. Cervical cancer

BV, cervical intraepithelial neoplasia and genital human papillomavirus infection have the same epidemiological relationship. The anaerobic metabolism of BV produces ammonia in vaginal secretions and carcinogenic nitrite.

5. HIV infection

Patients with BV may increase the risk of HIV transmission. When the pH is increased, HIV's ability to survive and adhere also increases, potentially making transmission easier.