How should bacterial vaginosis be treated? There are 3 treatment methods

Before treating bacterial vaginosis, vaginal discomfort symptoms caused by physiological conditions or life stress must be ruled out first. Usually, female estrogen fluctuates with menstruation, and women often complain of vaginal discomfort after menstruation and go to the outpatient clinic for testing. Vaginal secretions are tested before treatment. If the vaginal pathogen test shows normal, some studies advocate treatment of the discomfort symptoms; if pathogenic bacteria are found in vaginal secretions, antibiotics are usually given orally or vaginal suppositories are used topically.

The symptoms of bacterial vaginosis are not very different from other vaginitis, but if it is not treated in time, it will threaten women's health. Patients with symptoms of bacterial vaginosis, those who need gynecological surgery, and pregnant women without symptoms all need to be treated in time. So, how should bacterial vaginosis be treated?
1. Oral medication : Metronidazole tablets (Flagyl) 0.4 g each time, twice a day, 7 days as a course of treatment, preferably 3 courses of treatment. Oral metronidazole can also be taken. Common adverse reactions include nausea, vomiting, loss of appetite, metallic taste in the mouth, headache, dizziness, darker urine color, etc., which are mostly tolerable. Do not take alcoholic beverages during treatment and within 24 hours after the end of treatment.
Lincomycin: It is the first effective alternative to metronidazole. It is suitable for patients who have failed metronidazole treatment or are allergic to or intolerant of metronidazole. The oral dose is 0.3 grams, twice a day, for 7 consecutive days. Gastrointestinal reactions similar to those of metronidazole may occur, and pseudomembranous colitis, rash, and mild abnormal liver function may occasionally occur.
In addition, clindamycin or ampicillin can be used. However, long-term and large-scale use of broad-spectrum antibiotics is not recommended to avoid causing imbalance of normal vaginal flora.
2. Local medication <br/>Use 1% lactic acid or acetic acid solution to do vaginal lavage to restore the normal physiological environment and inhibit bacterial growth. Albotherapy is a commonly used drug, which has lavage solution and suppository. In addition to increasing the acidity of the vagina, it can also make the necrotic or diseased inflammatory tissue coagulate and be easy to discharge. The method is to lavage the vagina with 1:5 Albotherapy solution once a day; Albotherapy suppositories are placed in the vagina every other day, and 6 times is a course of treatment. Metronidazole suppositories can also be placed in the vagina, 1 every night, for 1 week.
3. Treatment of pregnant women <br/>Since this disease may be related to a series of pregnancy complications, such as premature rupture of membranes, premature delivery, choriocarcinitis, amniotic fluid infection, etc., it should be closely observed. It is generally believed that pregnant women can be treated with topical metronidazole and clindamycin, or they can take clindamycin and ampicillin orally, with the same usage as before, but metronidazole is contraindicated in the first 3 months of pregnancy.
The above three treatment methods are different treatment methods for different groups of people. Patients can choose treatment according to their needs.