Why is bacterial vaginosis difficult to cure in unmarried women?

It is indeed a bit difficult to treat this disease in unmarried young women. Because the patient said she was unmarried, the gynecologist could not check the inflammation characteristics of the vaginal mucosa, nor could he put special medicine deep into the vagina to kill the fungus. He could only use Chinese medicine fumigation and wash, and apply some clotrimazole ointment on the outside of the vagina. But this kind of medication cannot kill the fungus in the vagina. This is the reason why your long-term and painstaking treatment has not been effective.

I often encounter such patients in life. First of all, I always ask her whether she has had sex. Most patients can answer honestly. Those who have had sex will agree to vaginal examination. Once she agrees to do vaginal examination, things will be easy. Everything should be treated as married patients. You can prescribe her 3% sodium bicarbonate solution and nystatin for a total of 10 days, and ask her to take the medicine at home. Before going to bed every night, use 3% sodium bicarbonate solution to wash the vagina or take a bath, wipe dry, and then send 1 nystatin suppository (100,000 units) deep into the vagina. Once a night for a total of 10 days. Since nystatin is a specific drug and is placed in the main area where mold reproduces and causes inflammation, the effect is very good. After one course of treatment, it will definitely be cured.

But to prevent recurrence, we have to ask about the man's condition. It must be treated as a couple or both men and women. If the man has candidal balanitis, he can be given 3% sodium bicarbonate solution and 3% clotrimazole ointment. Clean the glans with 3% sodium bicarbonate before going to bed every night, wait until it is dry, and then apply clotrimazole ointment once a night for 10 days. If the lesion cannot be found outside, fluconazole 0.15 grams can be given, taken all at once, to remove the hidden mold inside the genitals. This drug has an effect on liver enzymes, so it should be used with caution in patients with abnormal liver function.

Avoid sexual intercourse during the treatment period. Use condoms for the first month after resuming sexual intercourse. If there is no abnormality, then use condoms. If recurrence occurs after using condoms, sexual behavior should be reviewed. The following situations can lead to recurrence: the man has an affair, the man has hidden mold, oral sex, anal sex, etc. If so, change as soon as possible.

If the patient is unmarried and has no sexual experience, a vaginal examination cannot be performed and special thin and long instruments should be used for diagnosis and treatment.

There is a hole in the center of the hymen, about the size of a small earring, which is the exit of menstrual blood, and inside it is the vagina. The vagina is about 9 cm long and has many folds. You can use a thin cotton swab to enter the bottom of the vagina through this hole, take a bean dregs sample of leucorrhea for examination, and find fungi to confirm the diagnosis. The treatment medication is still 3% sodium bicarbonate solution and nystatin. She was also given a catheter and a pair of 10 ml syringes to take the medicine at home. Its usage: wash the vulva with warm water every night; then insert the catheter into the deep vagina through the hole in the hymen, use a syringe to draw sodium bicarbonate solution from the catheter and inject it into the vagina, flush 5 to 8 times, and draw 10 ml each time. The purpose is to flush a large amount of leucorrhea and fungi out of the vagina, and create an alkaline environment to inhibit the reproduction of fungi. After flushing, drain the residual liquid in the vagina, wipe the vulva dry, and move to sit on the bed; use a syringe to draw the pre-prepared nystatin solution and inject it into the deep vagina through the catheter. Remove the catheter and sleep with your hips elevated.

Nystatin solution can be prepared by yourself: take 1 nystatin suppository and dissolve it in 4 ml of cold boiled water. If the vulva is injured, 3% clotrimazole ointment can be applied in time. Apply once a night, 10 days as a course of treatment; one course of treatment will be enough to cure the disease.

To prevent recurrence, the source of infection must be found to cut off the source. Unmarried patients who do not have sex are non-sexually transmitted. Common ways of transmission include swimming, wearing public swimming trunks, using public toilets, bathtubs, and baths; touching the genitals with dirty hands or masturbation; or wiping stool in the wrong order, that is, from back to front, bringing stool to the vicinity of the vagina; or when washing the lower body, washing the anus first and then the vulva, which can bring the mold in the rectum into the vagina and cause recurrence. Predisposing factors include long-term use of antibiotics, hormones, diabetes, etc. Occasionally, it can be caused by unclean gynecological examination instruments.

If the patient has concerns about this route of administration, such as fear of damaging the hymen, you must explain to her that the catheter is soft and will never damage the hymen. If she does not know how to operate, you can demonstrate it once or twice and she will master it. The catheter and syringe can be washed with cold water and reused. Of course, the doctor can also flush her every day. Put the medicine in: After flushing, drain the residual liquid in the vagina, add one tablet of Micodin effervescent tablet (containing nystatin) to 2 ml of normal saline to dissolve it into a paste, and then use a syringe and catheter to inject it deep into the vagina.

Bacterial vaginosis can cause sudden itching of the vulva, making you restless and disturbed. The abnormal distress will affect your normal rest and work. Sexual contact is the main transmission route of this disease, so you should avoid unclean sexual behavior.

Bacterial vaginosis is a common bacterial vaginosis, which is more common in pregnant women and diabetics. Long-term use of antibiotics changes the mutual inhibition relationship between microorganisms in the vagina, allowing Candida to multiply in large numbers and cause infection. This disease is mainly transmitted through sexual contact. In addition, unclean bathtubs, underwear, towels, etc. can also be transmitted.

The main manifestation of bacterial vaginosis is that the patient will feel itchy and uncomfortable in the vulva, sometimes even restless and painful, which affects sleep and work; sometimes accompanied by burning pain, difficulty urinating and increased frequency, urinary pain and sexual intercourse pain. During gynecological examination, white film-like substances can be found on the vaginal mucosa, which will reveal the red and swollen mucosal surface after wiping. In the acute stage, eroded mucosal surfaces and superficial ulcers can also be seen. Because the secretions stimulate the labia majora and minora and the anus, infection can occur, and local redness, swelling, erythema, papules and other inflammatory manifestations will appear. Microscopic examination of vaginal secretions can find spores and hyphae.

After suffering from this disease, you should pay attention to:

(1) Change your underwear frequently and wear loose underwear. Do not wear underwear made of nylon or other non-cotton materials.

(2) The patient’s underwear, used bathtubs, towels, etc. should be boiled in hot water for disinfection.

(3) It is advisable to flush the vagina once a week to avoid bacterial imbalance and bacterial infection.

(4) Stop having sex. If either sex suffers from beriberi, they should seek treatment.

(5) For those who are malnourished, physically weak, or suffer from chronic diseases (such as diabetes), close attention should be paid to whether there are fungal infections in other parts of the body, and the primary disease should be actively controlled to improve the body's resistance.

(6) This disease may be complicated by Trichomonas vaginalis, so the patient should be checked for Trichomonas vaginalis infection. If present, both should be treated together.

(7) Do not abuse antibiotics or hormones.