Bacterial vaginitis is also known as nonspecific vaginitis, Haemophilus vaginitis, Corynebacterium vaginitis, barbae vaginitis, Gardnerella vaginitis, etc. The following is a detailed introduction to the methods of treating bacterial vaginosis. I hope the following content can be helpful to everyone. The treatment principles of bacterial vaginosis are: ① Asymptomatic patients do not need treatment; ② Sexual partners do not need treatment; ③ Bacterial vaginosis during pregnancy should be actively treated; ④ Patients who need intrauterine operation, such as curettage, artificial abortion, hysteroscopy, IUD insertion and removal, and hysterosalpingography, should be actively treated if bacterial vaginosis is found before the operation. 1. Treatment purpose BV is characterized by a disordered vaginal ecological environment, in which the normal flora dominated by hydrogen peroxide-producing lactobacilli is replaced by an overgrowth of mixed microorganisms. Therefore, the purpose of treatment is to kill pathogenic microorganisms and restore the normal vaginal ecological environment through treatment. Treatment can relieve vaginal symptoms and signs, reduce the risk of BV-related infectious complications during pregnancy, reduce the risk of premature birth or low birth weight, and reduce the risk of infectious complications after miscarriage or hysterectomy. Although treatment can achieve a cure rate of more than 80%, there is an 80% recurrence rate within 1 year. 2. Treatment Methods BV treatment methods include systemic treatment and vaginal local treatment. Systemic treatment mainly involves oral medication, which is suitable for BV patients who are unwilling to take local medication and have complications. However, the dosage of the medication is large, and the chance of systemic side effects is high and obvious. Local vaginal treatment is to use drugs in the vagina to directly kill or inhibit BV-related mixed microorganisms. It is suitable for BV patients who cannot tolerate the adverse reactions of oral drugs and have no complications. It has the advantages of small dosage and mild or unobvious adverse reactions, so local medication is more popular. |
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