Can bacterial vaginitis be treated during menstruation?

Written by He Jing
Obstetrics and Gynecology
Updated on September 09, 2024
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Bacterial vaginitis can only be treated with oral metronidazole during menstruation, and external genitalia can be cleaned with a wash, but vaginal suppositories cannot be used during bleeding periods to avoid causing infections. However, the standard treatment for bacterial vaginitis is recommended to better start after the menstruation ends. At that time, you can choose the appropriate external washes and vaginal suppositories for combined treatment, which will be more effective. During the treatment, avoid intercourse, frequently change underwear, maintain genital hygiene, avoid wearing tight clothing, consume fresh vegetables and fruits, exercise more, and enhance resistance.

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How to treat pain during urination caused by bacterial vaginitis?

Bacterial vaginitis refers to when the pathogen in the vagina is Gardnerella and is associated with a disruption of the vaginal flora. This can result in an increased amount of discharge, with a foul odor. An increased amount of vaginal discharge can irritate the vulva, leading to severe vulvitis, and possibly cause pain during urination. If pain during urination is accompanied by urinary urgency and frequency, it should be considered that there might be a urinary tract infection, and a urinalysis could be conducted. If a urinary tract infection is confirmed, it is necessary to drink more water, urinate more frequently, and take oral levofloxacin. If tests confirm that there is no urinary tract infection and the symptoms are only due to local irritation, using a 1:5000 potassium permanganate sitz bath daily for 15 minutes can significantly alleviate the pain during urination. Additionally, systemic medication should be administered to treat bacterial vaginitis. Only after the vaginitis is cured, which would significantly reduce the discharge, can the vulvitis and pain during urination be relieved. (Medication should be administered under the guidance of a physician.)

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How is bacterial pneumonia treated?

Bacterial pneumonia is a common respiratory disease. After contracting it, patients often experience fever, coughing, chest pain, and chest tightness. Lung imaging can reveal exudative shadows in the lungs. So, how should bacterial pneumonia be treated? The first step is to use antibiotics to which the bacteria are sensitive, commonly including penicillins, cephalosporins, macrolides, and fluoroquinolones. Additionally, symptomatic treatment is employed, such as antipyretic analgesics for fever, cough suppressants if there is little sputum, and expectorants for thick and sticky sputum.

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Written by Zhu Hua
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Can bacterial vaginitis lead to pelvic inflammatory disease?

Bacterial vaginitis can lead to pelvic inflammatory disease. Bacterial vaginosis is a mixed infection caused by the imbalance of normal vaginal flora. When bacterial vaginosis occurs, the predominance of lactobacilli in the vagina decreases, leading to the overgrowth of other microorganisms such as Gardnerella, anaerobes, and some staphylococci. The proliferation of these pathogens can compromise the host's defense mechanisms. These pathogens can travel from the vagina to the uterine cavity and then to the pelvic cavity, leading to disturbances in the microecological environment of the pelvis and resulting in pelvic inflammatory disease.

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Can a minor bacterial vaginitis undergo an abortion?

It is advised not to undergo an abortion when suffering from vaginitis, as the procedure involves manipulation of the uterine cavity. If there is vaginitis, the bacteria in the vagina can ascend, leading to inflammation of the uterine lining, and potentially causing pelvic inflammatory disease, fallopian tube adhesion, obstruction, and secondary infertility. Moreover, the body is generally weaker after an abortion, making it prone to inflammatory infections. Therefore, when experiencing vaginitis, it is recommended to first carry out a routine vaginal discharge test. Based on the results of this test, appropriate treatment is generally administered for about three days. A follow-up examination of the vaginal discharge can then be conducted. If the vaginal discharge test results are normal, the abortion procedure can proceed.

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Written by Shen Li Wen
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What is bacterial vaginosis?

Women can suffer from bacterial vaginosis, which is more commonly seen in women who have frequent sexual intercourse, or in postmenopausal women. It is not caused by an infection of a specific pathogen in the vagina, but rather by an imbalance of the normal flora that naturally resides in the vagina. Normally, the female vagina has a self-cleaning capability. What this means is that there are large quantities of lactobacilli in the vagina, which can create an acidic environment that inhibits the growth of other bacteria. However, under certain pathological conditions, such as too frequent sexual activity, this balance can be disrupted, leading to a reduction in the number of lactobacilli. Consequently, the numbers of other pathogenic bacteria may increase, causing bacterial vaginosis. During this condition, there is no inflammatory alteration in the vaginal walls or cervix.