Will you still only use metronidazole?
Vaginal odor, itching, burning pain, anyone who experiences it knows.
Many women are immersed in pain and embarrassment because of it, and it also affects fertility.
“it” is bacterial vaginosis(BV), Mainly manifested as increased vaginal discharge, fishy odor, aggravated after sexual intercourse, and may be accompanied by mild genital itching or burning sensation.
Women’s vagina is not a “sterile environment”, but a complex “jianghu”. Among them, Lactobacillus is the dominant vaginal bacteria in women’s physiological state. Bacteroides and Enterobacteriaceae are also colonized in the vagina. The dominant state of Lactobacillus can restrict the proliferation of other flora.
When the “normal flora Lactobacillus” decreases and no dominant bacteria exist, there will be “chaos in the rivers and lakes”.
BV likes to find these kinds of people
BV is a facultative anaerobic bacteria in the vagina (such as Gardnerella vaginalis, Prevotella, Atopobacter vaginalis, Bacteroides genus, Streptococcus-like genus, and Campylobacter )increase, and the vaginal flora changes caused by the reduction or disappearance of the normal flora Lactobacillus that produces hydrogen peroxide in the vagina[1].
Common pathogens include facultative anaerobes (Gardnerella vaginalis) ), anaerobic bacteria (Prevotella, Mobile Campylobacter, Bacteroides, Atropa vaginalis) and Ureaplasma urealyticum [2].
Domestic survey data show that BV accounts for about 11% of healthy women in physical examinations, and accounts for about 11% of vaginal inflammation patients in gynecological outpatient clinics. 36%-60%. At present, the etiology of BV has not been fully clarified, but it may be related to factors such as multiple sexual partners, frequent sexual behaviors, and repeated vaginal lavage.
BV treatment, or just metronidazole?
The principle of BV treatment is to reduce the overgrowth of endogenous anaerobic bacteria and restore Lactobacillus as the dominant bacteria.
Comparison “2020 American College of Obstetricians and Gynecologists(ACOG) span>Guidelines”[3]“European New Guidelines”, “American CDC Guidelines” and “China’s New Guidelines” have slightly different treatment plans, as follows:
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Table 1
▎ span>How to treat BV during pregnancy and lactation?
BV is not uncommon in pregnant and breastfeeding mothers. Changes in local mucosal immune function and increased cervical mucus and vaginal secretions may increase the incidence of BV.
Then considerThe safety of the fetus and baby, which drug treatment can I choose?
Table 2
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