Current treatment of vaginitis – killing the causative agent with antibiotics
Antibiotics solve the problem of symptoms, signs and pathogens
However, antibiotics do not help to restore the vaginal micro-ecological environment that has been destroyed after the occurrence of vaginal inflammation.
It does not help to restore the environment
It can’t restore the quantity and quality of lactobacilli quickly
It can’t quickly restore the vaginal pH value to normal
Antibiotics can’t solve the problem of recurrence and secondary infection of all kinds of vaginitis
Recurrence rate of vaginitis
According to different sources.
Recurrence rate of BV treated with metronidazole:
15-30% recurrence rate within 3 months
Recurrence rate of antifungals for VVC.
15-30% relapse rate within 3 months
Near-term recurrence rate of trichomoniasis in the range of 25%.
Higher long-term recurrence rates for all types of vaginitis
The latest criteria for cure of VVC
Return of symptoms to normal
Signs return to normal
Non-detectable pathogenic bacteria
normalization of vaginal cleanliness
Vaginal pH normalized
Clinical protocol recommendations
Simple BV
Regular oral metronidazole
Also one capsule of lactobacillus every night before bedtime
Dose regimen: 0.25g/capsule qd × 10 days
Recurrent VVC
After two courses of intensive treatment with clotrimazole or miconazole nitrate
Then use Lactobacillus to consolidate treatment for 10-15 days