(Disclaimer: This article is for science purposes only, in order to protect Ms. Zhao’s privacy, the relevant information in the following content has been processed)
Abstract: Ms. Zhao described herself: 5 days ago she traveled abroad with her boyfriend and had sexual intercourse several times within 3 days. After returning to the local area 2 days ago, she felt fatigued, mild itching of vulva, leucorrhea increased significantly, and fishy odor was heavy. Examination of vaginal secretions revealed: cleanliness degree IV, BV positive, diagnosis of acute bacterial vaginitis, a condition of acute vaginitis, systemic medication combined with local medication was given, leucorrhea returned to normal, condition was controlled and treatment was good.
Basic information】Female, 28 years old
Type of disease】Acute bacterial vaginitis
Hospital】Guangxi Zhuang Autonomous Region Jiangbin Hospital
Date of consultation】March 2021
Treatment plan】Medication (metronidazole tablets, diazotide vaginal effervescent tablets, maternal health lotion)
Treatment Period】10 days of outpatient treatment
Results】The leucorrhea returned to normal, the disease was controlled, and the treatment effect was good.
I. Initial consultation
Ms. Zhao has had 2 abortions in the past and has not had any children. Self-report: 5 days ago, she traveled abroad with her boyfriend and had sexual intercourse several times within 3 days. Two days before the visit, she returned to the local area and felt fatigue, mild itching of the vulva, a significant increase in leucorrhea, a fishy odor, no fever, no abdominal pain, no urinary frequency, urinary urgency and pain, so she visited our clinic on March 2, 2021. Outpatient gynecological examination: mild flushing of vulva, slightly enlarged labia majora and minora, vaginal patency, more discharge and adherence to vaginal wall, thin and foamy, normal size of uterus, no pressure pain, no abnormality palpable in both adnexal areas. Vaginal discharge examination: cleanliness degree IV, positive for BV. She was diagnosed with acute bacterial vaginitis and given outpatient treatment.
(Vaginal discharge examination on March 2)
II. Treatment history
We explained to Ms. Zhao that frequent sexual intercourse with her boyfriend was the main cause of acute bacterial vaginitis, and that the hygiene conditions in foreign travel accommodations and the strain of travel could also induce the disease. The vaginal discharge test was positive for BV, suggesting bacterial vaginitis, so anti-anaerobic drugs were given to her. She was given metronidazole tablets orally, diazotide vaginal effervescent tablets to plug the vagina, and maternal health lotion to rinse the vulva and vagina, which has antiseptic and antipruritic effects. At the same time, Ms. Zhao was advised to pay attention to good living habits, not to stay up late, to change and wash her underwear regularly, to choose cotton underwear, and to pay attention to avoid eating.
III. Treatment effect
Ms. Zhao stopped taking the medication after 7 days. 2 days after she stopped taking the medication, she went to the outpatient clinic for a follow-up consultation and felt that her vulvar itching disappeared and her leukorrhea returned to normal without odor. Gynecological examination: normal vulva, not much vaginal discharge. Laboratory results of vaginal discharge: cleanliness degree II, BV negative. Comparing the symptoms and test results at the time of initial diagnosis indicates that the treatment was effective. Acute bacterial vaginitis usually does not require routine treatment for sexual partners, but if male genitalia also have symptoms of inflammation, hospital examination and treatment are recommended. In summary, Ms. Zhao’s condition was controlled and treated well through a total of 10 days of outpatient treatment and review.
IV. Notes
We are glad that Ms. Zhao’s leucorrhea is back to normal and her condition is under control after the treatment, the following points should be noted subsequently.
1. If acute bacterial vaginitis has just been cured, it is recommended not to have sexual intercourse too early to avoid recurrence.
2, if the sexual partner has inflammatory diseases of the reproductive organs, it is also necessary to seek medical attention in time to avoid re-infection of women.
3. a good daily diet, with more fresh fruits, vegetables, eggs, lean meat, etc., and less greasy, spicy and stimulating food, can avoid recurrence of the disease to some extent.
4. Acute vaginitis is well treated, but it may recur, especially when women’s body immunity is low, so women should understand and face vaginitis correctly, once vaginal discomfort, leucorrhoea and abnormalities appear, they should consult a doctor in time and do not have too much psychological burden.
V. Personal perception
In most cases vaginitis starts slowly and is mild, so most women who have vaginitis can heal themselves. However, if you belong to the case, because of frequent sexual intercourse, Ms. Zhao’s body resistance is reduced, it is easy to occur acute bacterial vaginitis, and the condition is relatively heavy, so you need to seek medical attention and treatment as soon as possible. For acute bacterial vaginitis early diagnosis and early treatment, the treatment effect is generally very good and the condition is easy to control, but if the treatment is delayed, it can lead to the spread of inflammation and even cause other However, if the treatment is delayed, the inflammation may spread and even cause other gynecological diseases, such as endometritis, pelvic inflammatory disease, infertility, etc.