What to do if you have bacterial vaginosis and vulvar itching

Vulvar itching caused by bacterial vaginosis can be treated by keeping the area clean and dry, using metronidazole suppositories, clotrimazole suppositories, lactic acid bacteria vaginal capsules, boric acid lotion, etc. Bacterial vaginosis is usually caused by imbalance of vaginal flora, frequent vaginal washing, sexual transmission, decreased immunity, long-term use of antibiotics, etc.

1. Keep clean and dry

Wash your vulva daily with warm water and avoid using alkaline cleaning products such as soap. After washing, dry gently, choose pure cotton breathable underwear and wash it frequently. It is necessary to change sanitary napkins more frequently during menstruation to avoid local moist environment aggravating itching symptoms.

2. Metronidazole suppository

Metronidazole suppositories can directly act on anaerobic bacteria in the vagina and have a significant inhibitory effect on common pathogens of bacterial vaginosis such as Gardnerella. When using it, please note that adverse reactions such as vaginal burning may occur, and it is contraindicated in the first three months of pregnancy.

3. Clotrimazole suppository

Clotrimazole suppository is suitable for mixed vaginitis combined with Candida infection and can destroy the fungal cell membrane structure. Sexual intercourse should be avoided during medication, and patients with diabetes need to strengthen blood sugar monitoring to prevent recurrence.

4. Lactobacillus vaginal capsules

Lactic acid bacteria vaginal capsules can replenish the normal lactic acid bacteria in the vagina and restore the acidic environment of the vagina. It is recommended to use it before going to bed and avoid rinsing the vagina immediately after use to maintain the bacterial colonization effect.

5. Boric acid lotion

Sitz bathing with 3% boric acid lotion can relieve symptoms of vulvar itching and inhibit bacterial growth by changing the local pH value. Sitz bath should be done no more than 2 times a day for 10-15 minutes each time. Use with caution for those with damaged skin.

During treatment, spicy and irritating foods should be avoided and appropriate amounts of yogurt containing probiotics should be supplemented. Choose loose-fitting clothing to reduce friction and avoid scratching the affected area. If symptoms persist for more than 1 week or if the odor of secretions worsens or lower abdominal pain occurs, timely follow-up consultation is required to adjust the treatment plan. Pay attention to sexual hygiene on a daily basis, minimize the use of panty liners during non-menstrual periods, and maintain a regular schedule to improve immunity.