Is bacterial vaginitis caused by men?

Written by Zhang Hui
Obstetrics and Gynecology
Updated on September 06, 2024
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Bacterial vaginosis is a common gynecological condition characterized by an increase in vaginal discharge that is grayish-white and thin in consistency, and may be accompanied by itching or burning of the vulva. It is not caused by a single pathogen, but rather a combination of various pathogens. However, the exact cause of changes in the vaginal flora is not clear. It may be related to unhygienic sexual practices with men or frequent sexual activity. It is advised to visit a gynecology outpatient clinic at a reputable local hospital to determine the specific cause. Under the guidance of a clinical doctor, standardized treatment should be administered.

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Can bacterial vaginitis affect conception?

Bacterial vaginosis generally does not have a particularly large or obvious impact on conception, but it can indeed potentially affect the process of conception. This is primarily because when bacterial vaginosis occurs, there are usually a significant number of inflammatory cells in the vagina or the cervix. These inflammatory cells may affect sperm, thereby potentially impacting the process of conception. Of course, when bacterial vaginosis is present, it is generally recommended to treat it before pregnancy. This is mainly because if bacterial vaginosis exists during pregnancy, there may be an increased risk of bleeding, miscarriage, or premature birth. Therefore, it is usually advised to treat bacterial vaginosis before planning to conceive.

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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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Can bacterial vaginitis be treated during menstruation?

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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Has bacterial vaginitis that doesn't smell gone away?

Bacterial vaginosis often does not have an abnormal smell when it is likely improving. Bacterial vaginosis occurs due to a change in the pH level of the vagina, which disrupts the microecological balance, leading to mixed infections. These infections can result in an increase in vaginal discharge and itching in the vulva, although these symptoms are often not very obvious. However, a fishy odor of the discharge is a typical characteristic of this condition. After treatment for bacterial vaginosis, the disappearance of the unpleasant fishy smell indicates a significant improvement in symptoms. The primary treatment for bacterial vaginosis involves local medication in the vagina or oral medication, mainly using metronidazole. It is crucial to treat bacterial vaginosis promptly to prevent complications such as endometritis and pelvic inflammatory disease, which can affect women's reproductive and overall health.

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Why is there tofu-like discharge in bacterial vaginitis?

Bacterial vaginitis may have cottage cheese-like discharge, which requires consideration of bacterial and fungal co-infection. It is advisable to visit a hospital for routine vaginal discharge tests. If these tests indicate the presence of fungi, the diagnosis can be confirmed as fungal vaginitis with a concurrent bacterial infection. Therefore, the appearance of the discharge may change to resemble cottage cheese, but at this point, treatment becomes complicated as it requires addressing both bacterial vaginitis and fungal vaginitis simultaneously. The treatment methods for these two conditions are actually opposite. Under a doctor's guidance, considering vaginal insertions of nifuratel-nystatin capsules for symptomatic treatment may be advisable. Observing the treatment response or, if the effect is not apparent, considering treating the fungal infection first, followed by the bacterial infection.