Can you have children with bacterial vaginitis?

Written by Huang Shuai
Obstetrics and Gynecology
Updated on September 17, 2024
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When there is a clear case of bacterial vaginosis, it is generally recommended to cure it before planning to conceive a child. This is mainly because, if one becomes pregnant while having bacterial vaginosis, it may increase the risk of miscarriage or premature birth. This is primarily due to the fact that bacterial vaginosis can lead to an increase in inflammatory substances in the vagina or cervix. The increase in inflammatory cells can easily stimulate contractions, thus leading to the risks of miscarriage, premature birth, and an increased risk of premature rupture of membranes. Therefore, it is generally advised to first cure the vaginitis before planning a pregnancy.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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Is bacterial vaginitis sexually transmitted?

Bacterial vaginosis is not sexually transmitted. The occurrence of bacterial vaginosis is mainly due to changes in the vaginal environment, which leads to an imbalance of bacteria normally present in the vagina. Some bacteria become dominant, leading to the development of bacterial vaginosis. Most cases of bacterial vaginosis are due to low immunity in women, reduced body resistance, or long-term use of vaginal medications which disturb the vaginal environment, resulting in bacterial vaginosis. It is not classified as a sexually transmitted disease. For bacterial vaginosis, if there are obvious symptoms such as abnormal vaginal discharge or external genital itching, treatment with metronidazole or clindamycin can significantly relieve discomfort. In addition to medication, attention should be paid to the hygiene of the external genitalia and improving one’s immunity, as many cases of bacterial vaginosis can heal on their own. (Please follow medical advice when using medication.)

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Written by He Jing
Obstetrics and Gynecology
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What should I do if bacterial vaginitis has a fishy odor?

The normal vaginal flora is dominated by lactobacillus. If the pH in the vagina increases, this can disrupt the vaginal microecology, and the excessive growth of other microorganisms can lead to bacterial vaginosis, accompanied by an increase in vaginal discharge and a foul odor. Initially, a routine vaginal discharge test can be conducted. If the test indicates the presence of clue cells, a definitive diagnosis can be made. In the treatment process, oral metronidazole is primarily used as it is effective for symptomatic treatment. Alternatively, metronidazole suppositories can be used locally for symptom relief, typically curing the condition in about a week. During treatment, avoid sexual intercourse, wearing tight clothing or long-term use of panty liners, as these can interfere with treatment effectiveness. (Please use medications under the guidance of a doctor.)

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Written by Gan Hai Ying
Obstetrics and Gynecology
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Can bacterial vaginitis heal itself without medication?

Bacterial vaginosis may heal without medication in some women. This is because bacterial vaginosis is a mixed infection caused by the imbalance of the normal vaginal flora. It is generally considered an endogenous infection. When a woman's immune system is strengthened, the vaginal flora can return to its normal environment, maintaining the balance and potentially healing without medication. However, treatment is generally necessary if bacterial vaginosis presents with clear symptoms, such as a significant increase in vaginal discharge, accompanied by itching or a burning sensation in the vulva.

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Written by Huang Shuai
Obstetrics and Gynecology
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How long does it take to recover from bacterial vaginitis?

When bacterial vaginosis occurs, we use different medications to treat it, and the duration of treatment varies. However, most current treatment plans typically span a seven-day course. Generally, after one course of treatment, most cases of bacterial vaginosis can return to normal. However, there are some more persistent cases of bacterial vaginosis. It's possible that the initial treatment plan chosen may be ineffective, and it might be necessary to change treatment plans to address the condition. Therefore, overall, for most cases of bacterial vaginosis, a typical treatment course of seven days usually leads to recovery.

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Written by Li Li Jie
Obstetrics and Gynecology
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How long does it generally take to treat bacterial vaginitis?

Bacterial vaginitis generally results in increased vaginal discharge, which appears grayish-white and thin, accompanied by mild vulvar itching and burning sensations. The treatment for bacterial vaginitis usually lasts about half a month, but it can vary depending on individual differences in body constitution and the severity of the condition, so the duration of treatment can also vary from person to person. For bacterial vaginitis, antibiotics or similar medications are typically used for anti-inflammatory treatment. It is important to maintain good hygiene, regularly change and sun-dry underwear, and wash them in hot water. Engaging in activities like running every evening can help improve physical fitness and boost the body's resistance.