In this case, the case of Dr. Lilac is selected from the online consultation and answers. A lady who had a miscarriage due to vaginitis consulted Dr. Su Chang in the obstetrics and gynecology department.Precautions in life can see if it is helpful to you.
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patient
Hello doctor, I am 31 years old. In recent years, mold vaginitis has been recur every year.When I was three months pregnant this year, I recur mycotic vaginitis. After ten days of washing the vagina with red*washing liquid, bacterial vaginitis appeared.
When I was four months pregnant, the amniotic fluid broke abortion early.Today is one week after abortion. The review of the color Doppler ultrasound discovery is 0.4cm.The doctor said that there was a uterine effusion. The leucorrhea was cleaned for 2 degrees, and mold and bacterial vaginitis was found.At present, my vulva and internal yin are not painful.
Want to ask, how should I treat it next?
*For privacy protection, the picture materials uploaded by the patient will not be displayed here
Chief Physician of Su Chang Obstetrics and Gynecology
Affiliated to Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine
Editor’s Note: The answers here are more detailed, and you can use it up and down to view it up and down
Hello, thank you for trust.
I have received your problems.Expressing regrets about your abortion and hard work.
Look at your review.
First, your ultrasonic display is very good. No uterine cavity residues are found. It is normal for a small amount of uterine effusion. After all, there are only a few days of abortion, and these uterine effusion will eventually disappear.
Second, the blood routine data is also normal. No anemia is found. The platelets are within the normal range, and the white blood cells are within the normal range.
Third, the leucorrhea routinely indicates that the fungus is positive and the bacterial vaginal disease is positive, but I recommend treating fungal vaginitis first.Because:
Bacterial vaginitis and bacterial vaginal disease are all vaginal flora disorders.Drugs that treat bacterial vaginal disease may increase mold vaginitis.When the two vaginitis appears at the same time, it is possible to treat the fungus in the vagina to normal.
At present, you are only one week after the abortion. It is likely that there is vaginal bleeding. It is not recommended for vaginal drugs. You can take 150 mg of Flongzole. Generally, you can achieve the purpose of treatment.
Of course, since you are not painful or no itchy, without any symptoms of vaginitis, we adhere to the treatment of the disease to relieve symptoms, rather than considering the normal perspective of the test sheet -if you have no discomfort in your life, you will not be treated for the time being.OK, you can wait twice to review the leucorrhea routine.If the leucorrhea is restored to normal at that time, there is no need to treat it anymore.
The main symptoms of vaginitis are vulvar itching, redness, and sexual intercourse pain, accompanied by leucorrhea color, quantity, characteristics, and smell.If you have symptoms of discomfort, please review the routine of the vaginalic at any time.
Your miscarriage is due to early breakdown of the membrane that occurs first, and internal vaginal infection is the cause of premature breakthroughs in the fetal membrane. Bacterial vaginal disease can cause premature fetal membrane.
In the process of pregnancy, it is incorrect to wash the vagina with red*washing liquid.We did not recommend the use of solution.Some washing fluids were comfortable to wash, but it may disturb the vaginal flora, induce the symptoms of vaginitis or exacerbate vaginitis.Rinse in the vagina is a wrong operation, which will disturb the vaginal flora and may induce pelvic inflammation.
As for subsequent suggestions, it is generally believed that at least three months after the abortion is over, you can get pregnant again.However, before pregnancy, you need to do some related pre -pregnancy examinations. The recommended items that are recommended are:
● thyroid function
● Blood Torch
● Cervical secretions
● Bacochphia, chlamydia, gonococcus DNA measurement
● Cervical secretions general bacterial culture and identification
● Leucorrhea routine
● 1/3 under the vagina and the DNA measurement of DNA DNA
● Cervical TCT and HPV testing
● Gynecological B ultrasound
In addition, the man is advised to check the semen, and both the couple check the chromosome.
You should start 0.4 mg of folic acid three months before pregnancy, once a day.
During pregnancy, both the couple must work hard to exercise and develop good living habits, including normal schedules and healthy eating habits.Try not to raise pets. If you must raise it, please do a good job of pets for pets.
I hope my above answers will help you, and wish Ping An and wish you a lot.
*Note: In the article, the guidelines for medication are only for this consultation example. Please consult a doctor for the use of prescription drugs.
patient
On the fifth day after my miscarriage, the vagina no longer bleeds, and the uterine effusion disappears. Do the doctor open 4 boxes of five boxes of capsules for me and do you want to continue to eat?
What should I do if my mold and bacterial vaginitis are still found next time I still find up mold and bacterial vaginitis?
Chief Physician of Su Chang Obstetrics and Gynecology
Affiliated to Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine
The uterine cavity effusion will be discharged with leucorrhea. During the discharge period, your leucorrhea may appear yellow. Don’t worry. After a menstruation, it is basically good.
The drug prescribed by the local doctor can continue to take it.
Before pregnancy, you must treat the inflammation of the vagina.If mold and bacteria are still found after pregnancy, then standardized treatment.Clocomazole vagina and metronidazole vaginal embolism can be used safely during pregnancy.Oppose in -vaginal flushing.
*Note: In the article, the guidelines for medication are only for this consultation example. Please consult a doctor for the use of prescription drugs.
patient
Finally, I would like to ask, I have vaginitis, do my husband need what medicine to take?
*For privacy protection, the picture materials uploaded by the patient will not be displayed here
Chief Physician of Su Chang Obstetrics and Gynecology
Affiliated to Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine
Whether it is fungal vaginitis or bacterial vaginal disease, it is not necessary to treat the husband and wife, only trichomonas vaginitis requires couples.If your husband does not have any symptoms of balanitis, you do not need to be treated.
Finally, I will give you the general precautions about gynecology in life.
First, clean water was cleaned, wearing loose and breathable cotton underwear, no need to use vulvar washing solution, some washing solution was comfortable, but it may disrupt the vaginal flora, induce the symptoms of vaginitis or exacerbate vaginitis,EssenceIt is not recommended to do in -vaginal rinse, otherwise it will easily disrupt vaginal flora and induce pelvic inflammation.
Second, do not have sex during the inflammation period. After all inflammation completely disappears, both the husband and wife must pay attention to cleaning before and after sex, especially the cleaning of male foreskin dirt.After the end of sexual life, women should clean the vulva, drink plenty of water, and timely urinate.
Third, the physical condition and poor resistance may be the cause of the common occurrence of small inflammation of the gynecological department. Therefore, it is recommended to work hard to exercise and improve your resistance.For example, you can exercise every week, running, swimming, yoga, etc., do at least three times a week, at least 30 minutes each time.Go to bed early and get up early, strengthen nutrition, wash the pantyhose separately, use boiling water bubbles, and expose it to the sun for a while to disinfect the clothes.
I hope my answer will help you.
*Note: In the article, the guidelines for medication are only for this consultation example. Please consult a doctor for the use of prescription drugs.
* The above content is selected from the public Q & A of the doctor of the Dr. Lilac platform.Out of consideration of patient privacy protection and avoiding drug propaganda, and the smooth and smoothness of articles, we have dealt with the content and expression very subtle on the basis of the original content.
It is reminded: The above is the case of online consultation and consultation, which is not universal.Involving individual conditional diagnosis and treatment of nursing recommendations, please seek medical treatment or try online consultation with your doctor in time.
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Review expert Wang Jingjing Shanghai First Maternal and Infant Health Hospital attending physician
Planning: Linjiang | Supervision: Fei Fei
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