About the Condition and Treatment
To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.
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Do you have bacterial vaginosis at the moment?
If not, please explain why you need this treatment
Do you have a history of using Dalacin to manage your Bv and succeeded in clearing it?
Can you relate to any of the folowing?
Do any of the following apply:
If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option
Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.
Does any of these describe you?
You have an underlying medical condition
Can we share this information with your General practitioner?
Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.
Kindly identify some of the signs and symptoms you are presently experiencing
You can select more than one option
Do you conscent to seeking further medical assistance should the following happen?
After treatment, your symptoms increase or do not improve.
Do you think a retained tampon be the source of your symptoms?
Unpleasant smelling discharge might also be caused by a retained tampon.
What makes you certain that your symptoms are those of BV?
Please select your option
Have the symptoms you experience about your bv changed or are they still the same?
Do you require assistance?
Do you experience discomfort in the abdomen?
Please select your option
Please provide us with more information about the severity of your pain
Consider the following scenario:
Kindly inform us about your medical history and issue so that our medical experts can assist you?
Consider the following scenario:
Have you suffered any vaginal bleeding?
Please select your option
Can you tell us more about your bleeding between periods? How frequent or substantial is itso we can help?
Consider the following scenario:
Have you experienced Bv at least four times in the past year?
Do you have an IUD device?
This is a copper contraceptive device usually
Which of the following statements applies to you:
In the last two months, you have had UNPROTECTED sex with a NEW PARTNER.
Are you on any of the following medication?
Antibiotics.
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