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OnlineDoc Treatment
Bacterial Vaginosis
Only
€
23 per Script
Bacterial Vaginosis
First Name
Last Name
Date Of Birth
Email
Address
Phone Number
Have you ever been diagnosed with Bacterial Vaginosis before?
*
No
Yes
What type of medication was prescribed to you last time?
*
ORAL - Oral treatment is in the form of tablet
TOPICAL/VAGINAL - topical treatment gel/ointment
NEVER USED ANY MEDICATION
Are you looking for oral or topical/vaginal gel treatment?
*
ORAL
TOPICAL/VAGINAL
Please specify the symptoms below that you are suffering with? What symptoms do you have to make you feel that you currently have bacterial vaginosis?
*
Required
VAGINAL DISCHARGE
GREY/WHITE COLOUR DISCHARGE
PAIN WHEN URINATING
WATERY THIN DISCHARGE
VAGINAL REDNESS/ BLEEDING
MUSTY ODOUR
VAGINAL SORENESS
FISHY ODOUR
VAGINAL IRRITATION
Have you been sexually active with more than one partner in the last 12 months?
*
No
Yes
Do you have any Intrautrine device inserted in your uterus for contraception?
*
No
Yes
Do you have any past medical history of any gynaecological procedures in the last 12 months?
*
No
Yes
If Yes, Please specify:
Do you have any past medical history of Pelvic Inflammatory Disease (PID)?
*
No
Yes
If Yes, Please specify:
Have you been tested for an STI (Sexually Transmitted Infection) within the last 12 months?
*
No
Yes
If Yes, Please specify:
Are you currently taking any prescription, non prescription or illegal drug or herbal medication? and have you recently taken any medication in the last two weeks? please specify.
*
No
Yes
If Yes, Please specify:
Are you pregnant? or planning to be pregnant? or breastfeeding?
*
No
Yes
If Yes, Please specify:
Are you allergic to any medication or any other substance?
*
No
Yes
If Yes, Please specify:
Please provide the name and address of the pharmacy where you'd like to pick up your medications.
I confirm that the answers I have provided for the above questions are true and accurate to the best of my knowledge.
*
I Confirm
I Do Not Confirm
I confirm and agree that any treatment prescribed for me is for my personal use only.
*
I Confirm
I Do Not Confirm
I fully understand the side-effects of the treatment options, their effectiveness and alternative options and am happy to continue with my request.
*
I Confirm
I Do Not Confirm
Proceed to Checkout
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