Treatment FAQ

how long does treatment for bv take to work

by Devyn Beatty Published 2 years ago Updated 2 years ago
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In answer to your question most patients start feeling their symptoms improve after 3 to 5 days of metronidazole treatment . See your doctor if you are feeling no improvement after 7 days.

While the infection may go away on its own, most doctors use antibiotics to treat it. You may have been prescribed pills or vaginal cream. With treatment, bacterial vaginosis usually clears up in 5 to 7 days.

Full Answer

How long does BV take to go away?

Dec 10, 2021 · How long does it take for bacterial vaginosis to go away? With proper treatment, bacterial vaginosis can go away in a few days to a couple of weeks. But if left untreated, BV can sometimes take up to a few months to resolve. According to one study, it can take around 10 weeks or more for BV to clear itself from the body.

How long does metronidazole take to work for BV?

Most of the time, one round of antibiotics — taken for up to seven days — eliminates the infection. About 10% to 15% of people need another round of treatment. Can you get bacterial vaginosis (BV) multiple times? Yes. Up to 80% of women may get bacterial vaginosis again. Living With Should I be treated for bacterial vaginosis (BV) if I’m pregnant?

What is the treatment for bacterial vaginosis (BV)?

Jul 22, 2021 · A health care provider can treat BV with antibiotics, but BV may recur even after treatment. Treatment may also reduce the risk for some STDs. Male sex partners of women diagnosed with BV generally do not need to be treated. …

How often does bacterial vaginosis recur after antibiotic treatment?

Mar 06, 2013 · BV is easily treated with antibiotics such as metronidazole (Flagyl ) or clindamycin (Cleocin). Studies show that a seven-day treatment with oral metronidazole is usually sufficient to treat BV. If left untreated, it can raise your risk for sexually transmitted infections (STIs) and cause problems during pregnancy. It is possible to get BV again.

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How long does it take for metronidazole to work for BV?

Bacterial vaginosis treatments The three best treatments for Bacterial Vaginosis include: Metronidazole 0.75% vaginal gel once a day for 5 days. Metronidazole (Flagyl) 500 mg pills twice a day for 7 days.Dec 10, 2021

How long does BV go away with treatment?

It's common for BV to come back, usually within 3 months. You'll need to take treatment for longer (up to 6 months) if you keep getting BV (you get it more than twice in 6 months).

How quickly does metronidazole work?

This medication should take effect within 1 to 2 hours, and while effects may not be visibly noticed immediately, but gradual improvements are usually noticable after a few days.

Can you still have BV after treatment?

What can help prevent BV from coming back again? If you're diagnosed with BV, your doctor will prescribe antibiotics to treat the infection. Unfortunately, BV often returns after a few months. However, taking the following steps may help reduce your risk of recurring BV infections.Feb 1, 2021

Why won't my BV go away with antibiotics?

Some strains of BV organisms may have resistance to some antibiotics. You should return to your healthcare provider and describe the problems you are having. The Centers for Disease Control and Prevention (CDC) advises clinicians on a variety of treatment strategies which can be tried if symptoms recur.Aug 22, 2016

What does BV look like inside?

Thin, gray, white or green vaginal discharge. Foul-smelling "fishy" vaginal odor. Vaginal itching. Burning during urination.Jul 21, 2021

Why am I still having discharge after BV treatment?

Frequently asked questions about metronidazole (vaginal) Does metronidazole (vaginal) cause white clumpy discharge? A common side effect from metronidazole (vaginal) is a thick, white vaginal discharge with or without an odor which usually goes away soon after completing a full course of treatment.

Does metronidazole work straight away?

Metronidazole should be taken with or just after food and with plenty of water. How long does it take to work? The medication will start working straight away. However, it is important to take the whole course of medicine that has been prescribed.

Why is metronidazole not working for BV?

Second, the bacteria that either cause BV or cause the anaerobic overgrowth may have become relatively more resistant to metronidazole (the most common treating agent) or to clindamycin (the other common treating agent). Third, this infection may be reintroduced back into the vagina as a result of reinfection.

What is the strongest antibiotic for BV?

Metronidazole (Flagyl, Metrogel-Vaginal, others). This medicine may be taken as a pill by mouth (orally). Metronidazole is also available as a topical gel that you insert into your vagina.Jul 21, 2021

Can sperm cause BV?

Bacterial vaginosis causes Several factors can make increase the number of bacteria, including: Sex. Semen impacts the pH level in the vagina, which can contribute to a higher rate of bacteria growth.Mar 1, 2019

Can BV spread to a man?

Men can't get BV because the penis doesn't have the same delicate balance of bacteria. In addition, bacterial vaginosis doesn't spread like a sexually transmitted infection (STI).Jun 20, 2018

How long does it take for bacterial vaginosis to recur?

It's common for bacterial vaginosis to recur within three to 12 months, despite treatment. Researchers are exploring treatments for recurrent bacterial vaginosis. If your symptoms recur soon after treatment, talk with your doctor about treatments. One option may be extended-use metronidazole therapy.

What is the best medicine for bacterial vaginosis?

To treat bacterial vaginosis, your doctor may prescribe one of the following medications: Metronidazole (Flagyl, Metrogel-Vaginal, others). This medicine may be taken as a pill by mouth (orally). Metronidazole is also available as a topical gel that you insert into your vagina.

How to boost the number of good bacteria in your vagina?

A self-help approach is lactobacillus colonization therapy — which attempts to boost the number of good bacteria in your vagina and re-establish a balanced vaginal environment — possibly accomplished by eating certain types of yogurt or other foods containing lactobacilli.

How long does Clindamycin last in vagina?

This medicine is available as a cream that you insert into your vagina. Clindamycin cream may weaken latex condoms during treatment and for at least three days after you stop using the cream. Tinidazole (Tindamax). This medication is taken orally.

How to diagnose bacterial vaginosis?

Open pop-up dialog box. Close. Pelvic examination. Pelvic examination. In a pelvic exam, your physician inserts two gloved fingers inside your vagina. While simultaneously pressing down on your abdomen, he or she can examine your uterus, ovaries and other organs. To diagnose bacterial vaginosis, your doctor may: ...

How to make the best use of your time with your doctor?

To make the best use of your time with your doctor and prevent you from forgetting an important question: Make a list of any symptoms you're experiencing. Include all of your symptoms, even if you don't think they're related. Make a list of any medications, vitamins, herbs or other supplements you take.

What is a BV?

Bacterial Vaginosis. Bacterial vaginosis (BV) is a common vaginal infection that happens when some normal bacteria that lives in the vagina overgrows, causing a bacterial imbalance. Symptoms include an off-white or grey vaginal discharge that smells “fishy.”. In some women, BV goes away without treatment, in others, ...

What age do women get BV?

Bacterial vaginosis (BV) is the most common vaginal problem for women ages 15 to 44. In fact, an estimated one in three American women will get BV. The rate is higher in black women.

What does BV smell like?

Both bacterial vaginosis (BV) and yeast infections are vaginal infections that increase discharge. Here’s how you can tell the difference: Discharge: The hallmark sign of BV is discharge with a “fishy” smell. Discharge from yeast infections doesn’t usually have a strong smell but may look like cottage cheese.

How to avoid bacterial vaginosis?

Because bacterial vaginosis (BV) isn’t fully understood, there are no foolproof ways of avoiding it. These steps may reduce your risk: Avoid douching. It changes the natural balance of bacteria in your vagina. Instead, practice healthy vaginal and vulvar care.

What is the name of the system that produces bacteria in the vagina?

Your vagina is home to multiple types of bacteria (called a microbiome), just like your digestive system. Bacterial vaginosis (BV) happens when some of the vaginal bacteria grow more quickly than others. Too much of one type of bacteria leads to an imbalance.

Can you have BV while pregnant?

If you have bacterial vaginosis (BV), your provider can prescribe medication that’s safe to use during pregnancy. You should get treated for the infection whether or not you have symptoms. BV can cause pregnancy complications, such as early delivery or having a baby that weighs less than average.

Does vaginosis cause preterm delivery?

Others may not have any symptoms. Bacterial vaginosis is associated with poor obstetrics and gynecologic outcomes such as preterm delivery, infection after surgeries such as a hysterectomy, and may make a woman more susceptible to sexually transmitted infections, especially HIV.

Can bacterial vaginosis be cured?

BV will sometimes go away without treatment. But if you have symptoms of BV you should be checked and treated. It is important that you take all of the medicine prescribed to you, even if your symptoms go away. A health care provider can treat BV with antibiotics, but BV may recur even after treatment.

Resources for Clinicians

Vaginitis Self-Study Module external icon – An online learning experience that helps users learn how to manage vaginitis. Free CME/CNE available. (November 1, 2017)

How do you know if you have BV?

The most common symptoms of BV are an abnormal vaginal odour and discharge, or there may be no symptoms at all. It most commonly occurs in women aged 15 to 44 years. BV is easily treated with antibiotics such as metronidazole (Flagyl ) or clindamycin (Cleocin).

How long does it take for a woman to feel better after taking metronidazole?

In answer to your question most patients start feeling their symptoms improve after 3 to 5 days of metronidazole treatment .

How long does it take for BV to come back?

The usual treatment for BV is antibiotics, however more often than not, the BV ‘comes back’ after a month or two. The three-month success rate of antibiotics is about half. This is because in many cases,the BV never really goes away; the bacterial biofilm home-grown by Gardnerella vaginalis and friends is still in there, ...

What antibiotics are used for BV?

Antibiotics used to treat BV. Metronidazole (Flagyl, oral, MetroGel, vaginal) – most commonly prescribed. Clindamycin (Cleocin, oral or vaginal, Clindesse, vaginal) Tinidazole (Tindamax, oral) If you have tried antibiotics, and they haven’t worked, you may be treating the wrong bacteria or have antibiotic-resistant bacteria. ...

Why don't antibiotics work on BV?

Why antibiotics don’t work on BV. You may have a diagnosis of bacterial vaginosis with or without symptoms. Either way the problem is the same: Gardnerella vaginalis and friends have made a sticky bacterial biofilm on your vaginal cells and they are not giving up their position.

Do antibiotics work for women?

Antibiotics work for some women, and should be tried, because if they do work they are an excellent option and save much heartache. Don’t forget to always follow up antibiotics with probiotics. We’ve written a book, Killing BV, detailing how to get rid of the bacterial biofilm caused by G. vaginalis.

Do antibiotics help with vaginal biofilm?

This biofilm causes your vagina to become too alkaline, kills off the Lactobacillus, and causes unpleasant symptoms. Antibiotics merely put a few bullet holes in the biofilm, but they are not effective in dissolving it. Antibiotics work for some women, and should be tried, because if they do work they are an excellent option and save much heartache.

How long does it take for BV to recur?

Around a third of women who take antibiotic treatment for bacterial vaginosis (BV) find that the problem recurs within the next two to three months. Some strains of BV organisms may have resistance to some antibiotics.

Can you take antibiotics if symptoms go away?

Be sure to take all doses of the antibiotic as prescribed and complete the full course -- even if your symptoms seem to go away. Alternatively, your healthcare provider may suggest a course of a different antibiotic, as an alternative to the one you used the first time.

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