Treatment FAQ

i have bv where to go for treatment

by Dr. Donnell Quigley Sr. Published 3 years ago Updated 2 years ago
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Do I have to go to the doctor if I have vaginitis? If you have symptoms of vaginitis, it's a good idea to see your nurse, doctor, or local Planned Parenthood health center. Vaginitis isn't usually a major health problem, but if you don't get it treated it can become serious.

Symptoms

Dec 10, 2021 · If you have symptoms of bacterial vaginosis (BV), they can be treated with antibiotics. There are three equally effective treatments for bacterial vaginosis: the most common is metronidazole (Flagyl), which comes either as a pill or a cream. Pills usually have more side effects than creams. Metronidazole pills’ most common side effects include headache, nausea, …

Causes

Dec 14, 2017 · Antibiotics for bacterial vaginosis. Oral antibiotics are the first-choice treatment in pregnant women with BV. Metronidazole tablets. A full course of metronidazole tablets is the common treatment. Metronidazole is an antibiotic. This clears BV in most cases.

Prevention

A healthcare provider can treat BV with antibiotics. If you have symptoms, you should be checked and treated by a healthcare provider. It is important to take all the medicine your provider prescribes, even if your symptoms go away. Treatment also may reduce the risk for getting other STDs. BV can return even after treatment.

Complications

Healthcare providers view the fluid under a microscope, test it in the office or send it to the lab for analysis. Management and Treatment Can bacterial vaginosis (BV) clear up on its own? In one-third of cases, bacterial vaginosis (BV) resolves on its own without any medications. However, if you have symptoms, you should seek medical care.

Do I need treatment for BV?

Jun 28, 2021 · Best telehealth BV treatment Alpha Price: $120 per year or $40 every 3 months; $30 for a single visit Alpha is a telehealth company that can help with various reproductive health issues that you...

Is BV only for women?

Sep 09, 2020 · This bacterial vaginosis natural treatment is available over the counter in gelatin capsules that are inserted into the vagina, particularly …

How to get rid of BV in men?

Mar 14, 2022 · Bacterial vaginosis (BV) is treated with antibiotics, but for many women it keeps coming back. ... However, 80% of women who go in for treatment end up with another infection within three months, ...

What tests do I need to have after BV treatment?

May 05, 2015 · The biofilm is resistant to antibiotics, so to be sure of elimination of BV, both men and women must effectively address the biofilm. If your doctor suggests you take antibiotics, ask them for the evidence to support this use in men. It doesn’t exist, but they don’t have any other solutions, so they will likely offer antibiotics.

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Where do I go if I have BV?

For all these reasons, it is important to talk to a health care professional if you think you may have BV. You can get tested for BV at your local Planned Parenthood health center.

Do you need to see a doctor if you have bacterial vaginosis?

Bacterial vaginosis is an infection of the vagina that may cause a fishy-smelling discharge. It's usually a mild problem that may go away on its own in a few days. But it can lead to more serious problems. So it's a good idea to see your doctor and get treatment.

Can I get BV treatment over the counter?

There are no over-the-counter products to treat bacterial vaginosis (BV). Avoid using douches or products meant for yeast infections, which could make BV worse. See your healthcare provider for treatment.Jun 5, 2020

Can you treat BV at the chemist?

You can buy BV treatment over the counter at your local LloydsPharmacy or online. If this bacterial vaginosis treatment doesn't work, then it can be treated with antibiotics. Your doctor or pharmacist will recommend an oral pill or a cream or gel for the inside of your vagina.Apr 7, 2020

What antibiotic kills BV?

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). ... Clindamycin (Cleocin, Clindesse, others). ... Tinidazole (Tindamax). ... Secnidazole (Solosec).Jul 21, 2021

How much does a BV test cost?

The cost of BV test kits can range from $99 to $239, while the average price of a doctor's visit is around $119 if paying without insurance....Cost of at-home tests for BV.BrandCostDetailsWalk-In Lab$170Results in 6 - 8 days2 more rows•Mar 18, 2022

Can I use Monistat for BV?

Unfortunately, there are no over-the-counter products like Monistat that will do the trick. (Monistat is a treatment for yeast infections—it won't do anything to stop the itching and clear up your condition if what you really have is BV.)May 27, 2019

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

Does canesten work for BV?

If you know you have bacterial vaginosis (BV), you can use an internal gel to treat the symptoms of the infection. These internal gels, such as CanesBalance®, work by helping to regulate the pH balance of your vagina.

What Is Bacterial Vaginosis?

Bacterial vaginosis (BV)(https://www.cdc.gov/std/bv/default.htm) is a condition that happens when there is too much of certain bacteria in the vagi...

How Is Bacterial Vaginosis Spread?

Researchers do not know the cause of BV or how some women get it. We do know that the infection typically occurs in sexually active women. BV is li...

How Can I Avoid Getting Bacterial Vaginosis?

Doctors and scientists do not completely understand how BV spreads. There are no known best ways to prevent it.The following basic prevention steps...

I’M pregnant. How Does Bacterial Vaginosis Affect My Baby?

Pregnant women can get BV. Pregnant women with BV are more likely to have babies born premature (early) or with low birth weight than pregnant wome...

How Do I Know If I Have Bacterial Vaginosis?

Many women with BV do not have symptoms. If you do have symptoms, you may notice: 1. A thin white or gray vaginal discharge; 2. Pain, itching, or b...

How Will My Doctor Know If I Have Bacterial Vaginosis?

A health care provider will examine your vagina for signs of vaginal discharge. Your provider can also perform laboratory tests on a sample of vagi...

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...

What Happens If I Don’T Get Treated?

BV can cause some serious health risks, including: 1. Increasing your chance of getting HIV(https://www.cdc.gov/std/hiv/default.htm) if you have se...

Where Can I Get More Information?

STD information and referrals to STD ClinicsCDC-INFO1-800-CDC-INFO (800-232-4636)TTY: 1-888-232-6348In English, en EspañolCDC National Prevention I...

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.

What does a pH of 4.5 mean?

Your doctor may check the acidity of your vagina by placing a pH test strip in your vagina. A vaginal pH of 4.5 or higher is a sign of bacterial vaginosis.

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 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.

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: ...

Who needs treatment for bacterial vaginosis?

Not everyone with BV needs antibiotics. In some mild or low risk cases, the vagina will restore the balance of good bacteria and the condition will resolve on its own.

What bacterial vaginosis treatment is best for me?

The best treatment for BV varies by individual and depends on a few different things :

Bacterial vaginosis treatment side effects

As mentioned earlier, pills usually have more side effects than creams. And for metronidazole pills, these typically include:

Bacterial vaginosis treatment precautions

If you are taking metronidazole (Flagyl), drinking alcohol can make you violently ill. According to the FDA, it’s best to wait a minimum of 3 days after your bacterial vaginosis treatment ends before drinking alcohol again. But keep in mind, if you’re taking any other medication, you might need to wait longer.

My bacterial vaginosis symptoms came back. What now?

While pills and vaginal creams are effective bacterial vaginosis treatments, it’s pretty common for symptoms to come back. In fact, close to 70% of BV comes back within 12 months of treatment.

Does my partner need treatment if I had bacterial vaginosis?

If your sex partner has a penis, they typically don’t need treatment. It’s also worth noting that there is a lower chance of getting BV if:

Can bacterial vaginosis go away on its own?

Roughly 30% of bacterial vaginosis cases in nonpregnant women and 50% of cases in pregnant women clear up on their own. But if you have symptoms, treatment is recommended in all people. And even if your symptoms start clearing when you first start your bacterial vaginosis treatment, experts advise completing your full treatment regimen.

How long after clindamycin treatment can you use condoms?

Therefore, during treatment and for five days after treatment with clindamycin vaginal cream, do not rely on condoms or diaphragms to protect against pregnancy and sexually transmitted infections (STIs). Other antibiotic tablets taken by mouth are also sometimes used to treat BV.

What to avoid for BV?

These include avoiding the use of douches, vaginal deodorants, bath additives and harsh soaps.

How much metronidazole should I take a day?

The usual dose is 400-500 mg twice a day for 5-7 days. A single dose of 2 grams of metronidazole is an alternative, although this may be less effective and may cause more side-effects. ( Note: this single dose is not recommended if you are pregnant.)

What is the pH of acetic acid gel?

Treatment with acetic acid gels aims to keep the vaginal pH at less than 4.5, to encourage lactobacilli to grow, and to discourage anaerobic bacteria from growing. Some studies have suggested that long-term use of vaginal acidifiers of this type reduces recurrences of BV.

How long does it take for BV to return?

BV may return if you did not complete your course of antibiotics. However, even if you have completed a full course of antibiotics, BV returns within three months in many women. If it does come back, a repeat course of antibiotics will usually be successful.

How to eradicate BV?

If you are trying to conceive and you think you may have BV, it is a good idea to try to eradicate the BV through natural methods or treatment prior to conceiving. If you have symptoms then you should discuss having antibiotic treatment with your doctor. Termination of pregnancy.

How long does BV treatment last?

There is some evidence that this can be helpful in treatment and in prevention of BV. These studies suggest treatment needs to continue for at least two months. Other studies don't show a clear benefit. Overall, specialists feel that there is not enough evidence in its favour to suggest it over other treatments.

What is BV in a woman?

Bacterial vaginosis (BV) is a condition that happens when there is too much of certain bacteria in the vagina. This changes the normal balance of bacteria in the vagina.

How much does a baby weigh with BV?

Low birth weight means having a baby that weighs less than 5.5 pounds at birth. Treatment is especially important for pregnant women.

Can BV cause a burning sensation?

Many women with BV do not have symptoms. If you do have symptoms, you may notice: A thin white or gray vaginal discharge; Pain, itching, or burning in the vagina; A strong fish-like odor, especially after sex; Burning when urinating; Itching around the outside of the vagina.

Can a woman get BV from a toilet seat?

Having BV can increase your chances of getting other STDs. BV rarely affects women who have never had sex. You cannot get BV from toilet seats, bedding, or swimming pools.

Can BV cause a woman to get it?

Researchers do not know the cause of BV or how some women get it. We do know that the condition typically occurs in sexually active women. BV is linked to an imbalance of “good” and “harmful” bacteria that are normally found in a woman’s vagina.

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.

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, ...

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.

Why does my vagina smell fishy?

Bacterial vaginosis may cause a "fishy" odor and cause vaginal irritation in some women. Others may not have any symptoms. Bacterial vaginosis is associated with poor obstetrics ...

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.

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 it mean when your discharge smells fishy?

Discharge that smells "fishy.". "Fishy" smell that is strongest after sex or during the menstrual cycle. Rarely, an itchy or sore vagina. BV symptoms are similar to other infections. It’s important to visit your healthcare provider to determine if what you have is BV or another vaginal infection.

How long does it take to get mylab results?

The company says it takes just 2 days to receive the kit, as little as 5 minutes to collect your sample, and 2 to 5 days to get electronic results from the lab. myLAB Box works with labs that are CAP – and CLIA-certified, which means they’re proven to provide accurate, timely, and reliable results to patients.

What causes BV in women?

Experts don’t really know what causes BV, but it likely has something to do with an out-of-whack bacteria balance in the vagina. Things like douching or having sex with new or multiple partners can upset that delicate balance and increase your risk of developing BV.

What happens if you don't treat BV?

If you don’t treat BV, you may end up being at higher risk for STIs, including chlamydia, gonorrhea, and HIV. It can also cause problems in pregnancy, including an increased risk of delivering prematurely or having a baby with low birth weight.

Can you go to a gyno in person?

An in-person visit to the gyno is ideal. But, of course, not everyone has easy access to healthcare. For some people, telehealth may be the only available option. Here are a few remote healthcare options to consider:

When was BV last reviewed?

👋. Last medically reviewed on June 28, 2021.

Can you take vinegar for BV?

There isn’t a ton of evidence that any at-home remedies can clear up a BV infection. Sure, some home remedies ( like taking vinegar or salt baths or sticking yogurt in your vagina) might seem easy enough to try, but your best bet is to get a prescription for antibiotics.

Can you get BV after sex?

If your partner has a penis, you can’t get BV after having sex with them. But if your partner has a vagina, it’s important that they get treated for BV because you could get BV after sexual contact with them. Using a barrier such as a dental dam can help reduce the risk of BV for both of you.

What does BV mean in women?

Most commonly found in women aged 15 to 44, bacterial vaginosis refers to a vaginal infection that occurs when you have an overgrowth of bacteria. While your vagina usually has a combination of both good and bad bacteria, BV means there's an excess of bad bacteria.

What to eat to help with BV?

Yogurt. Not only is yogurt a yummy treat, but it may also aid in your BV recovery! Believe it or not, eating yogurt helps create a balanced vaginal environment. According to the Mayo Clinic, this natural probiotic contains plenty of healthy bacteria that can help fight off bad bacteria.

What antibiotics are used for BV?

Typically, a medical professional will prescribe you an oral or vaginal antibiotic such as clindamycin, metronidazole, or tinidazole. Though antibiotics are intended to reduce the number of BV-causing bacteria, they may not get rid of the bacterial imbalance altogether. Because of this, recurring BV is common.

How to get rid of BV?

You also need to change your pad or tampon regularly throughout your period. Practicing good hygiene overall can help resolve many BV cases as soon as possible. Avoid douching.

What is the best underwear for BV?

Breathable, Cotton Underwear. When it comes to your undergarments, opt for breathable materials like cotton to help prevent "trapping" BV bacteria. Cotton underwear is not required all the time to treat BV, but is recommended when symptoms are present.

How to prevent BV recurrence?

Here are some tips to help you manage and mitigate the likelihood of BV recurrence via changes in your lifestyle: Practice safe sex. Use condoms to reduce your risk of getting BV. It's also best to avoid having multiple sexual partners, as this can increase your chances of getting BV. Maintain good hygiene.

What is the best treatment for BV?

Tea tree oil. Thanks to its antibacterial and antifungal properties, tea tree oil can help treat BV. Since this essential oil isn't monitored by the Food and Drug Administration, it's important to find a reputable source.

What happens when the amount of good bacteria like lactobacilli and ‘bad’ bacteria known as anae

Bacterial vaginosis is what happens when the amount of ‘good’ bacteria like lactobacilli and ‘bad’ bacteria known as anaerobes is disturbed. With lower lactobacilli counts, the vaginal pH goes up, allowing ‘bad’ bacteria to take hold and cause an overgrowth of pathogens or disease-causing microorganisms like viruses.

What happens if you have a BV?

As a result, women living with recurrent BV have a higher chance of developing other vaginal and uterine infections (especially after surgeries like a hysterectomy or dilation and curettage), contracting STIs like gonorrhea and chlamydia, and acquiring and transmitting HIV.

What to do if you have a burning rash after boric acid?

Dweck. In the case that your BV returns after a boric acid treatment, consult with your healthcare provider before trying it again .

How do you know if you have BV?

While many women may have BV without any symptoms, the telltale signs of a life-disrupting infection include surprise plops of gray, green, or white vaginal discharge, a fishy odor, itchy skin, a burning sensation when you pee, and painful sex —all of which can make even the most empowered woman feel anxious and insecure.

Why are women frustrated with their doctor?

Many women are frustrated with their experiences in the doctor’s office, particularly when they visit primary care physicians rather than sexual health physicians for recurrent BV, due to what they describe as healthcare providers’ insensitivity and dismissals.

Is boric acid bad for vaginal tissue?

Obviously, a substance capable of knocking out pests is very strong, and concentrations of powerful acids like boric acid can be harmful to vaginal tissue. As such, it’s important to check in with a healthcare provider for their guidance and never try this home remedy on your own.

How long does it take for Lactin V to recur?

Of the women who were given LACTIN-V after initial antibiotic treatment, only 30% had a recurrence within 12 weeks compared to 45% of those who received a placebo. It could be years until a BV treatment like LACTIN-V is available on the market.

What is the bacterial vaginosis in men?

Men carry bacterial vaginosis (BV) bacteria and biofilms on and in their penis and urethra, and are passing it around to their female sexual partners – this is why ‘a new sexual partner’ is one of the main triggers for BV.

Can men be prescribed antibiotics for BV?

Men may be prescribed antibiotics if their female sex partner gets a BV diagnosis, but this is a stab in the dark – men aren’t tested for G. vaginalis and therefore there is no way of knowing – or effectively using – antibiotics. The biofilm is resistant to antibiotics, so to be sure of elimination of BV, both men and women must effectively address ...

Does condom help with BV?

Condoms or other sexual protection stops the spread and reinfection of BV between all sexual partners, male or female. Men’s G. vaginalis infection seems to most often disappear without continued contact with a BV vagina, but the time it takes to go away is not known and we do not recommend taking this risk, especially if you have a foreskin.

Can BV go away?

See the research into antibiotic treatments for men with partners with BV. Evidence suggests that the bacteria will continue to live in his urethra and on his penis so long as he is exposed to it, which is good news for the male partners of women with BV, because with the use of condoms, the infection goes away by itself most of the time.

Do antibiotics work for men?

Antibiotics do not work in men, for the same reasons they don’t work in women. If your doctor suggests taking antibiotics for male sexual partners, try the Killing BV men’s treatment instead. It is a waste of valuable antibiotic resistance development in your body and bacteria. Read more about the research into antibiotic treatments ...

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