Treatment FAQ

what happens if bv treatment doesn t work

by Ms. Prudence Ratke Published 2 years ago Updated 2 years ago
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Treating BV can be relatively simple, so don't delay — and if your treatment doesn't work, it's a good idea to go back to your physician. "If your symptoms persist after treatment it is important to follow up with your doctor for further testing," Dr. Dixon-Shambley tells Bustle.

If BV doesn't clear up on its own or you don't properly treat it, it can increase your risk of contracting an STI, such as HIV, chlamydia, or gonorrhea. If you're pregnant, it can also increase your risk of early delivery. Untreated BV also increases your risk for a condition called pelvic inflammatory disease.Jul 18, 2019

Full Answer

What can happen if bacterial vaginosis (BV) is left untreated?

Mar 27, 2014 · 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, stuck to the fabric of your vagina, the …

How to treat bacterial vaginosis naturally at home?

Aug 10, 2017 · To treat BV, your health care provider may prescribe either oral antibiotics or topical antibiotics, which are inserted into the vagina. Unfortunately, despite treatment, BV can recur within three to 12 months. Although most of the survey respondents completed the required course of treatment, 69 percent had a recurrence of their symptoms.

What happens if bacterial infection is untreated?

May 16, 2018 · BV, Infections I’m really nervous that the BV treatment won’t work and I will be stuck with it for life The thing to realise is that this treatment sometimes fails the first time, sometimes even the second time, and for some women, it can’t solve the problem because there are other underlying issues that must be addressed.

How to stop recurring BV infections permanently?

Aug 23, 2016 · Unfortunately, this is a common problem. 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...

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What happens if antibiotics don't work for BV?

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.Dec 14, 2017

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.

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.

What is better for BV clindamycin or metronidazole?

There was no statistically significant difference between the two results. Side effects for both regimens were comparable. We conclude that 2% clindamycin vaginal cream offers similar efficacy and safety to standard oral metronidazole therapy for bacterial vaginosis.

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.

Answers

It is possible that it will keep working for a few days after its stopped. Do you still have symptoms? Where did you get the idea a discharge means its working? If you still have symptoms in a few days make another appt with your dr.

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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.

How to treat bacterial vaginosis?

Bacterial vaginosis is typically treated with topical creams or an oral antibiotic, according to the Mayo Clinic but some people find that bacterial vaginosis may be recurrent, or hard to get rid of. More like this. 10 Unexpected Ways Your Boobs Change During Sex, According To Experts. By Amanda Chatel.

Can you get BV after first infection?

If you tend to get BV repeatedly after your first infection, you shouldn't panic, says Dr. Valerie Fabre, Assistant Professor of Medicine at Johns Hopkins. "Recurrence of symptoms despite treatment is quite common," she tells Bustle. However, if you're experiencing BV that hasn't cleared up or won't stop coming back, ...

Does yogurt help with BV?

Dr Dixon-Shambley says. And don't believe the hype about yogurt. Probiotic yogurt has only been shown to help BV in some small studies, Dr. Fabre says; the only probiotics that have been demonstrated to have any effect are vaginal suppositories that are prescribed by your doctor.

Does BV come back?

However, if you're experiencing BV that hasn't cleared up or won't stop coming back , experts tell Bustle it could be time to examine how you're treating it and other habits that can affect your vaginal flora.

Can you delay BV treatment?

Treating BV can be relatively simple, so don't delay — and if your treatment doesn't work , it's a good idea to go back to your physician. "If your symptoms persist after treatment it is important to follow up with your doctor for further testing," Dr. Dixon-Shambley tells Bustle. That way, you can identify what might be causing the issue and target how to move forward.

Is BV treated with antibiotics?

BV is treated by a very specific antibiotic, but even if you're feeling better, it's necessary to complete the whole course. "Once diagnosed with BV it is important to complete the medication as prescribed, as stopping early can cause a rebound of symptoms," Dr. Dixon-Shambley tells Bustle.

Can a vaginal infection cause BV?

That bacteria is typically a good thing, but if the balance is thrown off, it can lead to bacterial vaginosis (BV), a kind of inflammation.

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.

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.

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 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 .

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.

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.

Can probiotics grow in vagina?

Dr. Hemmerling says that non-native strains of probiotics like those found in yogurt douches derived from cow’s milk tend to not grow well in the vagina or produce acid to shift pH as effectively as native strains. But some women say they’ve been helpful in keeping their recurrent BV at bay.

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