Treatment FAQ

what is bv pregnancy treatment

by Dr. Malachi Gerhold Published 2 years ago Updated 1 year ago
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BV is treated with antibiotics. Antibiotics are medicines that kill infections caused by bacteria. The antibiotic may be oral (taken by mouth) or a cream or gel that you put into your vagina. Treatment with antibiotics for BV is safe for your baby during pregnancy, and it may help reduce your risk for STIs.

Medication

There is no concrete answer to this question but we are here today to discuss how Bv can cause infertility to reproductive-aged women. The bacteria that cause bacterial vaginosis do not prevent pregnancy per se but if there is damage caused by recurring or untreated infection, there is a possibility that it can cause infertility.

Self-care

Can bacterial vaginosis go away on its own? BV will often go away on its own within a few days, but it also tends to come back. If you take antibiotics to treat BV, the symptoms may disappear within a day or two, but it’s important to take the full course of pills, which is usually seven days.

Nutrition

Bacterial Vaginosis has not been determined an early sign of pregnancy, but usually when a woman is pregnant she is more prone to get infections and since Bacterial Vaginosis is a common infection in the vagina, a pregnant woman can get BV anytime during her pregnancy.

Can BV Stop Me from getting pregnant?

  • Wet mount: A wet mount is a test where the doctor takes a sample of your vaginal fluids and observes it for detecting bacterial vaginosis during pregnancy. ...
  • KOH Slide: Another test for bacterial vaginosis during pregnancy is the KOH slide. ...
  • pH test: As already discussed bacteria need an alkaline pH to grow. ...

More items...

Can BV go away on its own?

Is BV a sign of early pregnancy?

How is bacterial vaginosis (BV) treated during pregnancy?

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What is the treatment for BV during pregnancy?

What are the treatment options for bacterial vaginosis during pregnancy? Antibiotics such as metronidazole (aka Flagyl), clindamycin, and tinidazole are often prescribed and will destroy some of the bacteria that cause symptoms of bacterial vaginosis.

Do you have to treat BV in pregnancy?

In summary, women with bacterial vaginosis during pregnancy should be aggressively evaluated and effectively treated. This is particularly true for women considered at high risk for pregnancy-related complications. Asymptomatic pregnant women with bacterial vaginosis may also benefit from therapy.

How does a pregnant woman get BV?

The cause of BV is not fully understood yet but is associated with having sex or frequent douching. Women who don't have sex rarely contract this infection. The hormones in a pregnant woman's body can make it easier for bacteria to collect in the vagina.

Can BV cause miscarriage?

Bacterial vaginosis (BV) is related to the increased risk of miscarriage, preterm labor, and postpartum endometritis.

What does BV discharge look like?

The main symptom of BV is lots of thin vaginal discharge that has a strong fishy smell. The discharge may be white, dull gray, greenish, and/or foamy. The fishy smell is often more noticeable after vaginal sex.

Can BV harm baby during pregnancy?

Bacterial vaginosis (BV) is a common infection that's easily treated, but it can cause problems for your baby during pregnancy. Having BV during pregnancy can increase your baby's risk for premature birth and low birthweight.

Is BV an STD?

Is bacterial vaginosis (BV) an STD? Bacterial vaginosis isn't sexually transmitted, but it is linked with sexual activity. Researchers think that sex may change the bacterial environment in your vagina. This makes bacterial overgrowth more likely.

How can I prevent bacterial infections during pregnancy?

10 Simple Steps to Prevent Infections During PregnancyMaintain good hygiene. ... Cook your meat until it's well done. ... Avoid unpasteurized (raw) milk and foods made from it. ... Ask your doctor about Group B streptococcus (GBS). ... Talk to your doctor about vaccinations. ... Get tested for sexually transmitted infections (STIs).More items...•

Diagnostic Considerations

BV can be diagnosed by using clinical criteria (i.e., Amsel’s diagnostic criteria) ( 999) or by determining the Nugent score from a vaginal Gram stain ( 1000 ).

Treatment

Treatment for BV is recommended for women with symptoms. Established benefits of therapy among nonpregnant women are to relieve vaginal symptoms and signs of infection. Other potential benefits of treatment include reduction in the risk for acquiring C. trachomatis, N. gonorrhoeae, T. vaginalis, M.

Follow-Up

Follow-up visits are unnecessary if symptoms resolve. Because persistent or recurrent BV is common, women should be advised to return for evaluation if symptoms recur. Limited data are available regarding optimal management strategies for women with persistent or recurrent BV.

Management of Sex Partners

Data from earlier clinical trials indicate that a woman’s response to therapy and the likelihood of relapse or recurrence are not affected by treatment of her sex partner ( 998 ). Therefore, routine treatment of sex partners is not recommended.

Special Considerations

Intravaginal clindamycin cream is preferred in case of allergy or intolerance to metronidazole or tinidazole. Intravaginal metronidazole gel can be considered for women who are not allergic to metronidazole but do not tolerate oral metronidazole.

What happens if you have BV during pregnancy?

If you have BV during pregnancy, your baby is at increased risk for premature birth and low birthweight. Premature birth is birth before 37 weeks of pregnancy. Low birthweight is when your baby is born weighing less than 5 pounds, 8 ounces. Being born too early or too small can cause health problems for your baby.

How many women have bacterial vaginosis?

Bacterial Vaginosis During Pregnancy. Approximately 10% 30% of pregnant women will experience bacterial vaginosis (BV) during their pregnancy. BV is characterized by a shift from a healthy vaginal microbiome – one dominated by acid-producing bacteria (the healthy bacteria, such as lactobacillus) – to a vagina dominated by unhealthy bacteria.

Is it necessary to screen for BV?

It is not necessary to screen non-symptomatic pregnant women for BV. When obtaining your prena tal care, you are not routinely screened for bacterial vaginosis. It is important that you discuss any concerns you may have about BV with your health care provider.

Can you give antibiotics to pregnant women?

Blaser argues that the consequences of this are so serious that antibiotic prescriptions should not be given to pregnant women and young children. Since vaginal health correlates to the presence of good bacteria, antibiotics must be used only when absolutely necessary.

What Causes Bacterial Vaginosis In Pregnancy?

BV is caused by the imbalance of lactobacilli in the vaginal microbiome ( 3 ). Lactobacilli are responsible for maintaining an acidic environment in the vagina, which prevents the overgrowth of other bacteria and clinical indications of intrauterine infection. The risk of acquiring BV is higher in asymptomatic women who

What Are The Signs And Symptoms Of Bacterial Vaginosis?

Most women with BV may not experience noticeable symptoms. Nevertheless, if you suspect you have BV, check for the following symptoms and contact your healthcare professional ( 4 ):

How Is Bacterial Vaginosis Diagnosed?

BV is diagnosed and screened in pregnant women based on the healthcare provider’s discretion and available facilities. However, some common diagnostic procedures are ( 5)

How Is Bacterial Vaginosis Treated During Pregnancy?

No OTC medicines are available for treating BV. Therefore, doctors mostly prescribe antibiotic treatment, such as metronidazole or oral clindamycin. Since antibiotics also affect the good bacteria in the vagina, they are not prescribed unless necessary.

What Are The Complications Of Bacterial Vaginosis During Pregnancy?

BV in pregnant women may increase the risk for the following adverse pregnancy outcomes if left untreated ( 1) ( 7 ):

Can Bacterial Vaginosis Resolve By Itself During Pregnancy?

BV is usually a mild condition that resolves by itself in a few days. However, if the infection persists, it may harm the mother and the baby. Hence, consult your doctor beforehand to prevent future complications.

How Can You Reduce Your Risk For Bacterial Vaginosis?

Taking measures to increase the growth and concentration of lactobacillus bacteria is the first step to help reduce your risk of acquiring BV in pregnancy. Clinical trials have shown that adding probiotics to your diet can help in this regard ( 8 ).

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 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 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.

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 cure BV during pregnancy?

Bacterial vaginosis treatment during pregnancy is mostly based on the restoration of pH of the vagina. Vaginal pH correction treatment: This brings us to the next cure for BV during pregnancy. Vaginal washes and pH neutral soaps help correct the altered pH of the vagina.

What is the best home remedy for BV during pregnancy?

Apple cider vinegar: Apple cider vinegar has the right pH which is suitable for vaginal pH correction. Adding apple cider vinegar to bathtub water or using it as a dab helps heal bacterial vaginosis during pregnancy. It is the best home remedy for BV during pregnancy.

What does a pH test for bacterial vaginosis during pregnancy show?

Whiff test: Whiff test for bacterial vaginosis during pregnancy is the detection of fishy odor in vaginal discharge.

What does it mean when your vagina is grayish white?

Gray whitish discharge: Unlike yeast infection, you will not exude the thick cheesy discharge. If you have bacterial vaginosis, your vaginal discharge will be grayish white. The discharge has a fishy smell. The smell of discharge during pregnancy bacterial vaginosis heightens when you have sex.

What percentage of pregnant women have bacterial vaginosis?

Bacterial vaginosis during pregnancy is the condition of having an outbreak of harmful bacteria in the vagina area. 10-30% of pregnant women have Bacterial Vaginosis (BV). Woman having a previous bacterial vaginosis infection are more prone to bacterial vaginosis during pregnancy. Certain ethnic groups are also at higher risk of BV during pregnancy.

Why does BV occur during pregnancy?

Bacterial Vaginosis (BV) during pregnancy occurs due to the imbalance of good and bad bacteria in the vagina. Vagina has a lot of good bacteria. They are of the same family as the ones found in the curd. Lactobacillus and yeast are present in the vagina.

What is BV test?

The doctor will take a sample of fluid from the vagina. You might feel discomfort. But it is crucial to take BV test for the safety of your baby. Wet mount : A wet mount is a test where the doctor takes a sample of your vaginal fluids and observes it for detecting bacterial vaginosis during pregnancy.

How to prevent BV after delivery?

A healthy and nutritious diet can boost your immunity and prevent BV from recurring even after delivery. When you’re pregnant, make sure your diet is rich in vitamins, minerals, essential acids and micronutrients.

What is the best treatment for bacterial vaginosis?

Mixing a few drops of tea tree oil with coconut oil, olive oil, or sweet almond oil and applying topically is an effective remedy for bacterial vaginosis. Tea tree oil has anti-fungal and anti-bacterial qualities which help combat infections.

How to keep your vagina from getting infected?

Consider changing to a light workout that doesn’t make you sweat a lot. This, coupled with loose workout clothing , can keep vaginal infections at bay. Make sure you shower after you come home from a morning run or from the gym.

Can you take garlic while pregnant?

Taking garlic supplements can aid in fighting BV during pregnancy. Consult your doctor regarding the use of garlic supplements during pregnancy, or alternatively, whether you can add garlic to your diet.

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