Treatment FAQ

what is the best treatment for bacterial vaginosis in pregnant women

by Zetta Torphy Published 2 years ago Updated 2 years 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

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.

Self-care

While initial cure rates for bacterial vaginosis (BV) approach 80%, 2 out of 3 women experience a recurrence within 6 months of treatment. Since BV is not currently considered a sexually transmitted infection, treatment guidelines do not include treating partners of women with BV.

Nutrition

Clindamycin isn’t practical because you’re not treating the cause of bacterial vaginosis; you’re only treating the frustrating symptoms you’re experiencing. Another problem you’ll find with using clindamycin to treat bacterial vaginosis is that some women are allergic to this antibiotic.

Can BV go away on its own?

Treatment. 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.

Should partners of women with bacterial vaginosis be treated?

Does clindamycin really treat bacterial vaginosis?

What is the best medicine for vaginal bacteria?

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What can I take for BV while pregnant?

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.

Does bacterial vaginosis need to be treated 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.

Can I take metronidazole for BV while pregnant?

Metronidazole, a nitroimidazole derivative, is a recommended treatment during pregnancy for bacterial vaginosis (BV) and infections with Trichomonas vaginalis (8, 9).

Can BV hurt your baby?

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance of bacteria in the vagina. BV doesn't usually cause problems during pregnancy, but there is a link between BV and some pregnancy complications. If you have BV, you'll be treated with antibiotics.

Is metronidazole safe in pregnancy 2nd trimester?

Use of metronidazole, a common treatment for bacterial vaginosis and Trichomonas vaginalis, should be avoided during the second trimester of pregnancy in this population.

Is metronidazole safe in 1st trimester of pregnancy?

Metronidazole is used to treat genitourinary infections and is one of the most commonly used drugs in pregnancy, but it is widely thought to be relatively contraindicated in the first trimester because of a possible increased risk for birth defects.

What happens if BV goes untreated?

Most often, BV does not cause other health problems. However, if left untreated, BV may increase your risk for: Sexually transmitted diseases (STDs) like herpes, chlamydia, gonorrhea, and HIV. Pelvic inflammatory disease where BV bacteria infect the uterus or fallopian tubes.

Can bacterial vaginosis go away on its own?

Bacterial vaginosis often clears up on its own. But in some women it doesn't go away on its own. And for many women it comes back after it has cleared up. Antibiotic treatment works for some women but not others.

Can BV cause a miscarriage?

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

How long does bacterial vaginosis last?

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.

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