Treatment FAQ

what is the most common treatment for bv

by Theodore Dietrich I Published 2 years ago Updated 2 years ago
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Treatment of BV is usually recommended. The two most common prescription medications used for the treatment of BV are metronidazole and clindamycin. Both medications need to be used for multiple days and can be taken in pill form by mouth, or with a gel or cream that is inserted inside the vagina.Mar 31, 2021

Medication

Probiotics, live bacteria found in some foods and supplements, might help restore balance to your vaginal bacteria. Studies show that eating yogurt or probiotic supplements may treat bacterial vaginosis, and is quite safe. Another promising remedy is boric acid, a white powder with antifungal and antiviral properties.

Self-care

What are the best home remedies for bacterial vaginosis?

  • Probiotics. Taking probiotics can be an effective way to maintain a healthy balance of bacteria in your vagina. ...
  • Avoid douching. Douching can disrupt the pH balance of the vagina, allowing bacteria such as Gardnerella vaginalis to overgrow.
  • Use condoms. ...

Nutrition

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.

Can BV be cured naturally?

Supplements for BV

  • Vitamin C. Vitamin C helps the body fight infection and supports the immune system. ...
  • Vitamin D. Vitamin D deficiency can cause many health problems and can make one susceptible to bacterial vaginosis.
  • Folic Acid. Folic acid is a B vitamin. ...
  • Garlic. ...
  • Essential Oils. ...
  • Activated Charcoal. ...
  • Diet. ...
  • Stop Smoking. ...
  • Health Practices. ...

What medication is used to treat BV?

Can BV go away on its own?

What are natural remedies for BV?

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What is the best medication to treat bacterial vaginosis?

The best treatments for bacterial vaginosisMetronidazole. One of the best prescription treatments for BV is an antibiotic called metronidazole. ... Clindamycin. Clindamycin is another effective prescription treatment for BV. ... Tinidazole. ... Secnidazole. ... Probiotics. ... Garlic. ... Boric acid.

What is the best antibiotic for a bacterial infection?

Bacterial infections are treated with antibiotics such as amoxicillin, erythromycin and ciprofloxacin. There are many different types of antibiotic, with different ways of working; the choice depends on the type of infection you have.

Can I treat BV without antibiotics?

The primary treatment course for BV is antibiotics. However, some people may wish to treat the condition at home. Options for home treatments include practicing safe hygiene, using barrier protection during intercourse, and taking probiotic supplements. BV is a common condition and typically is not cause for concern.

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.

What are the 3 most common antibiotics?

The main types of antibiotics include: Penicillins - for example, phenoxymethylpenicillin, flucloxacillin and amoxicillin. Cephalosporins - for example, cefaclor, cefadroxil and cefalexin. Tetracyclines - for example, tetracycline, doxycycline and lymecycline.

Can I get metronidazole over-the-counter?

No, you cannot buy metronidazole over the counter because you need a prescription to buy it.

What does BV smell like?

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. Vaginal irritation: Typically, BV doesn't cause vaginal irritation or itchiness.

Can Monistat treat 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.)

Why do I keep getting bacterial vaginosis?

BV is a result of an imbalance of “good” and “harmful” bacteria in a vagina. Douching, not using condoms, and having new or multiple sex partners can upset the normal balance of vaginal bacteria, increasing your risk for getting BV.

Is Flagyl better than metronidazole?

Flagyl ER (metronidazole) are all almost identical antimicrobial drugs used to treat bacterial vaginosis (mainly Flagyl ER), trichomonas, amebiasis, and anaerobic bacterial infections.

Which is better for BV cream or pills?

Treatment of BV is usually recommended. The two most common prescription medications used for the treatment of BV are metronidazole and clindamycin. Both medications need to be used for multiple days and can be taken in pill form by mouth, or with a gel or cream that is inserted inside the vagina.

Is Flagyl the same as clindamycin?

Flagyl, Flagyl ER, and Flagyl Injection (metronidazole) and Cleocin HCl (clindamycin hydrochloride) are antibiotics used to treat bacterial infections. Flagyl and Cleocin are different types of antibiotics. Flagyl is a nitroimidazole antibiotic and Cleocin is a lincomycin antibiotic.

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 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 the best treatment for bacterial vaginosis?

Boric acid . Boric acid capsules can be used to treat bacterial vaginosis. In an early study, a combination of suppressive antimicrobial therapy and intravaginal boric acid were used to treat recurring bacterial vaginosis in 58 women.

What to do if bacterial vaginosis is recurrent?

Also, make an appointment with your doctor right away if your bacterial vaginosis is recurrent. You can book an appointment with an OBGYN in your area using our Healthline FindCare tool.

What is the best way to get rid of bad bacteria in your vagina?

1. Yogurt. Yogurt is a natural probiotic, which means it has plenty of healthy bacteria in it. Eating yogurt may help introduce healthy bacteria back into the body. This helps establish a balanced vaginal environment and could help fight off the bad bacteria.

What is a vaginal infection?

Bacterial vaginosis. Bacterial vaginosis is a vaginal infection caused by an overgrowth of bacteria. The vagina naturally has an environment containing “good” and “bad” bacteria. In cases of bacterial vaginosis, there’s an excess of bad bacteria, which throws the vaginal environment out of balance. Bacterial vaginosis is a common condition ...

What happens if you don't treat bacterial vaginosis?

Risks and complications. If home remedies don’t work, bacterial vaginosis could continue and worsen if it’s not treated. Having raw areas of skin in and around your vagina increases a number of risks, including: increased risk of contracting HIV if exposed to the virus.

Is garlic good for bacterial vaginosis?

Garlic has strong antibacterial properties, and it’s long been used as a home remedy for bacterial vaginosis. A 2014 study. Trusted Source. compared the use of garlic tablets and oral metronidazole, an antibiotic, in treating the condition.

Can you take a swab of your vaginal discharge?

Try to make your appointment on a day when you won’t have your period. This allows your doctor to take a swab of your vaginal discharge for testing. Your doctor will likely prescribe either oral antibiotics or an antibiotic cream that can be inserted into the vagina. Last medically reviewed on February 12, 2021.

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.

Is bacterial vaginosis a serious infection?

Although bacterial vaginosis is a mild infection, it can make you vulnerable to more serious conditions. Don’t put off seeing your healthcare provider if you notice anything unusual. A simple course of antibiotics could set things straight.

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.

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 to prevent BV?

These include wearing breathable cotton underwear, which may help prevent the growth of bacteria around the genital s by preventing moisture from building up in the area.

What is BV in medical terms?

Medical treatment. When to see a doctor. Diagnosis. Summary. Bacterial vaginosis (BV) is an infection that develops due to an imbalance in the natural bacteria in the vagina. It occurs when “bad” bacteria, which do not need oxygen to survive, outnumber “good” bacteria, known as lactobacilli. BV is the most common.

How long does metronidazole take to treat BV?

The Centers for Disease Control and Prevention (CDC) recommend antibiotics to treat BV. Oral metronidazole: 500 milligrams twice a day for 7 days. Metronidazole 0.75% gel: One full 5-gram (g) applicator intravaginally once a day for 5 days.

How do you know if you have BV?

The symptoms of BV include: a thin vaginal discharge that is white or gray. a bad-smelling discharge, which may become worse before a period or after having sex. pain when having sex. itchy or discolored genitals. a burning sensation when urinating.

When to see a doctor for BV?

A doctor or gynecologist will check that BV is the cause of the symptoms and not another condition. If a person develops BV during pregnancy , they should see a doctor for appropriate treatment.

Can BV reoccur?

BV can sometimes clear up by itself, but treatment is often necessary. In either case, BV can reoccur. Factors that can make a person more likely to develop BV include: having sex with more than one person. using vaginal douches or other hygiene products on the vagina, such as scented soaps or washes.

Is BV a STI?

BV is not an STI, but people with multiple sexual partners may have a higher risk of developing it. A person needs to restore the balance of natural bacteria in the vagina to treat BV. Several treatments are available to help ease symptoms and get rid of BV.

What does BV mean in menstruation?

This can result in BV, and symptoms may include: Mild itching in and around the vagina. Bad-smelling, fishy odor that is more noticeable during menstruation or after sex) Pain when urinating.

What are the risk factors for BV?

These include: A history of multiple sex partners. A new sexual partner.

What is the name of the bacterial infection in the vagina?

Medications for Bacterial Vaginitis. Other names: Bacterial Vaginosis. Bacterial vaginosis ( BV) is a bacterial infection in the vagina. It is the most common cause of abnormal vaginal odor and discharge in young women and is caused by a change in the balance and type of bacteria which are normally present in the vagina.

Can a swab be taken for BV?

A swab may be taken of your vaginal fluid which will be tested in a laboratory. Other possible causes will be ruled out before they arrive at a diagnosis of BV.

Can a woman with BV have vaginal douching?

Vaginal douching. Presence of an intrauterine contraceptive device (IUD). Although most risk factors are associated with sexual activity, women who have never had vaginal intercourse can also develop BV.

Is BV a sexually transmitted disease?

Although BV is not considered a sexually transmitted disease, the risk of developing BV seems to increase the more sexual partners a woman has. Normally, Lactobacillus bacteria are the most common type of bacteria within the vagina. These produce chemicals that keep the vagina mildly acidic.

Can you take antibiotics for BV?

Antibiotics prescribed by your doctor are usually necessary to treat BV. These may be in the form of tablets or vaginal creams. BV tends to recur, so you may need to take more than one course of antibiotics. Always finish the course of treatment prescribed, even if you feel better halfway through.

What is BV medication?

Bacterial vaginosis (BV) medication: Options, side effects, and more. Bacterial vaginosis (BV) is a vaginal infection. Antibiotics may help treat the condition and reduce symptoms. Some antibiotics can cause side effects, and there are some Food and Drug Administration (FDA) warnings on certain BV drugs.

What kind of antibiotics can you take for BV?

The forms of antibiotic medications that doctors can prescribe for people with BV are: Tablets: People take this type of antibiotic orally. Some tablets are available as a one-time dose. Creams or gels: A person applies this type of antibiotic directly to their vagina or with an applicator.

What are the symptoms of BV?

Trusted Source. : pain, itching, or burning sensation in the vagina. painful urination. white or gray vaginal discharge. discharge with a fish-like odor.

What age do you have BV?

vaginal condition in those aged 15–44 years. This article discusses the different medications available for BV, the antibiotics that doctors may prescribe, and frequently asked questions that people may have for a doctor treating BV.

What is BV in vagina?

BV occurs when there is an imbalance of bacteria in the vagina. BV does not always cause symptoms, but if they do occur, a person can seek medical advice from a doctor to receive a diagnosis and start a course of treatment. A doctor may prescribe antibiotics to treat BV.

Can you get BV without a prescription?

If antibiotics are not effective, a doctor may recommend another treatment plan. Those with BV cannot purchase medication without a prescription. However, a person can consider using home remedies to treat BV and potentially reduce the chance of BV from developing.

Can a person with a vagina have BV?

BV occurs when there is an imbalance of the vaginal flora, which are the types of bacteria that naturally live inside the vagina. BV can occur in anyone with a vagina, but according to research from 2020. Trusted Source. , a person may be at an increased risk of developing BV if they: have multiple sexual partners.

What is the best treatment for BV?

Tea tree oil. Limited research has shown it can be somewhat effective in treating BV, per medicalnewstoday.com. Tea tree oil is both an antibacterial and antifungal. Good hygiene. One rule of thumb when drying off is to wipe from front to back, thus not risking contamination of the vagina area from stool.

How to treat BV infection?

Following are some home remedies to help prevent or treat BV, although a consultation with your physician first is advisable: Wear breathable cotton underwear, and avoid using perfumes, douches, or soaps on the vagina as some of those products can change the vaginal pH for the worse.

What is bacterial vaginosis?

Just as the name suggests, bacterial vaginosis, per healthline.com, is a vaginal infection that results from an overabundant growth of bacteria, or, more specially, “bad” bacteria that outnumbers the “good.”.

What is BV in women?

What Is Bacterial Vaginosis (BV)? BV is a fairly common form of vaginal infection affecting thousands of women each year around the world, per besthealth.guide. Its symptoms can resemble those of the more common yeast infection, a urinary tract infection, or chlamydia.

Can BV go away on its own?

Because BV-associated symptoms aren’t often severe, most women should consider trying home remedies first before resorting to a visit to their physician for enhanced treatment that would likely include prescription medications. The infection might even go away on its own if properly treated at home by the patient, per besthealth.guide.

Can BV cause a change in pH?

Any change in the chemical pH of the vagina, as it relates to the previously mentioned imbalance of good and bad bacteria, isn’t believed to be the cause of BV itself, but can make a woman more vulnerable to such infections, per medicalnewstoday.com .

Can bacterial vaginosis be spread through contact?

To the uninitiated, the term ‘bacterial vaginosis’ might sound like some type of sexually transmitted disease (STD), which it isn’t – although, to be fair, it can be spread through sexual contact. Nor is it caused by poor hygiene practices.

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Causes

Treatment

Benefits

Medical uses

Medically reviewed by
Dr. Khutaija Bano
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Usually treated with antibiotics and ointments.
Medication

Nitroimidazoles: It helps to stop the overgrowth of the bacteria. Metronidazole is also available as a gel which can be inserted into the vagina.

Metronidazole


Antibiotic cream: Creams that can be applied in the vaginal area.

Clindamycin


Antibiotics: Oral medication stops the growth of bacteria.

Tinidazole

Self-care

Always talk to your provider before starting anything.

  • Usage of unscented products near the vagina.
  • Avoid multiple sex partners.

Nutrition

Foods to eat:

  • Cleansing foods such as carrot, radish, beetroot, dark leafy vegetables
  • Lots of water intake
  • Cultured foods such as organic yogurt, kefir
  • Prebiotic foods such as onions, garlic

Foods to avoid:

  • Sugar
  • Fast foods
  • Fried foods
  • Red meat
  • Refined carbohydrates

Specialist to consult

Gynecologist
Specializes in the health of the female reproductive systems and breasts.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Uses

Preparation

  • To treat bacterial vaginosis, your doctor may prescribe one of the following medications: 1. 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. To reduce the risk of stomach upset, abdominal pain or nausea while u...
See more on mayoclinic.org

Risks

Safety

Prevention

  • Bacterial vaginosis is a common condition that many women can get, regardless of whether or not theyve had sex. Home remedies can be used to treat and prevent it. Some may be more effective than others. These treatments likely wont be as effective as prescription medications. But many come without some of the side effects prescription medications can cause. There are …
See more on healthline.com

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