Treatment FAQ

what is the treatment of bacterial vaginosis

by Dr. Virgie Walker Published 3 years ago Updated 2 years ago
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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.Jul 21, 2021

Medication

Can you get rid of a bacterial infection without antibiotics? Even without antibiotics, most people can fight off a bacterial infection, especially if symptoms are mild. About 70 percent of the time, symptoms of acute bacterial sinus infections go away within two weeks without antibiotics.29 oct. 2013. What not to eat if you have a bacterial ...

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

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.

Can you get rid of BV without antibiotics?

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.

Can BV go away on its own?

What is the best medicine for vaginal bacteria?

Can BV be cured naturally?

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Can BV clear up 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.

What causes 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. We also do not know how sex causes BV.

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.

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 sperm cause BV?

Use barrier methods of protection, such as condoms and dental dams, during sexual activity. The interaction between semen and vaginal discharge can increase your risk of getting BV.

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.

Can I get metronidazole over the counter?

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

How is bacterial vaginosis diagnosed?

A bacterial vaginosis test is a way to diagnose bacterial vaginal infection, a common condition. A healthcare provider will take a sample of vaginal discharge. Then they'll look at the sample under a microscope, identify a specific odor or measure the sample's pH.

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.

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, ...

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 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.

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 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 the medicine prescribed to you, even if your symptoms go away. A health care provider can treat BV with antibiotics, but BV may recur even after treatment.

Resources for Clinicians

Vaginitis Self-Study Module external icon – An online learning experience that helps users learn how to manage vaginitis. Free CME/CNE available. (November 1, 2017)

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 is the best medicine for a vaginal infection?

These might include: Clindamycin, a cream you use in your vagina. It sells under the brand names Cleocin and Clindesse. Metronidazole, available as a pill you swallow or a gel you insert in your vagina.

What is BV in vagina?

Bacterial vaginosis (BV) is a common vaginal infection caused by too much of a certain type of bacteria in your vagina. Left untreated, it can raise your risk for several serious health problems. Bacterial vaginosis doesn’t always cause symptoms. But if it does, they can include:

What are the different types of bacteria that grow in the vagina?

There are at least seven types of bacteria that grow in the vagina. Lactobacillus is one of them. BV is linked to a decrease of lactobacillus, which is found in yogurt and acidophilus milk.

How long does it take for BV to come back?

Clindamycin can weaken latex condoms not only while you’re using the medication, but for at least 3 days after you stop.

Does yogurt cause BV?

BV is linked to a decrease of lactobacillus, which is found in yogurt and acidophilus milk. Some studies suggest that eating foods that contain lactobacillus may be beneficial, but more research is needed. Do not douche with yogurt or any other product. Vaginal douching is a risk factor for BV.

What is the best treatment for BV?

Currently, the only effective treatments for BV are prescribed antibiotics, including metronidazole (pronounced met-roh-NIH-duh-zohl) and clindamycin (pronounced klin-duh-MY-sin ). 1, 2, 3, 4 These are prescribed as oral medications, which are taken by mouth, or as a gel or cream, both of which are inserted into the vagina with an applicator.

How much weight can a pregnant woman have with BV?

Risks of BV during pregnancy include delivering an infant preterm (before 37 weeks of pregnancy) and delivering an infant with a low birth weight (generally, 5.5 pounds or less). The CDC recommends that pregnant women be tested—and treated if necessary—if they have symptoms of BV.

Can you take over the counter BV medication?

Over-the-counter medications for treating vaginal problems are not effective for treating BV.

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 bacterial vaginosis?

Overview. Bacterial vaginosis is a type of vaginal inflammation caused by the overgrowth of bacteria naturally found in the vagina, which upsets the natural balance. Women in their reproductive years are most likely to get bacterial vaginosis, but it can affect women of any age. The cause isn't completely understood, but certain activities, ...

What to do if you have a vaginal discharge?

Make an appointment to see your doctor if: You have vaginal discharge that's new and associated with an odor or fever. Your doctor can help determine the cause and identify signs and symptoms. You've had vaginal infections before, but the color and consistency of your discharge seems different this time.

Can bacterial vaginosis affect women?

Women in their reproductive years are most likely to get bacterial vaginosis, but it can affect women of any age. The cause isn't completely understood, but certain activities, such as unprotected sex or frequent douching, increase your risk.

Is it necessary to douch your vagina?

Since the vagina is self-cleaning, douching isn't necessary. Natural lack of lactobacilli bacteria. If your natural vaginal environment doesn't produce enough of the good lactobacilli bacteria, you're more likely to develop bacterial vaginosis.

Does bacterial vaginosis increase the chances of a sexually transmitted infection?

Having bacterial vaginosis makes women more susceptible to sexually transmitted infections, such as HIV, herpes simplex virus, chlamydia or gonorrhea. If you have HIV, bacterial vaginosis increases the odds that you'll pass the virus on to your partner. Infection risk after gynecologic surgery.

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.

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.

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.

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