Treatment FAQ

why won't my bv go away after treatment

by Derick Walker DDS Published 2 years ago Updated 2 years ago
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If left untreated, BV may take two weeks to go away on its own — or it may keep coming back. Why wont my BV go away? 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.

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. You should return to your healthcare provider and describe the problems you are having.Aug 22, 2016

Full Answer

Will BV go away on its own?

Sep 01, 2020 · You have the typical presentation of recurrent BV, which is hard to get rid of, but not impossible, since the biofilm is not being destroyed by the antibiotics or probiotics. The antibiotics are just killing the planktonic bacteria.

Why does my BV keep coming back?

Aug 23, 2016 · 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...

How to cure BV in three days?

Mar 14, 2022 · Recurrent BV might happen when the infection isn’t fully treated, something messes up the balance of your bacteria again, or a layer of microorganisms known as a biofilm forms to protect BV-causing...

How to get rid of BV odor without antibiotics?

Mar 04, 2017 · BV That Won't Go Away : ( Started after an antibotic. Posted 5 years ago, 81 users are following. I've been suffering with BV for about 9 months now-- with random but infrequent yeast infections as well. This all started for me when I was prescribed an antibiotic for a UTI, which I had also never had.

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How do I get rid of BV that won't go away?

What can help prevent BV from coming back again?Pay attention to vaginal hygiene. You don't need to do much to keep your vaginal area clean. ... Wear breathable underwear. ... Ask about boric acid suppositories. ... Use condoms. ... Maintain a healthy vaginal pH. ... Take a probiotic. ... Find healthy ways to destress.Feb 1, 2021

Can you still have bacterial vaginosis after treatment?

Following BV therapy, a vaginal yeast infection may occur. If symptoms improve after treatment, a follow-up visit is not necessary. Metronidazole — Metronidazole vaginal gel is one of the most effective treatments; it is applied inside the vagina at bedtime for five days.Mar 31, 2021

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 won't my BV go away with antibiotics?

Some strains of BV organisms may have resistance to some antibiotics. You should return to your healthcare provider and describe the problems you are having. The Centers for Disease Control and Prevention (CDC) advises clinicians on a variety of treatment strategies which can be tried if symptoms recur.Aug 22, 2016

What if BV doesn't go away with antibiotics?

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

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 do you treat chronic BV?

Bacterial vaginosis (BV) is a common but treatable condition, with a number of effective available treatments, including oral and intravaginal metronidazole and clindamycin and oral tinidazole. However, as many as 50% of women with BV experience recurrence within 1 year of treatment for incident disease.

How do bacteria become resistant to metronidazole?

Metronidazole resistance can occur by a number of different mechanisms that involve reduced uptake of the drug, increased removal from the bacterial cell or by reducing the rate of metronidazole activation inside anaerobes.Mar 16, 2018

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.

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 .

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.

Does boric acid help with vaginosis?

For some women, introducing carefully-measured acidifiers such as boric acid— yes, the same stuff used as roach poison!—could help maintain a low vaginal pH and in turn potentially ward off bacterial vaginosis, says Alyssa Dweck, M.D., a board-certified gynecologist in Westchester County, New York.

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