It is considered the most common vaginal infection in women between the ages of 15 and Bacterial vaginosis is characterized by a grey, watery discharge and a fishy odor, and may be accompanied by itching and general discomfort in the vaginal area.
Although these are the general symptoms of BV, many women may find they have no symptoms at all. Bacterial vaginosis stems from an overgrowth of pathogens in the vaginal flora.
Although scientists are not exactly sure why this overgrowth happens, they suggest that a variety of things — such as sex with new partners, sex with multiple partners, douching, drawing baths with strongly fragranced products, and smoking — can disrupt the delicate vaginal environment , thus causing BV.
Common treatments for BV include a variety of antibiotic courses, such as Metronidazole gel, Clindamycin, or Tinidazole. Having bacterial vaginosis can really throw a wrench in how a woman feels about herself and her sex life, and can just be straight up uncomfortable.
The majority of bacterial vaginosis antibiotic treatments can take up to seven days for completion. However, according to Dr. Holly L. Thacker, a new one-day treatment has just been approved by the FDA. For those women wondering how to cure bacterial vaginosis in one day, this is currently the only way to cure bacterial vaginosis in one day.
One of the most common treatments for bacterial vaginosis is the use of Metronidazole gel. In fact, some common symptoms of the gel include darkening of urine and a white clumpy discharge that goes away after being treated. Bacterial vaginosis is a bacterial infection that causes an overgrowth of harmful bacteria in the vagina. Metronidazole vaginal gel or clindamycin vaginal cream placed inside the vagina can be used if you prefer this type of treatment, or if you experience unpleasant side-effects with metronidazole tablets.
These treatments are believed to be almost as effective as antibiotics by mouth. Note : as with metronidazole tablets, you should avoid alcohol while using metronidazole gel and for at least 48 hours after stopping treatment, although the tendency of the gels to make you feel sick are not as noticeable as for the tablets. Vaginal creams and gels can weaken latex condoms and diaphragms. Therefore, during treatment and for five days after treatment with clindamycin vaginal cream, do not rely on condoms or diaphragms to protect against pregnancy and sexually transmitted infections STIs.
Other antibiotic tablets taken by mouth are also sometimes used to treat BV. These are clindamycin tablets or tinidazole tablets. Some women with BV say that things settle more quickly and symptoms are eased by applying a thin coat of plain, live yogurt to the outside of the vagina daily, and by applying a small amount of plain live yoghurt on a tampon for internal use before bed. The evidence that live yoghurt is helpful in treating or preventing BV is mixed, with some trials saying that it is helpful and some saying that it is not helpful.
Overall specialists feel that there is not enough evidence in its favour to suggest it over other treatments. Treatment with acetic acid gels aims to keep the vaginal pH at less than 4. Some studies have suggested that long-term use of vaginal acidifiers of this type reduces recurrences of BV. However, other studies suggest that this treatment, whilst harmless, is not effective.
Orally consumed probiotics are believed to reach the vagina via the bowel. There is some evidence that this can be helpful in treatment and in prevention of BV.
These studies suggest treatment needs to continue for at least two months. Other studies don't show a clear benefit. Overall, specialists feel that there is not enough evidence in its favour to suggest it over other treatments. Intravaginal lactobacillus treatment seems as though it ought to be an obvious solution - why not put the right bacteria where they are meant to go? However, results of studies on vaginal treatments with lactobacilli are also mixed, with some studies suggesting this treatment is effective and others not.
There is no evidence that treating a male sexual partner prevents his female sexual partner from developing BV. One small trial looked at whether using a sterilising alcohol gel on the penis protected their partners against BV - but the gel appeared to make BV more, rather than less, common in the women.
If you have a female partner then it does appear that treating her for BV at the same time as you - even if she doesn't have symptoms - will prevent recurrence in either of you.
After treatment, you do not need any further tests to ensure that BV has cleared a test of cure provided that your symptoms have gone.
If you are pregnant, it is suggested that you do have a test one month after treatment to ensure that BV is no longer present. A sample a swab of the discharge in your vagina is taken.
This is tested to check you no longer have BV. If you have persistent BV ie it does not settle down with the first treatment you try then your doctor may want to take further vaginal swabs to check whether there is another cause of the discharge.
However, the underlying mechanisms of recurrent etiology of BV are not known. Recommended treatment for recurrent BV consists of an extended course of metronidazole treatment mg twice daily for days ; if ineffective, metronidazole vaginal gel 0. Past studies of clindamycin and tinidazole in the treatment of recurrent BV have focused on patients with evidence of metronidazole resistance.
Accessed April 22, Mayo Clinic; Pruthi S expert opinion. Mayo Clinic, Rochester, Jan. Obstetrics and Gynecology. Reaffirmed Frequently asked questions. Gynecologic problems FAQ American College of Obstetricians and Gynecologists. Sexually transmitted diseases treatment guidelines, Sobel JD.
Bacterial vaginosis: Treatment.
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