The best treatments for bacterial vaginosis
One of the best prescription treatments for BV is an antibiotic called metronidazole. You can take it as a pill or mousse. The Centers for Disease Control and Prevention ( CDC ) recommends the adopt doses :
- Pill. 500 milligrams taken orally twice per day for 7 days.
- Gel. 5 grams inserted into the vagina once per day for 5 days.
If you have BV that keeps coming back, your doctor may prescribe 500 milligrams of oral medicine for 10 to 14 days. Another option is to use vaginal gel for 10 days, then twice per week for 3 to 6 months .
Clindamycin is another effective prescription drug treatment for BV. It ’ s an antibiotic that you can take as a pill, cream, or ovule suppository. An ovule suppository is a capsule that ’ south inserted into the vagina According to the CDC, the commend doses for clindamycin are as follows :
- Pill. 300 milligrams taken orally twice per day for 7 days.
- Cream. 5 grams inserted into the vagina at bedtime for 7 days.
- Ovule suppositories. 100 milligrams inserted into the vagina at bedtime for 3 days.
Clindamycin cream and ovules contain petroleum, which may weaken latex products like condoms and diaphragm. This effect can last 72 hours for ovules, and 5 days for cream .
It ’ s possible to develop adverse side effects to metronidazole or clindamycin. In this event, your repair may prescribe tinidazole alternatively. Tinidazole is besides an antibiotic that you can take as a pill. For BV, there are two recommend doses :
- 2 grams orally once per day for 2 days.
- 1 gram orally once per day for 5 days.
Another option is secnidazole. This is an antibiotic that you can take in one venereal disease. Secnidazole is available as granules that you can consume orally. The commend dose is one dose of 2 grams. You can take the granules by mixing them with unsweetened folderol or yogurt first. Secnidazole is significantly more expensive than other treatments. however, it may be a good option if you prefer a single-dose treatment .
Probiotics are estimable bacteria. Taking probiotic supplements may help introduce goodly bacteria into your body. According to a 2014 review, which focused on the effects of probiotics on bacterial vaginosis, there ’ s tell that taking probiotic supplements day by day may help treat and prevent BV. If you have BV, try taking probiotics daily to help treat and prevent future cases of this condition. Probiotics are available in pill or liquid form. If you ’ ve been prescribed an antibiotic for BV, behave in mind that antibiotics can kill off the adept bacteria equally well as the regretful. probiotic supplements and yogurt can help replace good bacteria that ’ mho destroyed by antibiotics. You can purchase probiotic supplements from pharmacies, health food stores, stores that sell supplements, or on-line .
Garlic has firm antibacterial properties, and it ’ s long been used as a home remedy for BV. You need to take garlic orally for BV treatment. Taking it vaginally has been known to burn vaginal tissue. A 2014 study compared the consumption of garlic tablets and oral metronidazole, an antibiotic, in treating the stipulate. The study results showed that taking a garlic addendum pill could be an choice for treating BV .
7. Boric acid
Boric acid vaginal suppositories are normally used to treat BV, according to a 2019 review. Please notice that boric acerb is not comestible — it ’ randomness toxic to eat. Store it away from children and animals. It ’ s besides not safe to use if you ’ rhenium meaning. however, it ’ mho safe to use boric acid in the vagina. A 2015 analyze found that it ’ s adenine effective as some checkup approaches to treatment. In a 2009 sketch, a combination of suppressive antimicrobial therapy and intravaginal boric acid were used to treat recurring BV in 58 women. Study results showed vary levels of successful treatment, which was defined as achieving remittance. The levels of success were categorized based on the makeup of the path of treatment .
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How to reduce your risk of bacterial vaginosis
According to the CDC, experts hush don ’ thymine fully understand how BV spreads. But in general, anything that changes the chemical counterweight in your vagina can increase your risk of BV. For example, these steps may lower your gamble of BV :
- Avoid using scented tampons or pads, or any other perfumed menstrual products.
- Avoid douching — this can disrupt the natural balance of vaginal bacteria and increase the chance of infection. If you already have an infection, douching can make it worse.
- Wear breathable cotton underwear that isn’t too tight.
- Limit the number of sexual partners you have.
- Use latex condoms or another barrier method every time you have sex.
- Don’t sit around with a wet bathing suit or damp clothes. BV spreads more easily in moist environments.
- Wipe carefully after a bowel movement to avoid spreading germs from your anus to your vagina.
When to call your doctor
If your symptoms haven ’ t resolved or started to clear up after a workweek of discussion, make an appointee with your doctor or gynecologist. besides, contact a doctor if you have :
- recurring BV
- new or worse vaginal discharge
- new or worse itching
- vaginal sores
Try to make your appointee on a day when you won ’ t have your time period. This allows your doctor to take a dab of your vaginal free for testing. You can reserve an appointment with an OB-GYN in your area using our Healthline FindCare cock .
Frequently asked questions about bacterial vaginosis
Is bacterial vaginosis contagious?
BV is not considered to be an STI. But arouse increases your risk of developing the infection. If a person with BV has sex with another person with a vagina, the partner may need treatment .
What is the quickest way to treat bacterial vaginosis?
The fastest way to treat BV is to visit your doctor and get a prescription to treat the condition. A prescription treatment will probably clear up your symptoms in 2 to 3 days. If you ’ rhenium meaning or undergo any medical procedures, it ’ s specially crucial to have your BV taken manage of preferably rather than belated. Your doctor may prescribe an oral or vaginal antibiotic, like clindamycin, metronidazole, or tinidazole .
Can bacterial vaginosis go away on its own?
It ’ s possible for BV to go away on its own, but it ’ s normally not worth the expect. If it does go away on its own, it may take around 2 weeks to resolve, and then keep coming back. During that prison term, you ’ five hundred be dealing with unpleasant symptoms .
How long does bacterial vaginosis last?
After seeing your doctor and starting discussion with a prescribed medication, your symptoms will likely start improving within 2 to 3 days. however, it ’ second important to continue taking your medicine for the order time period of clock time, flush if your symptoms have gone away. This will help ensure that the infection has completely cleared up, which typically takes about 7 days .
Should you be treated for bacterial vaginosis if you’re pregnant?
If you ’ rhenium fraught, get treatment for BV vitamin a soon as possible. That ’ mho because BV can increase the gamble of early delivery and other complications. It ’ second dependable to take antibiotics for BV while you ’ re fraught .
What is the difference between a yeast infection and bacterial vaginosis?
BV and vaginal yeast infections have like symptoms but different causes and treatments. Both cause excitement of the vagina, besides known as vaginitis. One of the differences between BV and a yeast infection is that BV produces a fetid, “ fishy ” olfactory property, while a yeast contagion produces no vaginal smell. additionally, a yeast infection may cause inflammation and inflammation of the vulva, while BV doesn ’ thymine produce such symptoms. To determine whether a vaginal infection is BV or a yeast infection, a doctor may :
- ask about your medical history, including previous vaginal infections
- perform an examination to look for signs of infection and vaginal discharge
- take a sample of the discharge for analysis, to see whether an overgrowth of harmful bacteria or fungi is present
- test the pH of the vagina — according to a 2018 review, a pH of 4.5 or above can be an indication of BV
The bottom line
Although mild cases of BV may resolve on their own, treatment can help lower the risk of complications. The best options are prescription antibiotics. These include metronidazole and clindamycin, which you may take as a pill or skim. In some cases, your doctor might prescribe tinidazole or secnidazole. These medications are besides antibiotics. Taking probiotics, garlic capsules, and boric acidic may besides help. Though your symptoms might get better within a few days, be indisputable to take all your medication as directed. This will ensure that your infection has completely resolved. If you have recurring BV, employment with your repair to find long-run solutions .