Bacterial Vaginosis - Treatment

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What is the treatment for bacterial vaginosis?

While up to 1/3 of cases of bacterial vaginosis may resolve on their own, it is recommended that medical treatment be given if symptoms are present or during pregnancy to avoid the development of complications. Antibiotics are the recommended treatment for bacterial vaginosis. A few antibiotic remedies are routinely used. Metronidazole (Flagyl) taken by either oral (pill) form or by vaginal metronidazole gel (Metrogel) is an effective treatment. Also available is the vaginal clindamycin cream (Cleocin). The oral metronidazole can cause some minor but unpleasant side effects, but is believed to be the most effective treatment. The gels do not typically cause side effects, although yeast vaginitis can occur as a side effect of the medication.

Tinidazole (Tindamax) is an antibiotic that appears to have fewer side effects than metronidazole and is also effective in treating bacterial vaginosis.

Recurrence of bacterial vaginosis is possible even after successful treatment. More than half of those treated experience recurrent symptoms within 12 months. It is unclear why so many recurrent infections develop. With recurrent symptoms, a second course of antibiotics is generally prescribed.

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Comment from: Happy Girl, 25-34 Female (Patient) Published: December 05

I'm a former BV (bacterial vaginosis) sufferer and I came back to this thread to leave a testimony. I've been to numerous sites and forums and I have read about all kinds of things that women have tried to rid themselves of this awful condition. First of all, when BV is at its worse, it is impossible to treat with home remedies. I've tried almost every home remedy including the acidophilus tablets, peroxide, tea tree oil, Femmesil, tampons soaked in yogurt, eating yogurt, drinking cranberry juice, etc. None of these actually cured my BV or lessened the symptoms. When I went to my doctor a year ago she prescribed Flagyl. It cleared my BV right up. To my dismay, my boyfriend and I had sex and I noticed that my symptoms began to return. This time it seemed even worse. The smell and the abundant discharge had returned. I also noticed that using tampons caused me to actually bleed longer and was intensifying the BV. When using latex condoms, the BV was at its worst. I went back to the doctor who said I had a touch of yeast with my BV and she prescribed Flagyl and Diflucan. After two days my symptoms were gone and BV and yeast were cleared. Long story short, I eliminated latex condoms and unprotected sex because in both the cases my BV was triggered by the semen. I also stopped using tampons and switched to a non-latex condom. Not only has my BV been gone for almost a year, my vaginal flora is at its best and has resisted even the occasional pesky yeast infection. I also don't take any pills or do any yogurt to keep it away. It just stays away because my vagina is at its best health. That's not to say that some of these methods don't make a good preventative but I had BV for a long time and I have eliminated it by finding the cause.

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Comment from: klc49er, 55-64 Female (Patient) Published: January 14

My doctor tried to treat my bacterial vaginosis (BV) with the normal medications for this type of infection, but it got worse. She said that I had to see a gynecologist and she would get the authorization from my insurance. I had a hysterectomy in my 20s and I am now 56 and have had major vaginal issues in the past 5 years. They tell me it is normal. I did some research while I wait to see the gynecologist and it said to take odor free garlic pills. I take the 2000 mg 3 times per day and I made a mixture of garlic powder mixed with hot water in a spray bottle and I spray that on the area and it seems to have brought the inflammation down a bit. I was so swollen I couldn't walk because my vulva lips rubbed against my thighs making it very painful. I have only started the garlic method 3 days ago and already see and feel a big difference. You can also take minced garlic and the anti-itch cream and mix it together and put as much as you can on a tampon and insert in vagina for 2 to 3 hours. I see my gynecologist on Monday but I hope by tomorrow night I have it cleared up. I have had this for 3 1/2 long months and I have never had it this bad. I say, try the garlic method because I have had more response with this than I have had with any medications.

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