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Treatment for Bacterial Vaginosis

Bacterial vaginosis may be harmful, but before you choose any treatment for bacterial vaginosis, you should know about these first.

  • Bacterial vaginosis symptoms may go away on their own. This happens when the vaginal lactobacilli organisms increase to their normal levels, and other bacteria levels drop.
  • If bacterial vaginosis get worse, you should ask your doctor and discuss about the medication because some drugs go worse to several woman. But almost all women with bacterial vaginosis use antibiotic medicine.

To treat bacterial vaginosis, your doctor may prescribe one of the following medications.

1. Metronidazole (Flagyl, Metrogel-Vaginal, others)
This medicine may be taken orally — as a pill that you swallow — twice a day for seven days. Metronidazole is also available for use topically, as a gel that you insert into your vagina for five to seven days. To avoid the potential for stomach upset, abdominal pain or nausea while using this medication, stay away from alcohol for the duration of the treatment.

2. Tinidazole (Tindamax)
This medication is taken orally once a day for two to five days, depending on the prescription’s strength. Tinidazole has the same potential for stomach upset and nausea as does oral metronidazole.

3. Clindamycin (Cleocin, Clindesse, others)
This medicine is available as a cream that you insert into your vagina for seven days. One effect of using clindamycin cream is that it may weaken latex condoms, and that effect persists up to five days after you stop using the cream.

For some women, bacterial vaginosis goes away without treatment. But when it does not go away even with treatment, bacterial vaginosis is frustrating and troublesome. And it can lead to preterm labor if you have it during pregnancy. If present during pelvic surgery or invasive vaginal procedures, bacterial vaginosis makes the reproductive tract vulnerable to infection or inflammation, which has been linked to such problems as pelvic inflammatory disease (PID). So your doctor will test and treat you with antibiotics for bacterial vaginosis if you are:

  • Having persistent symptoms.
  • Pregnant and have symptoms.
  • Pregnant with no symptoms, but have a history of preterm labor (before 37 completed weeks of pregnancy) that may have been related to infection.
  • Planning to have a hysterectomy or surgical abortion. Treating bacterial vaginosis with antibiotics beforehand greatly lowers your risk of getting a serious infection afterward.

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