Women's Health

How to Cure Bacterial Vaginosis Effectively?

Written by Dr. Vasantha K S and medically reviewed by Dr. Veena Madhankumar

 

There are both good and harmful bacteria present in a healthy vagina. They live together in a delicate balance. But, certain situations can cause the number of harmful bacteria to go up and cause trouble. This condition is known as bacterial vaginosis (BV).

Causes

Bacterial vaginosis is caused by an imbalance in the levels of any of the naturally occurring bacteria such as Lactobacillus, Bacteroides, Peptostreptococcus, Fusobacterium, Eubacterium, etc.

Signs and Symptoms

  1. Excessive vaginal discharge which is thin and watery in consistency and greyish white in color.
  2. Foul odor in the vagina.
  3. Noticeably increased discharge and fishy odor after sexual intercourse.
  4. Increased vaginal pH.

Risk Factors

The situations which increase the risk of a woman developing BV are as follows:

  • Being sexually active.
  • Having a new sex partner.
  • Having multiple sex partners.
  • Cigarette smoking.
  • Vaginal douching.
  • Using intrauterine birth control devices.
  • Engaging in oral sex.
  • Engaging in anal sex.
  • Antibiotic usage.
  • Use of vaginal deodorants.

Investigations

  • Pelvic examination.
  • Manual examination of ovaries and uterus.
  • Swab sample examination.
  • Whiff test.

Treatment

Antibiotic tablets and gels are prescribed by the doctor to treat the condition. Metronidazole is the antibiotic of choice. But, if the infection recurs, Clindamycin or Tinidazole may be prescribed. The duration of the antibiotic course may vary from one-day or five-day to a seven-day course depending on the severity and rate of recurrence of the infection.

It is not necessary for male partners to be treated simultaneously but female partners with symptoms are to be treated simultaneously as it can pass on from one woman to another.

Last reviewed at: 11.Mar.2019

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Related Questions & Answers


Am I having recurrent BV because of unprotected sex?
Query: Hello doctor,I have recurring BV and I do not know why. I have stopped taking baths, I do not douche, I never use any scented products. I am in a monogamous relationship. I just realized that my fiance washes his penis with shampoo, and we have unprotected sex. Could this be why I cannot seem to get...  Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
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Answer: Hi, Welcome to icliniq.com. BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available ov...  Read Full »
 
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Dr. Tara Devi
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Answer: Hi, Welcome to icliniq.com. BV (bacterial vaginosis) is not a sexually transmitted infection. You must be having associated fungal infections causing itching. Take tablet Metronidazole 400 mg three times daily for one week. Take capsule Clotrimazole vaginal pessary at bedtime for a week. Drink ple...  Read Full »
 
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Query: Hi doctor, My aunt is 31 years old and had her uterus removed 11 years ago. From then she never had the periods nor any discharge. It was all alright until a month ago. She had suddenly started experiencing waterlike vaginal discharge which is little smelly, and it hurts in stomach sometimes. When s...  Read Full »
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Answer: Hi, Welcome to icliniq.com. If there were few more facts about your aunt regarding the indication for uterus removal, any follow-ups, diabetic status, her sexual life, etc., would have been helpful. At the age of 31 years, the most probable cause is an infection. I put forth the possibilities a...  Read Full »
 
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Answer: Hi, Welcome to icliniq.com. How are you doing? Vaginal infection, which is transmitted during sex (so partner is the source), so both have to be treated at the same time or else you will get infected again during sex. You may have white or yellow or grayish discharge with or without itching, foul...  Read Full »
 
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Answer: Hello, Welcome to icliniq.com. Please do not use Terbinaforce plus cream anywhere on the body. Do not even think of using it on your genitals. Terbinaforce plus cream (Clobetasol Topical, Ofloxacin Topical, Ornidazole Topical and Terbinafine Topical) has a potent steroid in it. They would further...  Read Full »
 
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Answer: Hi, Welcome to icliniq.com. Please get yourself checked by a gynecologist internally. Also, get a vaginal swab test done. I suggest you apply the Candid B cream (Clotrimazole and Beclomethasone dipropionate) locally till then. Please consult your doctor, discuss with him or her and take the medicin...  Read Full »
 

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