I have bacterial vaginosis that recur. What medication can help me?

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on your symptoms, discharge with odor and itching, and it sounds like your previous history of bacterial vaginosis (BV) that responded to Metronidazole gel, this does sound consistent with a recurrence of BV.

A three-day duration is not unusual, but since the symptoms are bothersome, treatment will likely be needed.

The most likely cause can be recurrent bacterial vaginosis due to overgrowth of vaginal bacteria. Some other possible causes to consider are:

1. Candida (yeast) infection.

2. Mixed vaginitis.

3. Irritant vaginitis.

Recommended tests for you now are:

1. Vaginal swab or culture.

2. Vaginal pH testing and microscopy are seen in the clinic.

Until your gynecologist is back, the best approach is supportive care:

1. Keep the area clean and dry.

2. Avoid douching.

3. Avoid perfumed soaps, washes, or feminine hygiene products.

4. Wear cotton underwear.

5. Probiotic-rich foods may be helpful.

6. Do not start antibiotics without a prescription.

Once your gynecologist is available, they may prescribe Metronidazole gel again or an oral course, depending on the severity and exam findings. If BV continues to recur, longer or suppressive treatment may sometimes be recommended.

Please follow up with your gynecologist when they return so you can receive the appropriate prescription. If you can obtain any swab results, you can share those as well.

I hope this helps. Follow up with me for more queries. I am here to help you.

Thank you.