Bacterial Vaginosis (Causes, Symptoms, Treatment) (cont.)

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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 and include:

  • metronidazole (Flagyl) taken by either oral (pill) form or vaginally metronidazole gel (Metrogel). 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.
  • vaginal clindamycin cream (Cleocin)
  • tinidazole (Tindamax) is an antibiotic that appears to be effective in treating bacterial vaginosis, and may have fewer side effects than metronidazole.

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.

Are there home remedies for bacterial vaginosis?

Bacterial vaginosis is treated with antibiotics (see treatment section). There are no effective home remedies that can treat the condition, although sometimes it may resolve on its own without treatment.

The use of probiotics has been attempted in the treatment of bacterial vaginosis, but results have been inconsistent and do not show a clear benefit.

Medically Reviewed by a Doctor on 12/4/2014

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