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New Hope for Battling Recurrent Bacterial Vaginosis: Extended Treatment Options
Published: Mar 06, 2024
For women struggling with recurrent bacterial vaginosis (BV), standard treatments often fall short. Let's explore some promising extended treatment options that could finally break the cycle of infection.
The Extended Metronidazole Regimen
One approach gaining traction is the extended metronidazole regimen. This involves a week of standard treatment followed by twice-weekly use of metronidazole gel for several months. Think of it like a long-term training program for your vaginal health - it takes time and consistency to see results.
The Boric Acid Boost
Another option combines oral antibiotics with vaginal boric acid suppositories. Boric acid helps disrupt the bacterial biofilm that can make BV hard to treat. It's like adding a power scrubber to your cleaning routine - sometimes you need that extra oomph to get things truly clean.
Maintenance Therapy: Keeping the Balance
After initial treatment, some doctors recommend maintenance therapy to prevent recurrence. This might involve using metronidazole gel twice a week for several months. It's similar to how you might take a daily vitamin to maintain your overall health - a little ongoing care can go a long way.
Promising Future Treatments
Researchers are exploring new treatments like vaginal probiotics and even vaginal microbiome transplants. These approaches aim to restore a healthy balance of bacteria in the vagina. Imagine replanting a garden with beneficial plants to crowd out the weeds - that's the basic idea behind these innovative therapies.
Frequently Asked Questions
Typically 4-6 months, but it can vary.
Yes, when used vaginally as directed, but never take it orally.
Coverage varies, check with your provider.
Most women tolerate it well, but discuss concerns with your doctor.
It's often recommended to use condoms or abstain during treatment.
A Tailored Approach
Extended treatments offer new hope for women with recurrent BV, but finding the right approach may take time and patience.
References
- Sobel JD, et al. Suppressive antibacterial therapy with 0.75% metronidazole vaginal gel to prevent recurrent bacterial vaginosis. Am J Obstet Gynecol 2006; 194:1283.
- Reichman O, et al. Boric acid addition to suppressive antimicrobial therapy for recurrent bacterial vaginosis. Sex Transm Dis 2009; 36:732.
- Cohen CR, et al. Randomized Trial of Lactin-V to Prevent Recurrence of Bacterial Vaginosis. N Engl J Med 2020; 382:1906.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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