Does Bacterial Vaginosis Come Back After Treatment?

Yes, bacterial vaginosis frequently returns after treatment, with recurrence rates ranging from 15-30% within three months. The condition often comes back because antibiotics eliminate both harmful and beneficial bacteria, disrupting the vaginal microbiome balance. Studies show that up to 50% of women experience repeat infections within 12 months of initial treatment. Recurrence is more likely in women who are sexually active, use douches, or have multiple partners. Risk factors include smoking, stress, and hormonal changes during menstruation. To reduce recurrence, maintain proper hygiene, avoid douching, wear breathable cotton underwear, and complete the full antibiotic course as prescribed.