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Treating Bacterial Vaginosis: What Are Your Options?
Published: Sep 04, 2023
Bacterial vaginosis (BV) is a common vaginal infection that can be effectively treated with antibiotics. Understanding your treatment options can help you make informed decisions about your health.
Oral Antibiotics
The most common oral treatment for BV is metronidazole. It's typically taken twice a day for 7 days. Another option is tinidazole, which can be taken once daily for 2-5 days. These pills work throughout your body to fight the infection. While effective, they can cause side effects like nausea or a metallic taste in your mouth.
Vaginal Treatments
Vaginal treatments include metronidazole gel and clindamycin cream. These are applied inside the vagina using an applicator, usually for 5-7 days. They tend to have fewer side effects than oral antibiotics because less medication is absorbed into your bloodstream. However, they can weaken latex condoms and diaphragms.
Single-Dose Options
Some newer treatments offer the convenience of a single dose. Secnidazole is a one-time oral treatment that comes as granules you mix with soft food. There's also a single-dose vaginal gel form of metronidazole. While these options are easier to use, they may be more expensive and aren't always as effective as multi-day treatments.
Frequently Asked Questions
Symptoms often improve within 2-3 days.
It's best to avoid alcohol, especially with oral metronidazole.
See your doctor, you may need a different treatment.
Most haven't been proven to work for BV.
It's best to avoid tampons until treatment is finished.
Making Your Choice
The best treatment for you depends on your preferences, medical history, and how you've responded to past treatments.
References
- Workowski KA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021;70:1.
- Schwebke JR, et al. A Phase 3, Multicenter, Randomized, Double-Blind, Vehicle-Controlled Study Evaluating the Safety and Efficacy of Metronidazole Vaginal Gel 1.3% in the Treatment of Bacterial Vaginosis. Sex Transm Dis 2015;42:376.
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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