Three Common Treatments for Bacterial Vaginosis

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Doctors typically prescribe three common treatments for bacterial vaginosis (BV), an abnormal vaginal condition characterized by an unusual vaginal discharge and a strong fishy odor which is brought on by a severe disruption in the normal bacterial make-up of the vagina.

In nearly 25% of bacterial vaginosis cases the condition will go away on its own. This means 75% of women who suffer with BV either put up with the symptoms or seek treatment. It is always a good idea to seek treatment if you believe you have bacterial vaginosis because there are serious health risks associated with BV.

Three Prescribed Antibiotic Treatments for Bacterial Vaginosis


1. Metronidazole - The oral form of this drug is probably the most common of the prescribed antibiotic treatments for bacterial vaginosis. Potential side-effects and warnings typically associated with this drug include:
  • Serious hangover symptoms, nausea, and vomiting can occur for the person who drinks alcohol while taking Metronidazole in its oral form & possibly up to 3 days afterward
  • A bitter, metallic taste is also a common side-effect
  • Doctors normally do not prescribe the oral form of this drug to women in their first trimester of pregnancy because it has been linked to birth defects

Metronidazole also comes in a topical formulation. 

2. Clindamycin - This is one of a few potential treatments for bacterial vaginosis prescribed as a topical cream or suppository. Do not take this drug orally because it has been linked to very serious intestinal conditions and infections.

3. Tinidazole – This is prescribed in an oral form and has similar side-effects to that of oral Metronidazole (see above).

It is important to take note of the potential hazards of some of the antibiotics mentioned above. It is apparent from some of the side-effects and warnings surrounding these antibiotics that anyone taking them, especially in the oral forms, really needs to be diligent or potentially face some fairly unpleasant to very serious effects.

Antibiotics are not 100% guaranteed as treatments for bacterial vaginosis. Topical creams seem to be the least effective of the two types of antibiotic treatments. Some will experience the elimination of symptoms, while others will not.

Unfortunately, many of the women who initially have success with these antibiotic treatments for bacterial vaginosis experience a recurrence of BV later on. Sometimes the recurrence occurs within two to four weeks and in other cases it may not come back for several months.

The bottom line is that antibiotics can be somewhat ineffective treatments for bacterial vaginosis, leaving many women to experience chronic bacterial vaginosis and looking for answers & treatments outside of conventional medicine.
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