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Bacterial vaginosis (BV) is a common and very annoying vaginal infection. Luckily, prescription antibiotics like Clindamycin or Metronidazole offer quick and effective relief.
We can provide Metronidazole in gel or tablet form for effective bacterial vaginosis treatment
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Written by Dr Kimberly Langdon, MD
Information last reviewed 06/21/19
Bacterial vaginosis (BV) is a common bacterial infection of the vagina. It is caused by an imbalance of the microbes that are found naturally inside the vagina. The vagina contains lactobacilli, a type of bacteria that produces lactic acid and helps to prevent other bacteria from growing. If other bacteria, such as gardnerella vaginalis, enter the vagina, they can harm the lactobacilli, allowing other more problematic bacteria to grow. This can lead to the symptoms of bacterial vaginosis i.e. irritation, fishy odor and vaginal discharge. Bacterial vaginosis is usually treated by antibiotics which can be taken orally e.g. Metronidazole or applied as a cream inside the vagina .e.g. Dalacin (Clindamycin) or Zidoval (Metronidazole) Cream.
A healthy vagina contains a number of lacto acidic environment inside the vagina that helps to prevent other bacteria from growing and causing an infection. Bacterial vaginosis is caused by other bacteria entering the vagina and damaging the lactobacilli. This alters the acidity of the environment allowing other bacteria to grow and producing the symptoms of irritation, fishy odor and vaginal discharge.
50% of women with bacterial vaginosis do not experience any symptoms and you do not have to experience all of these symptoms to have bacterial vaginosis. However, the signs and symptoms of bacterial vaginosis include:
A diagnosis of bacterial vaginosis is made by asking about your symptoms, but often involves a physical examination and a swab test to rule out STIs that could cause similar symptoms.
You will be asked about which symptoms you are experiencing i.e. irritation, fish odor, vaginal discharge, when you noticed these symptoms and how long you have been experiencing them. You may also be asked questions about your sexual activity and how this could relate to your symptoms.
A doctor may want to examine your vagina to check for the following:
A swab may be taken from inside the vagina - this is usually done to rule out STIs. A lab test may be done to test the acidity of the vagina, as a slightly more alkaline environment may indicate infection. There may also be a microscopic examination of the discharge to look for cells from the surface of the vagina that have bacteria attached to their surface.
There are various factors that may increase your likelihood of getting bacterial vaginosis. These risk factors include:
The first step to combat bacterial vaginosis is to avoid any contributing factors such as douching, tampons, bubble baths etc. This should help make it easier for your body to return to its normal healthy state.
Antibiotics are the best treatment for bacterial vaginosis. Metronidazole and Clindamycin are the preferred medications. Both are available as topical creams that are applied directly inside the vagina. But oral Metronidazole tablets are usually the first-line treatment.
Probiotics containing lactobacilli have also shown some promise in resolving bacterial vaginosis for short periods of time, but avoiding risk factors and a course of antibiotics are usually required for recurrent bacterial vaginosis.
Discharge
White or Grayish
White
Smell
Fishy odor - usually worse after sex
Odorless
Pain
Generally painless
Pain during sex and urination
Other Symptoms
Some irritation is possible
Itching, burning, irritation
Sexual Transmission
Often transmitted sexually - much more common in sexually active women.
Rarely transmitted sexually
No, in fact, douching makes a woman more prone to BV and other problems. This is because douching can harm the natural balance of bacteria in your vagina, making it more likely that you will experience bacterial vaginosis and other infections such as a yeast infection.
Not the inside of the vagina, only the external surfaces should be cleaned with mild warm water and rinsed. The vagina is naturally self-cleaning. Use of soaps - especially scented products - can upset the natural balance of bacterial and acidity that help to keep the vagina clean and healthy.
No, the vagina normally produces a clear, white, or slightly yellow discharge. Most women will experience some form of vaginal discharge every day. The consistency and color of discharge can change over the duration of the menstrual cycle, becoming thicker during ovulation. You only need to be concerned about vaginal discharge if any of the following factors apply:
Disclaimer: This is not medical advice. You and your physician will determine if and how you should take any medication prescribed to you following a medical consultation.
It is estimated that 3 out of 10 women who have been treated for BV have a recurrence of symptoms within 3 months and more than half experience a recurrence within 12 months.
First and foremost, it’s not a good idea. We’ll tell you why in a bit. But first, here’s a little background on what this practice is and how it came about. It goes by many different names — including chai-yok, ganggang, yoni steaming, bajos, V-steam, and Venus smoke — as has been a common practice in parts of Asia for several centuries.
Bacterial vaginosis (BV) is a vaginal infection that’s one of the most common vaginal health issues for women in most countries. According to some studies, over 30% of all American women in the age group of 14 to 49 will get at least one BV outbreak per year. It’s not a sexually transmitted infection (STI) and only about 15% of women with BV will notice symptoms. In contrast, the vast majority of cases usually develop and disappear unnoticed as there aren’t any symptoms or only weak ones. BV’s rate of occurrence often depends on a woman’s ethnic background. In the U.S., African American women face the highest risk of getting BV.
Gardnerella (Gardnerella vaginalis is the full scientific name) is a bacteria that can be found in the vagina and, much more rarely, in the urethra of men. It even occurs in healthy vaginas — that is vaginas with a healthy bacterial balance — but only in small quantities that don’t do any harm.
Bacterial vaginosis (BV) is a vaginal bacterial infection that in the U.S. is found in about 30% of women of reproductive age. It’s the most common vaginal infection and appears more often in women who are sexually active. But it’s not considered a sexually transmitted infection (STI). Women of some ethnic groups are more affected than others. In the U.S., BV is most frequently found among African American women.
Bacterial vaginosis (BV) is a common condition that, in any given year, occurs in close to one-third of women aged 14 to 49 in the U.S. population. It actually is the #1 vaginal infection, even though it isn’t considered a sexually transmitted infection (STI). Fortunately, only ~15% of affected women develop symptoms. The remaining 85% of cases typically go undiagnosed because women usually don't know they have BV unless it’s revealed through testing (vaginal swabs). The prevalence of BV varies between different ethnic groups — for example, African American women are more likely to develop BV than other groups.
Probiotics is a collective term for microorganisms — more precisely acidic bacteria found in fermented dairy products and fermented veggies such as kimchi and sauerkraut — that are believed to be beneficial to the body, especially the bacterial flora of the digestive system. The concept that probiotics are good for you dates back to the early 1900s when it was first proposed that eating fermented yogurt enhances longevity, thanks to its lactic acid bacteria (lactobacillus). Today, probiotic supplements and food products have grown into a $40 billion market.
Metronidazole is used to treat bacterial infections, and it comes in a few different forms. The most commonly prescribed forms are tablets and a gel application. Both of these are used to treat a variety of infections, offering much the same benefit and outcomes in most patients. However, since their cost tends to be quite different, with the gel costing about ten times as much as the oral tablet, it is worth comparing the two to see which one would be more effective.
Metronidazole is the generic name of the more commonly known drug Flagyl. This drug is an antibiotic that is used to fight infections all throughout the body. In particular, it combats infections of the vagina, joints, skin, respiratory system and stomach. It won’t be able to treat every kind of infection, but it does well at treating a number of parasitic and bacterial problems.
In this article, we venture down south and check in with what makes up a healthy vagina, and warning signs that mean you ought to make an appointment with your gynecologist, pronto.
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