Can BV last for months if untreated?

Once you start treatment with a simple course of antibiotics, the symptoms of bacterial vaginosis (BV) usually go away within two to three days. While in some cases it can resolve on its own without treatment, it can take longer to clear up and it can come back.

What happens if BV goes untreated for months?

Most often, BV does not cause other health problems. However, if left untreated, BV may increase your risk for: Sexually transmitted diseases (STDs) like herpes, chlamydia, gonorrhea, and HIV. Pelvic inflammatory disease where BV bacteria infect the uterus or fallopian tubes.

Can BV go on for months?

For people who initially improve after initial BV treatment, approximately 1 in 3 will have a recurrence of BV symptoms within three months, and more than half will have a recurrence of symptoms within 12 months. Symptoms may return because of a new infection or relapse (return) of the prior infection.

Can you have BV for a year and not know?

Most girls with BV don't notice any symptoms, so they might not know they have it and might not get treated. BV may be mild, but must be treated to prevent other problems. Doctors and nurse practitioners can diagnose and treat BV to make sure you stay healthy.

How come my BV won't go away?

BV may return if you did not complete your course of antibiotics. However, even if you have completed a full course of antibiotics, BV returns within three months in many women. If it does come back, a repeat course of antibiotics will usually be successful.

Understanding Bacterial Vaginosis

Can BV stay forever?

Some women suffer from chronic (recurring) bacterial vaginosis. Medicine can clear up the infection, but it returns again after a few weeks. Some women report that bacterial vaginosis returns after their period each month. Or it can return after they have sex.

What does untreated BV feel like?

Thin, gray, white or green vaginal discharge. Foul-smelling "fishy" vaginal odor. Vaginal itching. Burning during urination.

What happens if you have chronic BV?

Women living with recurrent BV have a higher chance of developing other vaginal and uterine infections (especially after surgeries like a hysterectomy or dilation and curettage), contracting STIs like gonorrhea and chlamydia, and acquiring and transmitting HIV.

How do you treat long term BV?

Recommended treatment for recurrent BV consists of an extended course of metronidazole treatment (500 mg twice daily for 10-14 days); if ineffective, metronidazole vaginal gel 0.75% for 10 days, followed by two times per week for 3-6 months, is an alternate treatment regimen.

How long BV last without treatment?

Bacterial vaginosis is an infection of the vagina that may cause a fishy-smelling discharge. It's usually a mild problem that may go away on its own in a few days.

How long can BV linger?

While the infection may go away on its own, most doctors use antibiotics to treat it. You may have been prescribed pills or vaginal cream. With treatment, bacterial vaginosis usually clears up in 5 to 7 days.

What does chronic BV feel like?

Strong fishy or unpleasant vaginal odor, which may be stronger after sex or menstruating. Increase in vaginal discharge (about 50 percent of the time) Vaginal discharge that is thin in consistency and milky white or gray. Vaginal itching, burning or pain when urinating.

Why won't my BV go away with antibiotics?

Within a month, antibiotics clear up to 85% of bacterial vaginosis cases, yet for over half of these patients, BV will return within 6 months. This is thought to be in part because the antibiotics don't fully eradicate the pathogenic microbes, leaving BV-associated bacteria to regrow in the vagina following treatment.

Will a Pap smear detect BV?

In the present study, conventional Pap smear demonstrates good accuracy to detect BV. Pap testing for cervical cancer screening can additionally serve as an effective screening tool for diagnosing BV among women with genital infection in healthcare settings.

How do you know if you have severe BV?

What can be mistaken for BV?

Often, BV can be mistaken for other conditions, such as yeast infections or sexually transmitted diseases, such as chlamydia. Often, BV (or STDs) do not have any symptoms at all, so it's imperative always to make a yearly gynecological appointment.

What happens if metronidazole doesn't work for BV?

BV that does not resolve after one course of treatment may be cured by a second course with the same agent. Another option is to switch to another agent (ie, metronidazole to clindamycin, or clindamycin to metronidazole) as other concomitant organisms may respond better to an alternate medication.

How many times can you take metronidazole for BV?

Metronidazole is available as an oral pill or vaginal gel; the choice of pill or gel is based on the person's preferences. The oral pill is taken twice daily for seven days. The gel is inserted into the vagina at bedtime for five days. Both treatments work equally well.

What do you do if metronidazole doesn't work?

Metronidazole doesn't work for everyone. Tinidazole, Solosec, Cleocin, Vancocin, and Alinia are some metronidazole alternatives. Get the full list here. Metronidazole (brand name Flagyl) is an antibiotic that is used to treat a variety of bacterial and parasitic infections.

Why does my BV keep coming back after antibiotics?

The first course of antibiotics isn't always enough to cure this infection. Talk to your healthcare provider if your symptoms don't clear up. The answer may be a combination of additional medication, lifestyle changes, and new hygiene practices.

How can you tell the difference between BV and Trich?

The signs and symptoms of BV and trichomoniasis may be quite similar to yeast infections in terms of redness, itching and pain. With BV, however, the discharge tends to be thin, white or yellowish, and more uniform in appearance. Trichomoniasis discharge is typically a frothy, greenish-yellow secretion.

Can BV turn into trichomonas?

This systematic review and meta-analysis provide support for a nearly 2-fold higher risk for acquiring Trichomonas vaginalis among women with bacterial vaginosis compared with women without bacterial vaginosis.

Does bacterial vaginosis itch?

Symptoms - The primary symptom of BV is an abnormal, odorous vaginal discharge. The fish-like odor is noticeable especially after intercourse. Women with BV also may have burning during urination or itching around the outside of the vagina, or both.