How do I get rid of BV resistant?

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.

What happens if my BV won't go away?

If you have persistent BV (ie it does not settle down with the first treatment you try) then your doctor may want to take further vaginal swabs to check whether there is another cause of the discharge. They will usually suggest that you use the seven-day course of metronidazole if you have not had this before.

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.

Does chronic BV ever go away?

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.

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 Do I Get Rid of Bacterial Vaginosis? | This Morning

What triggers chronic BV?

BV is a result of an imbalance of “good” and “harmful” bacteria in a vagina. Douching, not using condoms, and having new or multiple sex partners can upset the normal balance of vaginal bacteria, increasing your risk for getting BV.

Is there a permanent cure for BV?

Yes, BV is usually curable with prescription antibiotics that can help readjust the balance of bacteria in the vagina. Although some over-the-counter vaginal medications are sold, these are not effective for curing BV. Currently, only prescribed antibiotics are effective.

What happens if BV keeps recurring?

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.

Why is metronidazole not working for BV?

Second, the bacteria that either cause BV or cause the anaerobic overgrowth may have become relatively more resistant to metronidazole (the most common treating agent) or to clindamycin (the other common treating agent). Third, this infection may be reintroduced back into the vagina as a result of reinfection.

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.

Which probiotic is best for BV?

Which probiotics are best for BV? Lactobacilli-based probiotics such as Lacticasebacillus rhamnosus, Lactobacillus acidophilus, Lactobacillus fermentum, and Lactobacillus reuteri are best for treating BV.

What happens if you have BV for too long?

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.

What to do if metronidazole doesn t work?

Metronidazole doesn't work for everyone. Tinidazole, Solosec, Cleocin, Vancocin, and Alinia are some metronidazole alternatives.

What are the best vitamins for BV?

To help with BV prevention, 250 mg vitamin C should be used once daily vaginally for six days after your period. While silicone-coated vitamin C is not available in the US, enteric-coated vitamin C is available in the US and can be used in the same way.

Can boric acid alone cure BV?

Can boric acid cure BV? Limited evidence suggests boric acid may help treat bacterial vaginosis, but we don't know yet how effective this is. Doctors recommend that women with BV use an FDA-approved antibiotic prescription before using any natural remedies.

How many billion probiotics should I take for BV?

How Many Probiotics Do I Need? It is advised to take probiotics that contain at least 1 billion colony forming units (CFUs).

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 happens if an infection doesn t go away with antibiotics?

How are antibiotic-resistant bacterial infections treated? If an infection shows signs of antibiotic resistance, your healthcare provider may try a different drug. The new drug may have more severe side effects, and trying a different antibiotic also raises the risk of developing resistance to that drug.

Can you become immune to metronidazole?

Metronidazole resistance can occur by a number of different mechanisms that involve reduced uptake of the drug, increased removal from the bacterial cell or by reducing the rate of metronidazole activation inside anaerobes.

How common is metronidazole resistance?

A high metronidazole resistance rate (17.5%) is noted in the current study. Emergence of carbapenem resistance in anaerobic organisms has also been reported for the first time in this study. Resistance was most frequently seen in Bacteroides species which was also the most commonly isolated organism.

How long is too long for metronidazole?

If you need to take metronidazole for longer than ten days, your doctor may want you to have some tests. Make sure you keep any appointments that your doctor gives to you.

How do you know if metronidazole is not working?

It is important that your doctor check your progress at regular visits to make sure that the infection is cleared up. Blood tests may be needed to check for unwanted effects. If your symptoms do not improve within a few days after you start this medicine or if they become worse, check with your doctor.

How do you solve antibiotic resistance?

What to do if you are antibiotic-resistant?

If you have an infection that is antibiotic-resistant, your healthcare provider may or may not have other treatment options. Taking unneeded antibiotics promotes the growth of resistant bacteria. Practice good hygiene. It helps prevent the spread of infections that are resistant to antibiotics.