How long can bacterial vaginosis last?

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 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.

How long does it take for BV to go away?

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.

Can you have BV for years and not know?

A lot of people with BV don't have any symptoms, according to the Centers for Disease Control and Prevention (CDC).

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.

Understanding Bacterial Vaginosis

Can you permanently have BV?

Recurrent bacterial vaginosis is an imbalance of the vaginal bacteria normally present in the vagina. Bacterial vaginosis is a common condition and treatment is available; however, in some women the condition may recur or even become chronic, requiring multiple and sometimes long-term treatments.

Can you have BV for months?

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.

Why do I get BV every time I sleep with my boyfriend?

Not using condoms or having new or multiple sex partners can sometimes increase a person's risk for developing BV. "Sex sometimes leads to BV if your partner's natural genital 'chemistry' changes the balance of bacteria in your vagina and causes the bacteria associated with BV to grow,” Dean explains.

Why am I getting BV all the time?

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. We also do not know how sex causes BV.

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.

How do you treat long lasting BV?

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.

When should I worry about BV?

Make an appointment to see your doctor if: You have vaginal discharge that's new and associated with an odor or fever. Your doctor can help determine the cause and identify signs and symptoms. You've had vaginal infections before, but the color and consistency of your discharge seems different this time.

Does stress cause BV?

Any change in your immune health—like stress—can impact your vaginal pH level, making a yeast infection and/or bacterial vaginosis more common.

What to do if metronidazole doesn t work?

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.

What antibiotics treat BV?

Can fingers cause BV?

BV can be spread through sharing of sex toys, oral-genital contact, and fingers. Other risk factors for BV include douching and cigarette smoking.

Can BV Be Fatal?

Some women suffer from recurring BV, which is not life threatening but can be annoying and have an impact on daily comfort and living. Here are some additional tips on how to regulate and prevent BV.

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.

Can BV turn into chlamydia?

For every one additional episode of BV, the risk of acquiring chlamydia and gonorrhea infections increased by 13% and 26%, respectively. A monotonic dose−response relationship was also noted between antecedent BV and subsequent chlamydia and gonorrhea infection.

Does bacterial vaginosis smell?

Here's how you can tell the difference: Discharge: The hallmark sign of BV is discharge with a “fishy” smell. Discharge from yeast infections doesn't usually have a strong smell but may look like cottage cheese.

What STD is similar to BV?

Trichomoniasis and bacterial vaginosis (or BV) are two common types of vaginal infection that may seem similar at first glance, but they have different causes and symptoms.

How many times a day should I take metronidazole for BV?

For bacterial vaginosis: Adults—750 milligrams (mg) once a day for 7 days.