Is chronic BV curable?

BV can be cured with antibiotics, but it often comes back within months. Researchers led by Drs. Craig R. Cohen and Anke Hemmerling of the University of California, San Francisco, have been testing a new treatment using beneficial bacteria to prevent BV from recurring.

Can BV be cured permanently?

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.

Will my recurring BV ever go away?

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.

Why do I keep getting chronic BV?

If you and your sexual partner have intercourse without condoms or you have multiple sexual partners, you may be at a higher risk of developing this infection. Persistent and recurrent BV is common, so you should complete any prescribed medications that are offered to you.

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.

Doctor explains HOW TO TREAT AND PREVENT BACTERIAL VAGINOSIS (BV)

Can you live with BV for years?

What can happen if you have BV for a long time? 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.

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 can I prevent BV permanently?

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.

What should I do if I keep getting BV?

It's common for bacterial vaginosis to come back, usually within a few months. If it comes back, you'll usually be given more antibiotics to treat it. If you keep getting it (you get it more than 4 times in a year), you may be given an antibiotic gel that you put in your vagina.

What happens if BV doesn'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.

What is the root cause of BV?

BV is often caused by gardnerella vaginalis, the most common type of bacteria in your vagina. Anything that changes the chemistry of your vagina's pH balance can mess with bacteria levels and lead to infection — like douching or using vaginal deodorants and other irritating products.

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.

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.

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.

Does cranberry help BV?

Anecdotal evidence suggests that cranberry juice may help remedy symptoms. Complete prevention of BV is not possible, however, there are a number of factors to be considered when attempting to reduce the risk of BV.

Is BV caused by poor hygiene?

Bacterial vaginosis (BV) is caused by the overgrowth of the natural vaginal bacteria. BV is a common infection, especially among pregnant women. The cause of BV is not fully understood; it is not caused by poor hygiene.

Can a hormonal imbalance cause BV?

When there is less estrogen present, there is less glycogen, and therefore fewer lactobacilli to maintain a healthy vaginal pH and keep “bad” bacteria at bay. This presents an opportunity for BV-causing bacteria to overgrow.

Can you get BV from stress?

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

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.

Is my husband causing my BV?

It may be that BV-associated bacteria from some men's microbiomes can directly impact the onset of BV in women when they're transmitted to the vagina during intercourse or that the penile bacteria may disrupt the natural balance of vaginal bacteria in ways that could induce BV over time.

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 throws off your pH balance?

Actions such as douching, using scented products and deodorants around the vagina, wearing tight non-breathable clothing, or using irritating products can all contribute to ph imbalance. BV is the most common vaginal infection experienced by women.

Can BV affect you mentally?

Emotional Impact of BV

For most women having BV made them feel embarrassed, self-conscious and uncomfortable, with many women also reporting they felt disgusted, ashamed, dirty, annoyed and distressed.