What can cause BV to not go away?

Recurrent BV might happen when the infection isn't fully treated, something messes up the balance of your bacteria again, or a layer of microorganisms known as a biofilm forms to protect BV-causing bacteria.

What happens if BV isn't going 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.

How do I get rid of BV that won't go away?

Your doctor can prescribe antibiotics that will usually treat bacterial vaginosis within one week. Finish all of your antibiotics, even if your symptoms go away early. If your symptoms don't go away within a few days of finishing the antibiotic, go back to your doctor.

Why didn'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 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.

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

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.

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.

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 to do if BV keeps coming back?

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.

Can BV persist after treatment?

Relapse — Relapse or repeat BV infections are common. 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.

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.

Can BV last for months?

Unfortunately, despite treatment, BV can recur within three to 12 months. Although most of the survey respondents completed the required course of treatment, 69 percent had a recurrence of their symptoms.

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.

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.

How do you know if you have chronic BV?

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.

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.

Is it normal to get BV every month?

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.

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.

How long does BV last if untreated?

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 a person have BV?

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.

Can your body heal itself from BV?

At times, BV will go away without treatment. However, treatment can help avoid the increased chance of some serious health risks associated with BV, including: Getting or transmitting HIV; Delivering your baby too early if you have BV while pregnant; and.