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.
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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.
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What can chronic BV lead to?

Left untreated, it can increase the risk of contracting HIV and other sexually transmitted infections (STIs). BV is also linked to higher rates of premature birth and low birth weight babies. BV can be cured with antibiotics, but it often comes back within months.
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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.
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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.
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Doctor explains HOW TO TREAT AND PREVENT BACTERIAL VAGINOSIS (BV)



What is the best treatment for chronic BV?

To treat bacterial vaginosis, your doctor may prescribe one of the following medications:
  • Metronidazole (Flagyl, Metrogel-Vaginal, others). This medicine may be taken as a pill by mouth (orally). ...
  • Clindamycin (Cleocin, Clindesse, others). ...
  • Tinidazole (Tindamax). ...
  • Secnidazole (Solosec).
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What 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.
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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.
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Is it normal for BV not to go away?

Bacterial vaginosis often clears up on its own. But in some women it doesn't go away on its own. And for many women it comes back after it has cleared up. Antibiotic treatment works for some women but not others.
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Is it normal to have BV for years?

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. Bacterial vaginosis is one type of vaginitis, or inflammation of the vagina.
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How do I stop getting BV?

Steps that might lower your risk of BV include:
  1. Keeping your vaginal bacteria balanced. Use warm water only to clean the outside of your vagina. ...
  2. Not douching. Douching upsets the balance of good and harmful bacteria in your vagina. ...
  3. Not having sex. ...
  4. Limiting your number of sex partners.
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What happens if BV is not cured with antibiotics?

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.
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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.
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Can hormone imbalance cause BV?

The role of estrogen in vaginal infections

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.
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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.
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Can high 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.
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Can chronic BV cause infertility?

Bacterial vaginosis, pelvic inflammatory disease, and endometritis are infections of the genital tract that can lead to many adverse health outcomes, including infertility.
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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.
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Can you have BV for years and not know?

Half of women with bacterial vaginosis do not have any symptoms. Bacterial vaginosis does not usually cause any soreness or itching. If you're unsure it's BV, check for other causes of unusual vaginal discharge.
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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.
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How long can you go with BV?

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.
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Can chronic BV cause infertility?

Bacterial vaginosis, pelvic inflammatory disease, and endometritis are infections of the genital tract that can lead to many adverse health outcomes, including infertility.
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Can BV spread to other parts of the body?

The bacteria that cause bacterial vaginosis normally reside in the vagina. They cause symptoms and spread to other organs only if they increase in number (overgrow).
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