What is better for BV clindamycin or metronidazole?
There was no statistically significant difference between the two results. Side effects for both regimens were comparable. We conclude that 2% clindamycin vaginal cream offers similar efficacy and safety to standard oral metronidazole therapy for bacterial vaginosis.
Is BV acidic or basic?
BV occurs when there is a high presence of gardnerella bacteria and less lactobacillus bacteria, causing PH levels to become less acidic. A normal vaginal PH is about 4 (more acidic) while a vaginal PH with BV is 7 or higher (less acidic).
Is BV more acidic or alkaline?
basic
Mehta explains that when a woman’s pH is out of whack, she is “more prone to yeast infections, bacterial vaginosis and possibly sexually transmitted infections if the mucosal layer of the vagina is weakened.” A yeast infection can cause the vagina to become more acidic, according to Sophocles, while BV makes it more …
What probiotic strain is good for BV?
The best probiotics for BV are products that include both Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 strains. These can be found in both the Fem-Dophilus from Jarrow Formulas and RepHresh Pro B probiotic supplements.
Why won’t my BV go away with antibiotics?
Around a third of women who take antibiotic treatment for bacterial vaginosis (BV) find that the problem recurs within the next two to three months. Some strains of BV organisms may have resistance to some antibiotics. You should return to your healthcare provider and describe the problems you are having.
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).
Can you have BV with a normal pH?
Women with BV typically have vaginal pH levels higher than 4.5, while normal levels are in the 4.0 range. BV may cause the secretions to have a bad odor, but sometimes this is hard to detect.
How do I make my vagina pH alkaline?
To keep the pH of your vagina at a consistently healthy level, follow these tips:
- Whenever you have sex, use a condom. The barrier will not only protect you from STDs, but it’ll also prevent alkaline semen from disrupting your vaginal pH levels.
- Take probiotics.
- Don’t douche.
- Eat yogurt.
- See your OB-GYN.
How many billion probiotics should I take for BV?
Bacterial Vaginosis treatment/ prevention- 1 billion cfu of Lactobacillus rhamnosus and reuteri strains 1- 2 times daily for two weeks. Continue daily for prevention.
How do you get rid of chronic BV?
However, taking the following steps may help reduce your risk of recurring BV infections.
- Pay attention to vaginal hygiene.
- Wear breathable underwear.
- Ask about boric acid suppositories.
- Use condoms.
- Maintain a healthy vaginal pH.
- Take a probiotic.
- Find healthy ways to destress.
Is Flagyl better than metronidazole?
Flagyl ER (metronidazole) are all almost identical antimicrobial drugs used to treat bacterial vaginosis (mainly Flagyl ER), trichomonas, amebiasis, and anaerobic bacterial infections.
How do I get rid of BV if antibiotics don’t work?
Probiotics, live bacteria found in some foods and supplements, might help restore balance to your vaginal bacteria. Studies show that eating yogurt or probiotic supplements may treat bacterial vaginosis, and is quite safe. Another promising remedy is boric acid, a white powder with antifungal and antiviral properties.
Can you test negative for BV and still have it?
A negative test is an indication that you don’t have BV, but it should not be considered definitive. In the end, if you have three or more symptoms of BV, you should see a healthcare provider even if your home test is negative, especially if your symptoms are severe, persistent, or recurrent.
Can boric acid cure BV?
The cure rates with boric acid ranged from 40 to 100 percent. This review, however, did not specifically focus on the bacteria that causes BV. While these results are encouraging, more studies need to be done to confirm that boric acid is, in fact, an effective add-on treatment for BV.
Why is my discharge so acidic?
Lactobacilli bacteria live in the vagina and secrete lactic acid and hydrogen peroxide, which give the vagina its acidic pH level. Vaginal pH can change throughout a person’s lifetime. It is usually higher than 4.5 before a person has their first menstrual period and after menopause.
How do you get rid of chronic bacterial vaginosis?
Is the vaginal environment hostile to bacterial vaginosis (BV)?
The healthy vaginal environment created by lactobacilli through the production of lactic acid, hydrogen peroxide and bacteriocins is thought to be hostile for the proliferation of G. vaginalisand other BV-associated pathogens (such as strict anaerobes).
What are the additional treatments for bacterial vaginosis (BV)?
Additional BV treatment regimens include metronidazole 1.3% vaginal gel in a single dose ( 1017, 1018) and clindamycin phosphate (Clindesse) 2% vaginal cream in a single dose ( 1019 ).
What are the most common bacteria in the vagina?
Lactobacilli are usually the most common bacteria in the vagina. In bacterial vaginosis, there is an overgrowth of other bacteria, especially Gardnerella, Bacteroides, Peptostreptococcus and Mobiluncus species. These are anaerobic bacteria, that is, they grow in the absence of oxygen.
What should you not do if you have bacterial vaginosis?
These include avoiding the use of douches, vaginal deodorants, bath additives and harsh soaps. Refraining from intercourse for a couple of weeks, or using a condom and a water-based lubricant, can be helpful. When should I get treatment for bacterial vaginosis?