Treatments for Bacterial vaginosis

Treatment list for Bacterial vaginosis: The list of treatments mentioned in various sources for Bacterial vaginosis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Antibiotics
- Metronidazole
- Clindamycin
- Tinidazole
Antibiotic cream
No treatment - some conditions without symptoms, such as those found only routinely on a Pap smear, may not need treatment.

Treatments of Bacterial vaginosis discussion: Who should be treated for bacterial vaginosis?

Although BV will sometimes clear up without treatment, all women with symptoms of BV should be treated to avoid such complications as PID. Treatment is especially important for pregnant women. All pregnant women, regardless of symptoms, who have ever had a premature delivery or low birth weight baby should be considered for a BV examination and be treated when necessary. All pregnant women who have symptoms of BV should be checked and treated. Male partners generally do not need to be treated. However, BV may spread between female sex partners.

What is the treatment for bacterial vaginosis?

BV is treatable with antimicrobial medicines prescribed by a health care provider. Two different medicines are recommended as treatment for BV: metronidazole or clindamycin. Either can be used with non-pregnant or with pregnant women, but the recommended dosages differ. Women with BV who are HIV-positive should receive the same treatment as those who are HIV-negative. BV can recur after treatment.¹

All women with BV should be informed of their diagnoses, including the possibility of sexual transmission, and offered treatment. They can be treated with antibiotics such as metronidazole or clindamycin. Generally, male sex partners are not treated. Many women with symptoms of BV do not seek medical treatment, and many asymptomatic women decline treatment. ²

All women with BV should be informed of their diagnosis, including the possibility of sexual transmission, and offered treatment. BV can be treated with antibiotics. Generally, male sex partners are not treated. However, in cases of BV that do not respond to drug therapy, treatment of male partners may be helpful. Many women with symptoms of BV do not seek medical treatment, and many asymptomatic women decline treatment. Until the long-term consequences of untreated BV are known, routine treatment of all asymptomatic carriers is not necessary. ³

Footnotes:
1. excerpt from Bacterial Vaginosis (BV): DSTD
2. excerpt from Vaginitis Due to Vaginal Infections, NIAID Fact Sheet: NIAID
3. excerpt from Vaginal Infections & Vaginitis: NWHIC

Last revision: June 23, 2003

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