Bacterial vaginosis is a common infection, and there's no way to completely stop all infections. Still, you may be able to lower your risk of developing BV with good hygiene and taking care of your overall health.
Ways to prevent BV and BV recurrences:
Wipe front to back, only using warm water to clean the outside of your vagina. Stop douching. Doctors do not recommend douching because it upsets your vagina's natural balance of good and bad bacteria. Limit your number of sex partners.
“Bacterial vaginosis occurs when the pH balance in the vagina is tipped, resulting in the overgrowth of bacteria,” explains women's health expert Jennifer Wider, M.D. This can happen when you have multiple sex partners or simply from your body not producing enough lactobacilli to keep your vagina's pH in check, she ...
Bacteria in a biofilm are able to survive in this self-sustaining structure, making it harder to eradicate them. The ability of BV-causing bacteria to potentially form a biofilm may explain in part why BV has such a high recurrence rate.
Once BV is treated with antibiotics, it usually goes away. But sometimes it persists or recurs, often within three months, for reasons that aren't entirely understood. If a person keeps getting BV, a longer course of antibiotics may be necessary.
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.
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.
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.
Your doctor will most likely prescribe an antibiotic medication (a pill, gel or cream) to kill the infection. These might include: Clindamycin, a cream you use in your vagina. It sells under the brand names Cleocin and Clindesse.
Researchers suggest that high fat intake, particularly saturated fat may increase vaginal pH, thereby increasing the risk of bacterial vaginosis. As you can see in the associated video Bacterial Vaginosis and Diet, most saturated fat in the American diet comes from dairy, desserts, and chicken.
If you are pregnant, it is suggested that you do have a test one month after treatment to ensure that BV is no longer present. A sample (a swab) of the discharge in your vagina is taken. This is tested to check you no longer have BV.
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. You may need to use this for a few months to help stop bacterial vaginosis coming back. A GP or sexual health clinic will recommend how long you need to treat it.
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.
Left untreated, BV can lead to other problems and complications, which may include: having an increased risk for contracting a sexually transmitted infection (STI) such as chlamydia or gonorrhea; having an increased risk of developing pelvic inflammatory disease, an infection of a woman's organs that may lead to ...
The overabundance of normal vaginal flora is the root cause of bacterial vaginosis. Most frequently, this manifests clinically as increased, fishy-smelling vaginal discharge. The discharge itself is often of little thickness, gray, or milky in color [5].
Some people douche with apple cider vinegar or mix it into a bath to treat BV and other vaginal infections. But there is no clinical evidence to suggest the use of apple cider vinegar treats the condition or relieves any symptoms. In fact, douching with apple cider vinegar can worsen your infection.
Metronidazole — Metronidazole, taken over multiple days, is one of the most effective treatments 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.
Kefir is a healthy, fermented food with a consistency comparable to drinkable yogurt. It is beneficial to cure bacterial vaginosis, because kefir has high quantities of multiple strains of live lactobacillus.
This meta-analysis involved 10 RCTs with a low or moderate risk of bias, which suggested that the treatment with probiotics alone was more effective in the therapy of BV for both short- and long-term; however, the probiotics used after antibiotic treatment was effective only for a short term.
BV, diet and the gut microbiome
Research into the gut microbiome and diet seems to suggest that they may also influence the risk of bacterial vaginosis. Indeed, Lactobacillus microbes, which dominate a healthy vaginal microbiome, are believed to come from the gut.
It is possible to take too many probiotics , though a harmful overdose isn't likely. Common side effects of taking too many probiotics can include bloating, gas, and nausea. Those with a weakened immune system should consult a doctor before taking probiotics.