4 doctors weighed in:

How do I get rid of bacterial vaginosis? It keeps coming back after antibiotics.

4 doctors weighed in
Dr. Michael Ein
Internal Medicine - Infectious Disease
1 doctor agrees

In brief: See below

Bv is a synergistic infection involving gardnerella and a number of other, anaerobic bacteria.
It is treated with Metronidazole oral or intravaginal. Tinidazole and Clindamycin are alternatives. Oral and intravaginal probiotics containing lactobacilli can help. Recurrent disease is related to colonization of your sex partner, inconsistant condom use and is halved with estrogen contraceptives.

In brief: See below

Bv is a synergistic infection involving gardnerella and a number of other, anaerobic bacteria.
It is treated with Metronidazole oral or intravaginal. Tinidazole and Clindamycin are alternatives. Oral and intravaginal probiotics containing lactobacilli can help. Recurrent disease is related to colonization of your sex partner, inconsistant condom use and is halved with estrogen contraceptives.
Dr. Michael Ein
Dr. Michael Ein
Thank
Dr. Michael Sinclair
Family Medicine

In brief: Fix the cause

Bv is notorious for coming back.
First make sure that is really what you have. Treat your partner even if they have no symptoms. Check vaginal ph and correct it. Add probiotics orally and intra-vaginally. Abstain from sex temporarily. No baths, just shower. Sleep nude or at least no panties. Let me know how you are doing.

In brief: Fix the cause

Bv is notorious for coming back.
First make sure that is really what you have. Treat your partner even if they have no symptoms. Check vaginal ph and correct it. Add probiotics orally and intra-vaginally. Abstain from sex temporarily. No baths, just shower. Sleep nude or at least no panties. Let me know how you are doing.
Dr. Michael Sinclair
Dr. Michael Sinclair
Thank
Dr. Nancy Mellow
Internal Medicine

In brief: It depends

If you are menopausal or not producing much estrogen because of being very thin or athletic, it might help to use a vaginal estrogen cream or tablet.
If you are a gay woman and have vaginal contact with your partner, sometimes treating your partner can help. Also, if one vaginal antibiotic (metrogel) was used, an alternalte type ( cleocin) might help.

In brief: It depends

If you are menopausal or not producing much estrogen because of being very thin or athletic, it might help to use a vaginal estrogen cream or tablet.
If you are a gay woman and have vaginal contact with your partner, sometimes treating your partner can help. Also, if one vaginal antibiotic (metrogel) was used, an alternalte type ( cleocin) might help.
Dr. Nancy Mellow
Dr. Nancy Mellow
Thank
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