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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Bacterial Vaginosis Be Treated?

I have been struggling with bacterial vaginosis for over a year now. I have tried all kinds of home remedies but to no avail. Two months ago my doctor prescribed Metrogel, it helped for a few weeks, but my bacterial vaginosis is back now. She prescribed Dalacin Vaginal cream and Sporozol. I understand that Sporozol is for fungal infections, will it work for my bacterial vaginosis? I also started probiotics this week. I am so fed up with this situation. Please help?? I do not want to but the Sporozol if it is not going to work, or trigger a yeast infection.
Wed, 18 Oct 2017
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General & Family Physician 's  Response
Hello Dear. To treat bacterial vaginosis, your doctor may prescribe one of the following medications:

1. Metronidazole (Flagyl, Metrogel-Vaginal, others). This medicine may be taken as a pill by mouth (orally). Metronidazole is also available as a topical gel that you insert into your vagina. To reduce the risk of stomach upset, abdominal pain or nausea while using this medication, avoid alcohol during treatment and for at least one day after completing treatment — check the instructions on the product.

2. Clindamycin (Cleocin, Clindesse, others). This medicine is available as a cream that you insert into your vagina. Clindamycin cream may weaken latex condoms during treatment and for at least three days after you stop using the cream.

3. Tinidazole (Tindamax). This medication is taken orally. Tinidazole has the same potential for stomach upset and nausea as oral metronidazole does, so avoid alcohol during treatment and for at least one day after completing treatment.

It's generally not necessary to treat an infected woman's male sexual partner, but bacterial vaginosis can spread between female sexual partners. Female partners should seek testing and may need treatment. It's especially important for pregnant women with symptoms to be treated to help decrease the risk of premature delivery or low birth weight.

Take your medicine or use the cream or gel for as long as your doctor prescribes it — even if your symptoms go away. Stopping treatment early may increase the risk of recurrence.

It will not trigger yeast infection. Dont worry.

With regards- Dr Sanjay Kini
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How Can Bacterial Vaginosis Be Treated?

Hello Dear. To treat bacterial vaginosis, your doctor may prescribe one of the following medications: 1. Metronidazole (Flagyl, Metrogel-Vaginal, others). This medicine may be taken as a pill by mouth (orally). Metronidazole is also available as a topical gel that you insert into your vagina. To reduce the risk of stomach upset, abdominal pain or nausea while using this medication, avoid alcohol during treatment and for at least one day after completing treatment — check the instructions on the product. 2. Clindamycin (Cleocin, Clindesse, others). This medicine is available as a cream that you insert into your vagina. Clindamycin cream may weaken latex condoms during treatment and for at least three days after you stop using the cream. 3. Tinidazole (Tindamax). This medication is taken orally. Tinidazole has the same potential for stomach upset and nausea as oral metronidazole does, so avoid alcohol during treatment and for at least one day after completing treatment. It s generally not necessary to treat an infected woman s male sexual partner, but bacterial vaginosis can spread between female sexual partners. Female partners should seek testing and may need treatment. It s especially important for pregnant women with symptoms to be treated to help decrease the risk of premature delivery or low birth weight. Take your medicine or use the cream or gel for as long as your doctor prescribes it — even if your symptoms go away. Stopping treatment early may increase the risk of recurrence. It will not trigger yeast infection. Dont worry. With regards- Dr Sanjay Kini