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Treatment for bacterial vaginosis should be indicated by the gynecologist, and antibiotics such as Metronidazole in tablet or vaginal cream form are usually recommended for about 7 to 12 days according to the doctor's guidance.
In addition to the use of medicines, it is important that the woman adopts some precautions to avoid the appearance of vaginosis again, being recommended to use condoms in all sexual relations, to use cotton panties and to avoid vaginal douching.
1. Remedies
The gynecologist usually recommends the use of antimicrobials to eliminate excess bacteria from the genital region, helping to relieve the symptoms of vaginosis. Thus, the remedies normally indicated by the gynecologist are:
- Metronidazole tablets or vaginal cream, the recommended dose of which is 2g in a single dose or 400 to 500 mg, twice a day for 7 days for tablets and for about 10 to 20 days in the evening. vaginal cream case;
- Clindamycin tablets or vaginal cream, the recommended dose of which ranges from 600 to 1800 mg, divided into equal doses throughout the day, over a period of time determined by the doctor. In the case of the cream, it should be applied once at night for about 3 to 7 days;
- Tinidazole tablet, the recommended dose of which is usually 2g in a single dose.
Treatment for bacterial vaginosis should be carried out until the end, even if the symptoms of vaginosis have decreased or disappeared, because if bacterial vaginosis is not treated it is possible that it will progress to pelvic inflammatory disease or increase the risk of acquiring other sexually transmitted infections , like chlamydia, for example. Learn more about chlamydia.
Treatment during pregnancy
During pregnancy, treatment for bacterial vaginosis should also be with antibiotics, which should be recommended by the obstetrician who accompanies the pregnancy.
It is very important to do the treatment correctly, because bacterial vaginosis in pregnancy when untreated, can cause premature birth or the baby may be born with low weight.
2. Home treatment
A great natural treatment for bacterial vaginosis is bearberry tea, due to its antibacterial and antiseptic action. To make tea, just boil 30 grams of bearberry leaves in 500 mL of water for approximately 15 minutes. Then strain and drink up to 3 cups of tea a day. This treatment should not be done on pregnant women, as bearberry is contraindicated in pregnancy.
In addition, Melaleuca oil can also be used, which has antibacterial properties. This oil should be diluted with another oil to avoid irritating the skin and mucosa, such as almond oil for example, and can be used by immersing a tampon in this mixture and applying it to the vagina for about an hour, 3 to 4 times per day.
Care during treatment
To ensure successful treatment and prevent vaginosis from occurring again, it is important for the woman to follow some guidelines, such as:
- Use a condom in all relationships;
- Avoid showers and bubble baths in the bathtub;
- Avoid using perfumed soaps;
- Wash the intimate area with soap and water or intimate soap with neutral pH;
- Avoid doing vaginal showers;
- Wear cotton underwear.
Signs of improvement in bacterial vaginosis are related to treatment and generally include the disappearance of yellow or green smelly discharge and a decrease in vaginal itching.
Signs of worsening bacterial vaginosis usually arise when treatment is not done or is performed incorrectly and include increased foul smelling and green or yellow vaginal discharge, increased vaginal itching and pain when urinating. Learn to recognize the symptoms of bacterial vaginosis.