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Treatment for bacterial vaginosis should be indicated by the gynecologist, and the use of antibiotics such as Metronidazole in tablet or vaginal cream form is usually recommended for about 7 to 12 days according to the doctor's advice.
In addition to the use of medication, it is important that women adopt some precautions to avoid the recurrence of vaginosis.
Bacterial vaginosis is a vaginal infection that occurs when there is a decrease in the amount of bacteria responsible for maintaining the pH of the vagina, resulting in the excessive proliferation of bacteria that are part of the microbiota, such as Gardnerella sp., leading to the onset of symptoms of vaginosis. Learn more about bacterial vaginosis and how to identify the symptoms.
1. Pharmacy Remedies
The gynecologist usually recommends the use of antibiotics to eliminate excess bacteria from the genital area, helping to relieve the symptoms of vaginosis. Thus, the remedies normally indicated by the gynecologist are:
- Metronidazole in tablets or vaginal cream, the recommended dose is 2g in a single dose or 400 to 500 mg, 2 times a day, for 7 days, in the case of tablets, and for about 10 to 20 days, at night, in the case of vaginal cream;
- Clindamycin in tablets or vaginal cream, the recommended dose of which varies between 600 and 1800 mg, divided in 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 in tablets, the recommended dose is usually 2g in a single dose.
Treatment for bacterial vaginosis must be carried out until the end, even if the symptoms of vaginosis have diminished or disappeared, because if bacterial vaginosis is not treated, it is possible that it progresses to pelvic inflammatory disease or increases the risk of acquiring other sexually transmitted infections, such as 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 accompanying the pregnancy.
It is very important to do the treatment correctly, because bacterial vaginosis in pregnancy, when left untreated, can cause premature delivery or the baby can be born with low weight.
2. Homemade and natural treatment
A great natural treatment that can help complement the medical treatment of bacterial vaginosis is bearberry tea, due to its antibacterial and antiseptic action. To make the tea, simply 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 performed in pregnant women, as bearberry is contraindicated in pregnancy.
In addition, you can also use tea tree oil, which has antibacterial properties. This oil must be diluted in another oil so as not to irritate the skin and mucous membranes, such as almond oil for example, and it 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 the success of the treatment and prevent vaginosis from happening again, it is important that the woman follows some guidelines, such as:
- Use condoms in all relationships;
- Avoid showers and bubble baths in the bathtub;
- Avoid using scented soaps;
- Wash the intimate area with soap and water or intimate soap with neutral pH;
- Avoid douche;
- Wear cotton underwear.
Signs of improvement in bacterial vaginosis are related to treatment and usually include the disappearance of the foul-smelling yellow or green discharge and lessening of vaginal itching.
Signs of worsening bacterial vaginosis typically arise when treatment is not done or is performed incorrectly and include increased foul odor and green or yellow vaginal discharge, increased vaginal itching and painful urination.