Bacterial vaginosis: Difference between revisions

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==Treatment==
==Treatment==
[[Bacterial vaginosis medical therapy|Medical therapy]] | [[Bacterial vaginosis surgery|Surgical options]] | [[Bacterial vaginosis primary prevention|Primary prevention]]  | [[Bacterial vaginosis secondary prevention|Secondary prevention]] | [[Bacterial vaginosis cost-effectiveness of therapy|Financial costs]] | [[Bacterial vaginosis future or investigational therapies|Future therapies]]
[[Bacterial vaginosis medical therapy|Medical therapy]] | [[Bacterial vaginosis surgery|Surgical options]] | [[Bacterial vaginosis primary prevention|Primary prevention]]  | [[Bacterial vaginosis secondary prevention|Secondary prevention]] | [[Bacterial vaginosis cost-effectiveness of therapy|Financial costs]] | [[Bacterial vaginosis future or investigational therapies|Future therapies]]
==Treatment==
Bacterial vaginosis can be treated with [[antibiotic]]s such as [[metronidazole]] and [[clindamycin]].  However, there is a high rate of recurrence.<ref name="Bradshaw2006"/>
Currently, there are very few [[Over-the-counter drug|over the counter]] products that address bacterial vaginosis.  A vaginal gel product called RepHresh claims to regulate the pH level.  [[Boric acid]] capsules inserted vaginally is considered a home treatment.  Lactobacillus supplements may also be used; Fem-dophilus (Jarrow Formulas) is a lactobacillus product which specifically claims to help maintain healthy vaginal flora.<ref name="titleSpecific probiotic strains are effective for genitourinary infections Townsend Letter for Doctors and Patients - Find Articles">{{cite web |url=http://findarticles.com/p/articles/mi_m0ISW/is_280/ai_n16865224 |title=Specific probiotic strains are effective for genitourinary infections Townsend Letter for Doctors and Patients - Find Articles |accessdate=2007-12-04 |format= |work=}}</ref>
It should be noted that seeking medical attention is often necessary, because none of the over the counter products can claim to treat an active infection.  More importantly, patients often inaccurately diagnose BV as a [[Candidiasis|yeast infection]], and delay proper treatment which may lead to complications.
In a [[randomized controlled trial]],<ref name="pmid11127100">{{cite journal |author=Hanson JM, McGregor JA, Hillier SL, ''et al'' |title=Metronidazole for bacterial vaginosis. A comparison of vaginal gel vs. oral therapy |journal=J Reprod Med |volume=45 |issue=11 |pages=889–96 |year=2000 |pmid=11127100 |doi=}}</ref> researchers found the efficacy of 0.75% metronidazole vaginal gel in treating bacterial vaginosis (cure rate 70.7%) was equivalent to that of standard oral metronidazole treatment (cure rate 71%).  Treatment with vaginal metronidazole gel was associated with fewer gastrointestinal complaints.


==References==
==References==

Revision as of 17:41, 23 January 2012

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Bacterial vaginosis
ICD-10 B96, N76
ICD-9 616.1
MeSH D016585

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