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    Ask Dr. Kate: How do I get rid of bacterial vaginosis?

    Dear Dr. Kate,

    On my last visit to my GYN, my Pap smear was abnormal. I was treated for a yeast infection, which I didn't think I had, and bacterial vaginosis. The next Pap test was normal. I am on birth control so my husband doesn't "pull out." Even though I was treated, the bacterial vaginosis came back pretty quickly. I shower once a day and in the summer twice a day with Dove only. Can my husband be re-infecting me and/or does he also needs to be treated for bacteria?

    BV 4EVER?


    Dear BV4E,

    Your question brings up two important issues. The first is what Pap tests are done for, and what they can incidentally (but not reliably) do. Even though Pap tests are designed to detect abnormalities in your cervix, the pathologists can sometimes also see signs of infection. At the time of the initial diagnosis, did you have symptoms of a yeast infection (usually itching and a cottage-cheesy discharge) and/or vaginosis (usually a foul odor and increased discharge that may be white, yellow or grey)? Pap "detection" of infections isn't always accurate, so many doctors will follow up those findings with better tests.

    The second issue is just how commonly bacterial vaginosis, or BV, recurs. If you did have BV, one round of antibiotics doesn't always cure it--30 to 50 percent of women will have another episode of BV within a few months. It doesn't mean your husband has to "pull out," and it DOESN'T mean that you're not keeping yourself clean. (And YAY for Dove, by the way, it's my favorite soap for the vulva!) It also doesn't mean that your husband is re-infecting you. BV is an overgrowth of bacteria that are normally found in the vagina, not something that you get from him. So he doesn't need to be treated: BV likes the vagina and doesn't care for the penis.

    When I have patients with a "rebound" BV infection, I give them either a different antibiotic, or the same antibiotic given in a different way (if they used a vaginal gel the first time, I'll try pills next). For the few patients who continually get BV, I'll put them on maintenance therapy, using the vaginal gel once a week for several months
    to see if that does the trick.

    Have any of you had a hard time banishing BV?


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    58 comments

    • Jennifer  •  Yakima, Washington  •  1 month 8 days ago
      I've struggled to get rid of this BV for about 4 months now.When I first got it I had a yeast infection also.I was prescribed Metronidazole Cream for the BV and a pill to clear up the yeast infection.BV came back soon after.In the last 4 months I've been prescribed Clindamycin cream,Metronidazole pill,Ciprofloxacin pill,Nystatin cream and Nystatin powder.I've been to the ER twice with the pain and now it's swollen terrible.I was checked for Std's and all negative.My husband and I don't have sex because my pain is so bad.Went to the Dr. once again last week and was told not to use any soap,body wash on the vagina area because it could be irritating it.She said to use warm water to cleanse it.So I've been doing that a few times a day.She prescribed the Ciprofloxacin again and Metronidazole,both pills.I was also prescribed percocet for the pain.I will let you all know how this combination works.I'm so sorry so many woman have to go through this!
    • Sydney  •  5 months ago
      I need help because I possibly think I have BV, and if I do I hope I can get rid of it. But I'm trying to make a doctor's app. but Idk if it could be found by a urine test or a regular vaginal exam...Please help me out, so that I can get help and get rid of this problem!
    • A Yahoo! User  •  6 months ago
      This may be help to you all, after having BV for a period of time you may also get infected with Pelvic inflammatory disease (PID). Pelvic inflammatory disease (PID) refers to infection of the uterus (womb), fallopian tubes (tubes that carry eggs from the ovaries to the uterus) and other reproductive organs that causes symptoms such as lower abdominal pain. PID occurs when bacteria move upward from a woman's vagina or cervix (opening to the uterus) into her reproductive organs. Things that may cause PID: Seaxually Transmitted Infections/ Diseases (especially chlamydia and gonorrhea) as well as many different organisms can cause PID. PID can also be develope as a result to bacterial vaginosis (BV). If not treated, PID can lead to serious consequences including infertility, ectopic pregnancy (a pregnancy in the fallopian tube or elsewhere outside of the womb), abscess formation, and chronic pelvic pain. So, if you think this is the case then this is serious and my advice is, you may want to consult this info with your physician asap, I have a friend who can not have children because of this.
    • A Yahoo! User  •  11 months ago
      I currently suffer from Bv, Today I spoke with my obgyn and she suggested that i use condoms with my husband because there is nothing that can really be done to get rid of it for good. This is my 3rd time getting bv which begin in december of 2009 in which i was put one 1 dose diflucan plus flagell 500mg and it whent away then march 2010 when we husband came home from being deployed in Iraq it returned,only we hadnt had sex, I was placed on flagell 500mg again.Now here it is june 2011 and the bv is back and again i was put on flagell 500mg for 7days ugh. I just dont know what to do, I have reduced my sugar intake because yeast lives off sugar, wear only cotton underwear, and started taking Rephresh to help balance my vaginal flora, even down to taking a herbel medication called harpitto pepper pills, nothing is working. Im just very sad right now and being that i work in the medical field and come in contact with patients everyday, its important to have good hygeine..... Mood: Embarrassed :-( after so many visits to the dr, it becomes humiliating for me and each visit i have to explain to my husband whats going on and that sucks, although he is very supportive i feel that this whole bv thing will cause a strain on our marriage and sex life and to make matters worse, my dr suggested we use condoms and thats not so bad its just that I am allergic to latex :-( Is there anyone out there who has suffered from reacurrent bv infections and have found a way of keeping the infection under control?
      • Jessica 6 months ago
        Email me, I can help.
      • Meaghan 5 months ago
        Jessica what is your email, I have this
    • Smell  •  1 year 0 months ago
      I am finally BV free. I have received all the medications and creams over the last 10 years. I finally figured out what was the root of my recurring infections. If you want to know how to prevent BV also, visit www.ismelllike.com

      www.ismelllike.com

      The best website on how to prevent BV from coming back.
      • Ja'Mesha 5 months ago
        PLEASE PLEASE TELL ME YOUR SECRET!!! I have been trying to get rid of my BV for the longest. Nothing worked
      • First 14 days ago
        I typing in that website don't work
      • First 14 days ago
        send me a link
    • Rosemarie  •  7 months ago
      it never goes away! I need a cure asap
    • Desiree  •  7 months ago
      I have BV for close to 19 years now. I first got it when i was 5 .The first doctor my mother took me to see told her i had a yeast infection. So then I was treated for it. And over the years now its gotten worse. I've tried different antibotics and everything it doesn't even go away it just get's worse. To the point the doctor i am seeing now is telling me its why I'm skipping one to six months since i started my period.I have had blood work and ultrasounds . And lately a biopsey done. And still the doctor wants to only remove my womb saying its the only way to get rid of it. I'm confused and lost for answers . Really starting to give up hope.
    • Rosemarie  •  7 months ago
      it never goes away! I need a cure asap
      • Jessica 6 months ago
        Email me, I have an easy cure that works without a prescription.
      • Ja'Mesha 5 months ago
        Can I have that email too? I desperately need it!!!
    • camille  •  1 year 2 months ago
      im so glad to have read this i was thinking maybe it was something more serious going on with my body for me to keep getting bv.
    • camille  •  1 year 2 months ago
      im so glad to have read this i was thinking maybe it was something more serious going on with my body for me to keep getting bv.
    • Amber  •  1 year 5 months ago
      Does it feel like your vagina is gushing something when you have BV??? It is horrible, I just finished my period and this is worse!! I am taking acidophilus three times a day, and I am about to insert a little hydrogen peroxide into my vagina directly. I will let everybody know how this works.
    • kendrea  •  2 years 2 months ago
      Heres the answer. get a applicator like the one that comes with the vaginal gel. fill it twice with plain yogurt berfore bed and in the porning also take acidphilus pills take maybe 4 or five a day. It works trust me. The cold yogurt also helps with the irritation and smell.
    • Barbara  •  2 years 0 months ago
      I just recently got bv and never had it before. Thought it was a yeast infection but did a yeast infection treatment and seemed to be better for a while but now this is back. I do have an odor and discharge and itching. I have been through menopause. I saw a web site for Femmisil. I am thinking about ordering some but wanted to know if anyone has used this and does it work. I just want relief and I know they have testimonies on there but I was hoping to get a response from someone on here before I made the puchase. http://www.naturalvaginalcare.com/index_vaginosis_bv.htm?REF=YHO
      Please help. Thanks
    • ava  •  2 years 2 months ago
      Hi Ladies. I have BV right now. This is my 2nd time. Took the Metro-gel...came back in 4 days. I have no odor (thank God). I am now taking a compound natural insert with golden-seal, murh, tee tree oil and one other thing I can't remember. It seems to be helping me a lot. I will post when I am done with the suppositories. Just one more thing Ladies...I got this from my partner. I was with him for 18 months. He travels, highly educated and has a great job. My doctor first told me, without testing, that I had and I was just floored! That's an STD!! I called my partner and he came over right away. He confessed to a "one night stand" while he was traveling not too long before I got this. Then my doctor tested me for all STD's, called me and told me I had BV and not trichinosis. This was caused by HIM!!! We had sex 2 nights after his "one night stand" and 5 days later I had my first discharge! Ladies, I hate to tell you this, but your man is not who you think he is. Not all cheat and give you this but they are finding out that this BV is now turning into something the doctors really can't treat. Years ago it was just considered a vaginal bacteria...but come on...look at all the forums!! There are hundreds of them! I am not young and he is 58. I have NEVER had anything like this...EVER!! So, I'm just asking you all to think about who has slept with who. By the way, men are almost always a-symptomatic with this. So, if we have a new partner and we both get tested for STD's, how can you test HIM for this bacteria he's carting around? We can't. This has ruined me and the dating scene. Maybe I've just had enough of men...I don't know. He is paying for all my medical bills and we are not dating anymore. Too bad..I really fell for him. Imagine...she was a pharmaceutical sales rep. I told him that at least she didn't have to pay for her meds (lol). Sorry I was so long and blunt. I will post after I'm through with this natural stuff.
    • nicety  •  2 years 2 months ago
      oh and by the way im not trying to say anyone man is cheating but as women our bodies can be more sensative than we think
    • nicety  •  2 years 2 months ago
      well i know that sometimes when a man is sleeping with someone else you can get it too when your very sensative like my self i cant use no bubble bath with perfume or soaps with perfume i notice when my partner stop creepin my body went back to normal thank god its not a std you have to be very careful and take good care of your self drink lots of water i hate it but the thing us women have to go through
    • newfie60  •  2 years 5 months ago
      hi

      i have bv and i cannot take thr flayl (genenric) it is disgusting. they gave me clindamyacin which never bothered me but now has all these scary warnings. i am afraid to talk it but i am dreading to go go on th flgy...please please HelP
    • popcornchik  •  3 years 2 months ago
      i have bv right now and i cant get rid of the dam thing. my dr cant see me till march 30 which is 20 more days away and i made the appt 2 weeks ago. at first it was a uti im sure, cause i had to urinate frequently and it hurt so much and burned and hardly anything ever came out when i went to pee also. but now, i sometimes wet myself when im out, when i go to the bathroom it is yellow, and it has a god awful smell. like sweaty fish or something. i also have a lot of trouble pooing. i dont think my organs are working properly and i am scared.
      i am trying to find something over the counter maybe a herb or vitamin that will atleast help keep it heathier after i get off of antibiotics. can someone please help me?
      please email at baby-popcorn@hotmail.com
    • A Yahoo! User  •  2 years 11 months ago
      I'm glad to see this as well..BUT I'm having a problem...It started about 2 months ago. I started having this white discharge but it didn't smell...it would just come out. I went to a clinic and they told me that it happens often before your period comes. but I've never had that happen before...If any of you know what it is or what it could be leading too. Please inform me. I'm making plans to see a doctor for a pap..but without insurance makes it hard to come up with the ridiculous amount of money being spent...
    • Crazy1  •  3 years 5 months ago
      I was just told by my doc that i had a cronick BV and there was nothing i could do about it please help ....

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