Managing recurring bacterial vaginosis

BVMiracleMany medical studies have been conducted to examine the cure rates of bacterial vaginosis (BV) treatments with antibiotics. Generally, 80-90% of women showed good initial response to the treatments. However, about 15-30% of these women experienced recurring bacterial vaginosis within 3 months after treatment.

A long-term medical study showed that while 48% of women received antibiotic remained free from bacterial vaginosis following treatment, more women (52%) had at least one further episode. Most relapses occurred within the first year, and were obviously related to having new sexual partners.

For women who are prone to recurring bacterial vaginosis, making some lifestyle changes, including stopping douching and replacing IUD with another method of contraception, will greatly help to prevent another episode.

Click here if you want to put an end to recurring bacterial vaginosis using proven natural methods!

So far, clinical observations suggest that recurrent bacterial vaginosis is not sexually transmitted, because treating the male sexual partner of a BV-affected woman didn’t seem to stop bacterial vaginosis from recurring. Current medical evidence seems to support the theory of relapse – something triggers the disruption of the vaginal flora and causes bacterial vaginosis symptoms to manifest.

The exact mechanism of recurring bacterial vaginosis remains a mystery – whether a reduction in lactobacilli happens first, or an increase in the vaginal pH or an overgrowth of BV-causing bacteria takes place first. Nevertheless, there are several therapeutic options available to help prevent bacterial vaginosis recurrences.

1. Bacteriotherapy

This method uses harmless bacteria to replace BV-causing bacteria, and is considered natural and without side effects. Lactobacilli bacteria are used, either given orally or applied vaginally. However, scientists found that not all lactobacilli strains can stick on well to the vaginal lining.

Lactobacilli from yogurt seem to adhere less well to vaginal cells. The L crispatus and L jensenii showed better ability to adhere compared with other lactobacilli strains. A clinical study showed that, with a combination of oral and vaginal lactobacilli replacement, normal vaginal flora can be achieved after 60 days. There are now studies to examine the effectiveness of vaginal pessaries containing L crispatus in repopulating the vagina with lactobacilli.

2. Maintaining vaginal pH at 4.5 or less

Before the normal vaginal lactobacilli and other microflora are restored and once again able to maintain the vaginal pH themselves, it is necessary to prevent overgrowth of pathogens in the vaginal environment. One study showed that by using intravaginal lactate gel, 88% of women with recurring bacterial vaginosis were able to eliminate BV compared to only 10% of women who didn’t use the vaginal maintenance therapy.

3. Prevent overgrowth of BV-causing organisms

Bacterial vaginosis recurrences most often take place within the first 7 days of the menstrual cycle, and frequently followed Candida infection. Experts advise the use of oral or intravaginal Metrogel for 3 days at the onset of menstruation for 3-6 months, and add anti-fungal treatment if there is a history of candidiasis.

Using one of the above therapeutic options may help some women to end recurring bacterial vaginosis, but may not cure all cases. A combined approach appears to work better for most women. For example, in a study where women took a single dose of oral metronidazole followed by vaginal lactate tablets, there was an improved rate of normal vaginal flora in 94% of women, compared to only 71% of women if no vaginal maintenance treatment was used.

In short, the ideal way of managing recurring bacterial vaginosis would be to tackle all aspects of this vaginal disorder by replacing the lactobacilli, at the same time maintaining the vaginal pH at 4.5, and if necessary also adding complementary treatment to control bacteria overgrowth.

Click here if you want to put an end to recurring bacterial vaginosis using proven natural methods!