When it comes to treating bacterial vaginosis (BV), topical solutions can be an effective option. These treatments, applied directly to the affected area, offer a targeted approach to managing symptoms.
In this overview, we will explore the different topical treatments available for BV, including how they are used and important considerations to keep in mind. This guide aims to provide a clear understanding of the options so you can make an informed decision about your care.
What is Bacterial Vaginosis?
Bacterial vaginosis is a condition characterized by an imbalance in the normal bacterial flora of the vagina. Typically, the vagina contains a mix of bacteria, primarily Lactobacillus species, which help maintain a healthy environment. When these beneficial bacteria are outnumbered by harmful bacteria, it can lead to BV.
Symptoms of BV
Common symptoms of BV include:
- Abnormal Vaginal Discharge: Often described as thin, gray, or white, and may have a fishy odor, especially after sexual intercourse.
- Itching or Irritation: Some women may experience discomfort or burning sensations.
- Burning During Urination: This can occur if the infection irritates the surrounding tissues.
- While BV is not classified as a sexually transmitted infection (STI), it is associated with sexual activity and can recur after treatment.
Important to note: Recurrent BV may often flare together with a candida infection. It can be very helpful to use herbs and supplements for BV and Candida, together with topical treatments.
#1 Way is Metronidazole Gel
Metronidazole is an antibiotic that works by inhibiting the growth of anaerobic bacteria, which are often responsible for BV. By restoring the balance of bacteria, it alleviates symptoms and reduces the risk of recurrence.
Dosage: Typically, 0.75% gel is applied intravaginally once daily for five days.
Instructions: Use the applicator provided to insert the gel deep into the vagina before bedtime.
#2 Way is Clindamycin Cream
Clindamycin is another antibiotic that targets anaerobic bacteria. It disrupts bacterial protein synthesis, effectively reducing the population of harmful bacteria in the vagina.
Dosage: The 2% cream is applied intravaginally at bedtime for seven days.
Instructions: Similar to metronidazole, use the provided applicator for insertion.
#3 Way is Dequalinium Chloride
Dequalinium chloride is an antiseptic that has broad-spectrum antibacterial properties. It works by disrupting the bacterial cell membrane, leading to cell death.
Dosage: Typically used as a vaginal tablet or pessary inserted into the vagina.
Instructions: Follow the specific product instructions for dosage and duration, usually around 6 days.
#4 Way is Probiotic Irrigation
While not a direct topical treatment, probiotic irrigation can help restore the natural flora of the vagina. Probiotic supplements containing Lactobacillus strains may be beneficial, especially for women who experience recurrent BV.
Usage: Probiotics can be taken orally or used in vaginal suppository form.
Benefits: They may help prevent recurrence by promoting a healthy balance of bacteria.
#5 Way are Chinese Herb Vaginal Steams.
As shared by the clinicians at Soma Clinic in Singapore, vaginal steams and washes have bacteriostatic and antimicrobial function. Chinese herbs are good at breaking down biofilms, which are protective barriers created by resistant bacteria. Some Chinese herbs include:
- Gentiana: This is a strong bacteriostatic and is able to reduce inflammation in the vaginal mucosa.
- Scutellaria: This herb possess antimicrobial function and can also reduce itch.
#6 Way are Over-the-Counter (OTC) Options
Some OTC products may help alleviate symptoms, although they do not treat the underlying infection. Options include:
- pH Balancing Gels: These can help restore the natural acidity of the vagina.
- Moisturizers: Vaginal moisturizers can relieve dryness and irritation.
- Boric Acid Suppositories: These are actually amazing to break down biofilms, and should always be tried.
Bonus: What If It Requires Deeper Treatment?
Oftentimes, topical treatment are not enough to resolve a stubborn case of BV. In these situations, it is can be prudent to seek out other alternatives, like the one shared by the Naturopath Dr Sigrid in this video below:
Conclusion
Treating bacterial vaginosis topically includes options like metronidazole gel, clindamycin cream, and dequalinium chloride. But there are also other options like probiotic irrigation, Chinese herbs and OTC alternatives.
It is important to understand that topical treatments may not be the only way to solve a BV situation, especially if it is recurrent BV. One area that is often neglected is heavy metal toxicity.
Understanding the mechanisms of these treatments, along with incorporating lifestyle changes and preventive measures, can significantly enhance treatment outcomes and reduce the likelihood of recurrence.