I have been taking it for five days now and am still experiencing vaginal discomfort. I appear to have a difficult case. My gyno also added fluconazole for a possible yeast infection caused by the metronidazole as I am prone to getting them with antibiotics. Was treated for bv in early January with Tindamax which either only temporarily cured me or wasn't strong enough and it came back. Do I need an extended course of metronidazole? I'm worried it's just killing all the good bacteria that I am trying so hard to replenish (yogurt, probiotics) and that this is just one vicious cycle! Help!
Bacterial vaginosis (BV) is a common infection in the vagina and is caused by changes in the amount of bacteria in your vagina. It can develop when your vagina has more harmful bacteria than good bacteria. The most common symptoms of BV are an abnormal vaginal odour and discharge, or there may be no symptoms at all. It most commonly occurs in women aged 15 to 44 years. BV is easily treated with antibiotics such as metronidazole (Flagyl ) or clindamycin (Cleocin).
Studies show that a seven-day treatment with oral metronidazole is usually sufficient to treat BV. If left untreated, it can raise your risk for sexually transmitted infections (STIs) and cause problems during pregnancy. It is possible to get BV again. To reduce your risk do not cleanse your vagina with soap, warm water is fine, do not douche, wear loose cotton pants, wipe front to back and practice safe sex.
In answer to your question most patients start feeling their symptoms improve after 3 to 5 days of metronidazole treatment . See your doctor if you are feeling no improvement after 7 days.
For more information see: https://www.drugs.com/health-guide/bacterial-vaginosis-gardnerella-vaginitis.html
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