What prophylactic treatments are effective for patients with recurrent bacterial vaginosis?


    loading  Checking for direct PDF access through Ovid

Abstract

Evidence-Based AnswerIn patients with recurrent bacterial vaginosis (BV) who have just completed therapy for active disease, intravaginal probiotics for 14 additional days or intravaginal metronidazole gel 0.75% twice a week for 16 weeks decreases the recurrence rate (SOR: B, small RCTs). A 5-day course of intravaginal probiotic followed by a 5-day course of intravaginal metronidazole gel 0.75% after each menses may also lower the recurrence rate (SOR: C, low-quality cohort study).

    loading  Loading Related Articles