Bacterial vaginosis (BV)
- Risk for BV:
- new and/or multiple sex partners (male/female)
- lack of condom use
- Treatment of male sexual partner not recommended.
- No need to screen and/or treat low-risk pregnant women.
- Treatment of asymptomatic BV in women with previous preterm birth may reduce the risk of preterm premature rupture of membranes and stillbirth.
- ↓ Lactobacillus spp
- ↑ Gardnerella vaginalis
- ↑ anaerobes
- ↑ Metamycoplasma hominis (previously Mycoplasma hominis)
Treatment not required unless:
- high-risk pregnancy (previous pre-term delivery)
- pre-IUD insertion
- pre-gynecologic surgery or upper tract instrumentation
- pre-induced abortion
|Metronidazole tablet||500mg PO bid||7 days|
|Metronidazole 0.75% intravag gel||5g intravag hs||5 days|
|Clindamycin 2% cream||5g intravag hs||7 days|
|Clindamycin||300mg PO bid||7 days|
|Metronidazole||2g PO||1 dose|
|Metronidazole||500mg PO bid||7 days|