Bacterial Vaginosis
- Testing for bacterial vaginosis is with charcoal vaginal swab. Testing should be performed prior to treatment, especially if symptoms are persistent or recurrent.
- Full STI screening is recommended, to include chlamydia, gonorrhoea, HIV and syphilis.
- For problematic recurrent BV, refer to sexual health.
- Oral metronidazole is cheaper and as effective as topical.
- Provide general washing advice and smoking cessation.
- Patient information is available here.
Drug details
Oral Metronidazole 400mg twice daily
5 to 7 days
OR Metronidazole 0.75% vaginal gel 5g applicatorful at night
5 nights
OR Clindamycin 2% vaginal cream 5g applicatorful at night
7 nights