Bacterial Vaginosis

BASHH Guideline 

CKS

Avoid 2g dose in pregnancy/breastfeeding

Topical treatment gives similar cure rates but is more expensive.

7 days results in fewer relapse than 2g single dose at 4 weeks.

First Choice

Oral metronidazole

 

400mg twice daily

OR

2g

 

7 days

 

single dose

Alternative

Topical Metronidazole

0.75% vaginal gel

 

5g applicatorful at night 

 

for 5 days