Study: antibiotics can be a dud for BV

TL;DR

A recent study has cast doubt on the effectiveness of the WHO-recommended antibiotic treatments for bacterial vaginosis (BV), with a significant portion of women remaining untreated after standard therapy. This research, involving 482 women, highlights the need for a reevaluation of current BV treatment protocols and suggests that the one-size-fits-all approach may not be as effective as once thought.

The World Health Organisation (WHO) standard prescription for bacterial vaginosis (BV) is delivered to women across the globe on a daily basis. A group of researchers decided to test its effectiveness.

Out of 482 women aged 14-51 that visited a specific sexual health clinic over the course of a year, 74 were found to have BV (15 per cent).

Out of those 74, 11 still had BV after being twice treated with antibiotics.  About half the women received a follow-up examination, and out of those, 39 per cent still had BV after treatment, leaving a big question mark over the other half of the women who never came back.

The study – Effectiveness of current therapy of bacterial vaginosis​1​

Treatment 1

The first treatment was 2g of oral Metronidazole in a single dose. So, pop the pill and off you go.

Treatment 2

Treatment 2 consisted of 500mg of Metronidazole twice daily by mouth for a week, or alternatively, Clindamycin twice daily at a dose of 200mg for a week.

The conclusion

The researchers concluded that standard treatments for BV are not always effective, with no significant difference noticed in the different age groups.

References

  1. 1.
    Andreeva PΜ, Omar HΑ. Effectiveness of current therapy of bacterial vaginosis. International Journal of Adolescent Medicine and Health. Published online April 2002. doi:10.1515/ijamh.2002.14.2.145


Jessica Lloyd - Vulvovaginal Specialist Naturopathic Practitioner, BHSc(N)

Jessica is a degree-qualified naturopath (BHSc) specialising in vulvovaginal health and disease, based in Melbourne, Australia.

Jessica is the owner and lead naturopath of My Vagina, and is a member of the:

  • International Society for the Study of Vulvovaginal Disease (ISSVD)
  • International Society for the Study of Women's Sexual Health (ISSWSH)
  • National Vulvodynia Association (NVA) Australia
  • New Zealand Vulvovaginal Society (ANZVS)
  • Australian Traditional Medicine Society (ATMS)
SHARE YOUR CART