{"id":3806,"count":3,"description":"Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge in women of reproductive age \u2014 affecting roughly one in three women at some point. It develops when the protective lactobacillus-dominated vaginal flora is replaced by an overgrowth of anaerobic bacteria (Gardnerella vaginalis, Atopobium, Mobiluncus, and others). Classical presentation: thin grey-white discharge with characteristic fishy odour, more pronounced after intercourse. The MedsBase BV Treatment catalogue stocks the standard treatment options, supplied by <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\n<strong>First-line antibiotic treatment.<\/strong> Metronidazole is the first-line agent \u2014 either 500 mg orally twice daily for 7 days, or vaginal gel 0.75% applied at bedtime for 5 nights. Alternative: clindamycin 2% vaginal cream applied at bedtime for 7 nights, or oral clindamycin 300 mg twice daily for 7 days. Single-dose tinidazole 2 g is an alternative oral option. Browse our <a href=\"https:\/\/medsbase.com\/ro\/antibiotics\/\">Antibiotice<\/a> catalogue for metronidazole (Flagyl, Metroga, Metrogyl Gel), tinidazole (Tinvista, Tinima), and clindamycin (Dalacin C, Clinka Gel) options. The combination antibiotic + lactobacillus probiotic <a href=\"https:\/\/medsbase.com\/ro\/revidox-lb\/\">Revidox-LB<\/a> may help restore protective flora after antibiotic treatment.\n\n<strong>Topical adjuncts.<\/strong> Topical clotrimazole vaginal cream <a href=\"https:\/\/medsbase.com\/ro\/candid-v-gel\/\">Candid V Gel<\/a> is useful when bacterial vaginosis coexists with vaginal candidiasis (a common pattern). Combination kits including the <a href=\"https:\/\/medsbase.com\/ro\/medical-emergency-kit\/\">Trus\u0103 medical\u0103 de urgen\u021b\u0103<\/a> bundle relevant acute-care medications.\n\n<strong>Insomnia acut\u0103 pe termen scurt (jet lag, doliu, stres tranzitoriu) \u2014 melatonina 1\u20133 mg cu 30\u201360 de minute \u00eenainte de culcare timp de 1\u20132 s\u0103pt\u0103m\u00e2ni. Tulburarea de faz\u0103 de somn \u00eent\u00e2rziat\u0103 (\u00een special la adolescen\u021bi \u0219i lucr\u0103torii \u00een schimburi) \u2014 melatonina 0,5\u20131 mg luat\u0103 cu 4\u20136 ore \u00eenainte de momentul dorit de adormire. Insomnia cronic\u0103 (mai mult de 3 luni) \u2014 terapia cognitiv-comportamental\u0103 pentru insomnie (CBT-I) este de prim\u0103 inten\u021bie; op\u021biuni farmacologice pentru cazuri selectate sub supraveghere medical\u0103.<\/strong> Suspected BV with classical features (thin grey-white discharge, fishy odour, no itching\/burning of typical candida) \u2192 metronidazole 500 mg BID \u00d7 7 days oral, or 0.75% vaginal gel \u00d7 5 nights. Pregnancy with confirmed BV \u2192 metronidazole oral or clindamycin (treatment reduces preterm-birth risk in some studies). Recurrent BV (\u2265 4 episodes\/year) \u2192 extended treatment course + suppressive metronidazole gel twice weekly for 4\u20136 months \u00b1 boric acid 600 mg vaginal capsules.\n\n<strong>Important.<\/strong> Avoid alcohol with metronidazole and tinidazole (disulfiram-like reaction \u2014 flushing, palpitations, severe nausea). Confirm BV diagnosis by Amsel criteria or vaginal pH (raised &gt; 4.5) where possible \u2014 empirical \"yeast\" treatment misses BV (40% of women self-diagnose incorrectly). Persistent or recurrent symptoms despite treatment warrant pelvic examination, full STI screening, and consideration of trichomoniasis (treated similarly with metronidazole) or atypical vaginal pathogens. BV is associated with increased acquisition risk for HIV, herpes, gonorrhoea, and chlamydia \u2014 STI screening recommended at diagnosis. Sexual partner treatment (male partners) does NOT reduce BV recurrence per evidence.\n\nAll MedsBase BV Treatment products ship from <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/bacterial-vaginosis-bv-treatment\/","name":"Tratament pentru vaginoza bacterian\u0103 (VB)","slug":"bacterial-vaginosis-bv-treatment","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}