After suffering from terrible discharge and vaginal odor for over 10 years, I've tried almost everything for treating my BV. I was never diagnosed with BV, but I read an article about a year ago from a women who had the same symptoms as me: fishy odor, constant abnormal discharge, and irritation. I immediately decided I was suffering from the same issue, even though my GYN had once told me that discharge was normal. Instead of going to the doctor, I decided to do my own research as I had read that doctors often misdiagnose BV and try to give you antibiotics that just nuke everything down there and then the BV just comes back. In the article, the woman had mentioned using probiotics as a way to prevent BV, because they bring good bacteria backt to the vagina. I decided to try a few different probiotics and a lot of them didn't work. Then I did some more research and found at that it is very important to take a probiotic designed specifically for vaginal and urinary tract health because they have different criteria. So I found this probiotic ReFlora by Naturella Made and took it for a whole month before I started to see a HUGE difference. My discharge completely stopped and the odor was gone. I also tweaked a few things in my routine to keep my balance of good and bad bacteria healthy. Some of the other things I did was to eat more yogurt and wear moitsture wicking panties, I also drank lots of water and used pH balancing products for things like soaps and tampons. To be clear, I've done a lot of this in the past, but it didn't help until I introduced the probiotics. Most important thing to look for in probiotic is rhamnosus and reuteri as well as a lot of cultures at least 25Billion. This is the probiotic I taek and I highly recommend it: https://www.naturellamade.com/pages/buy-reflora
Ladies updated BV treatment take VITAMIN C 1000mg twice daily and Acidophillis 20 billion cultures (3tabs) twice daily, drink plenty of water continue this for 2 weeks or longer depending on the severity of the infection. Wear cotton loose panties with panty liners, change panty liner every 2-4 hours and every time you use the restroom. Don't sleep with panties at night let your vagina breathe. NO SEX it makes it worse.
Hi Everyone! Last summer I started being sexually active and after the first time i had intercourse I smelled a musty smell, it wasn't really strong but really bothered me, sometimes it would go away and sex was great but then it would come back. I tried so many remedies like washing my V with ACV and inserting a tampon soaked in ACV and it didn't work, i even tried taking Vitamin C but it didn't help either . I got super insecure because of this and rejected sex from my boyfriend so many times, he never sex anything about the smell but i knew he obviously smelled it, anyways after research and research i decided to start taking Vitamin C with rose hips(1000mg) twice a day along with 1 Spring Valley Women's Probiotic Dietary Supplement, I am currently on day 3 and the smell has decreased & no discharge, hopefully this makes it better! but I'm scared that once i stop taking them it will come back!
Good luck ladies!!!!!!!!!!!!!
Homeopathic Vit C 250 mg each night x 7 nights did not work. (I am 55, perimenopausal, treating with anti-aging doctor ((since 2010)), using SottoPelle every 2.5 months, progesterone by mouth every night and T3T4 compounded to treat hypothyroidism. I also grow my own kefir grains and on very high (live) probiotic, fermented/resistant starch food lifestyle). I also tried the organic apple vinegar tampons x days. I was spotting too and it was getting heavier, therefore increasing my concerns. The odor was relentless, causing me to want to stay at home.
I wound up proceeding with the clindomycin (did not want too-and did have side affect..= morning after nausea, extreme heartburn that disrupted sleep, irritability) as my antiaging doc told me the spotting was caused by the BV. After not having a period since 2010, growing tired of changing pads and getting pissy from limited sex.....i opted to follow her advice. The spotting has now significantly decreased. The odor disappeared the day after initial clindomycin dose 11.30 ( was on probiotics too).
Will start the Vit C insertion. Continue my high probiotic diet. Return to making sure after sex, I take extra shot of my "critters" --live probiotics/kefir.
My question is:
1. Did anyone else have spotting with their BV?
2. Has anyone else found that high probiotic diet is a significant factor in keeping vaginal secretions at acid level.
3. Any feedback, additional comments are much appreciated,
I have suffered with BV for over 3 years. It has been a very long 3 years of frustration and depression dealing with this degrading problem. I have followed forums looking for answers. I felt like I had tried everything looking for answers: antibiotics, peroxide, vitamin C, tea tree oil, yogurt, certain probiotics etc. In the end I ended up frustrated and depressed. I ended up thinking I was going to douche with peroxide for the rest of my life with mediocre results. I recently started drinking a drink for purely health reason NEVER even thinking that it would do anything for the BV. A friend said he drank it and never gets colds etc and that he had drank for years and thought it was an awesome product. He is a super healthy guy and I trust his opinion so I thought I would start drinking it. The name of the product is Green Vibrance. You can find it in regular health stores. I have zero association with this product or company other than being lucky enough to try it and am sharing my story in the hopes that it will help others like it has helped me. After using it for a week or so I started to notice that the undeniable smell of BV was gone. At first I didn't believe it because I have been dealing with this depressing problem for so long long that I thought no way it is just my imagination. The true test was sex and my very patient and loving boyfriend couldn't believe it either. The odor is gone and it has been over a month. I drink Green Vibrance EVERY day in hopes that the BV never comes back. I don't know anyone else that has BV (or admits to having it) to verify that it will work for others but I feel I have an obligation to share my story in hopes that this product will help others like it has helped me. I know what the last 3 years of my life has been like for me and I would hate to think of others feeling the same way without sharing my story. I would love for others to try this and let me know if it worked for them. If it does please share it.
Proposed BV Treatment options [[My personal notes are in double brackets]]
Efficacy of Vitamin C Vaginal Tablets as Prophylaxis for Recurrent Bacterial Vaginosis: A Randomised, Double-Blind, Placebo-Controlled Clinical Trial; Vladislav N. Krasnopolskya, Vera N. Prilepskayab, Franco Polattic, Nina V. Zarochentsevaa, Guldana R. Bayramovab, Maurizio Caserinid, Renata Palmierid, e
-Treatment overview during trials: Within 24 hours of cure from a recent episode of BV by metronidazole or clindamycin, implement vitamin C for six consecutive monthly cycles. Each cycle consists of inserting one vaginal tablet for 6 consecutive days during each month following menses [[Use with tampon to keep the vitamin C inside]].
-Tablets are 250mg ascorbic acid [[though many women on various forums have claimed to use 500 mg with success]] in a silicone carrier that ensures prolonged action [[find one without added sugars, such as Twinlab C-500 Caps, Crystalline Vitamin C capsules]].
-No statistical significance was noted within the 3-month period, only becoming apparent during month 5. Conclusion was that the regular use of the tablets for the suggested duration following the success of metronidazole treatment reduces the reoccurrence rate from 32.4\\% to 16.2\\%.
“A therapeutic approach in the treatment of BV relapse is to re-establish and maintain the physiological acidity of the vagina, as the growth of anaerobes and other faecal bacteria is inhibited by low pH. Attempts to achieve this via re-colonisation with exogenous lactobacilli have not been successful. Another, more accepted approach is to reduce vaginal pH, in order to create a negative environment for pathogen growth and to achieve long-lasting normalisation of vaginal flora using intravaginal ascorbic acid (vitamin C). The use of antibiotics may induce resistance in the pool of bacteria recognised to cause BV and, conversely, could affect the normal flora of lactobacilli , favouring recurrence within a few weeks in over 70\\% of women taking antibiotics for bacterial vaginosis . Ascorbic acid [[250 mg, in a silicone carrier that ensures prolonged action]] plays a vital role in maintaining low vaginal pH values and enhances healing processes in the vaginal ecosystem - recolonisation with lactic acid bacteria. The mechanism of action is simple: through the lowering of vaginal pH to the physiological level of 3.8 - 4.5, anaerobic overgrowth is inhibited and the conditions for the re-growth of physiological lactobacilli flora are re-established. “
“The results of the present study show that 250 mg ascorbic acid vaginal tablets taken 6 days per month safely halves the risk of BV recurrence from 32.4\\% to 16.2\\% during a 6-month prophylactic treatment. The O.R. confirms that subjects treated with placebo had a doubled risk of BV recurrence compared with the group of subjects treated with vitamin C. Considering the time to the first BV relapse, treatment of at least five cycles is necessary in order to reduce, at a significant level, the risk of BV recurrence. As this was a prophylaxis study, in women who at the screening visit were healthy and who terminated the study in case of relapse, a between-treatment difference in clinical parameters was not expected. At the same time, differences in pH were not expected but conversely, a reduction in pH was noted for 3-month and 6-month treatment. “
In conclusion, regular use of silicon-coated vitamin C (250 mg) tablets, after the standard antibiotic treatment for BV, protects women by reducing the risk of recurrence probably by re-establishing the normal lactobacilli flora that is able to maintain vaginal pH.”
Bacterial Vaginosis Biofilms: Challenges to Current Therapies and Emerging Solutions; Daniela Machado, Joana Castro, Ana Palmeira-de-Oliveira, José Martinez-de-Oliveira, and Nuno Cerca.
“Being polymicrobial in nature, BV etiology remains unclear. However, it is certain that BV involves the presence of a thick vaginal multi-species biofilm, where G. vaginalis is the predominant species. Similar to what happens in many other biofilm-related infections, standard antibiotics, like metronidazole, are unable to fully eradicate the vaginal biofilm, which can explain the high recurrence rates of BV. Furthermore, antibiotic therapy can also cause a negative impact on the healthy vaginal microflora. These issues sparked the interest in developing alternative therapeutic strategies. This review provides a quick synopsis of the currently approved and available antibiotics for BV treatment while presenting an overview of novel strategies that are being explored for the treatment of this disorder, with special focus on natural compounds that are able to overcome biofilm-associated antibiotic resistance.”
Current available treatments
Metronidazole and clindamycin are shown to be effective against anaerobic microorganisms, though tinidazole was the most recently approved antimicrobial agent for BV treatment, and is considered an alternative antimicrobial agent, particularly whenever metronidazole and clindamycin are unavailable or not tolerated. Being a second generation nitroimidazole with a longer half-life than metronidazole, it requires lower dosages, to be taken less frequently than metronidazole.
Although antibiotics are effective against anaerobic microorganisms, the have an inability to completely eradicate the densely-structured polymicrobial BV biofilms-associated bacteria G. Vaginalis.
Probiotics have been shown to modulate vaginal microbiota:
“In the human vagina, certain Lactobacillus strains can act as probiotics, preventing the growth of BV-associated bacteria through two main mechanisms: the inhibition of pathogens adhesion to vaginal epithelium (Machado et al., 2013); and the production of antimicrobial compounds like hydrogen peroxide (Mastromarino et al., 2002), lactic acid (Boskey et al., 2001) and bacteriocins (Aroutcheva et al., 2001b). Diverse pharmaceutical formulations containing probiotic lactobacilli strains have reduced BV symptoms, improved the vaginal microflora profile, being usually well-tolerated (Rossi et al., 2010;Hantoushzadeh et al., 2012; Facchinetti et al., 2013; Vujic et al., 2013; Vicariotto et al., 2014). “
“In contrast, despite their therapeutic potential, some clinical trials have not detected a significant improvement in BV management (Falagas et al., 2007). Alternatively, probiotics have been proposed as adjuvants to antibiotic therapy [[meaning, using probiotics following the use of antibiotics]]. Several combinations of metronidazole, clindamycin or tinidazole with lactobacilli probiotic preparations have displayed promising results in BV treatment since they have been associated with high cure rates, low recurrence or quick re-establishment of an healthy vaginal microflora (Marcone et al., 2010; Bodean et al., 2013; Recine et al., 2016).”
“Probiotics have also been used in an attempt to specifically deal with BV biofilms. Remarkably, in 2007, Saunders and colleagues showed that L. reuteri RC-14 was able to disruptin vitro G. vaginalis biofilms (Saunders et al., 2007). Later, McMillan and colleagues demonstrated that probiotic L. reuteri RC-14 and L. rhamnosus GR-1 were able to incorporate themselves into BV-biofilm, composed by G. vaginalis and A. vaginae, causing both the disruption of the biofilm structure and bacterial cell death (McMillan et al., 2011). These findings provide some evidence of how lactobacilli probiotics might interfere with an abnormal vaginal microflora, reinforcing the hypothesis that probiotics could eradicate vaginal pathogenic biofilms and restore the normal microflora in in vivo situations.”
“It has also been proposed that prebiotics [[such as the product Multigyn FloraPlus]], nutritional substances that stimulate the growth of probiotics, could be used as alternative to treat BV (Roberfroid, 2007). Interestingly, Rousseau and colleagues demonstrated that prebiotic preparations containing oligosaccharides were able to promote the growth of beneficial lactobacilli strains but not of the pathogenic microorganisms often found in urogenital infections including G. vaginalis (Rousseau et al., 2005). “
“Later, Zeng and colleagues compared the efficacy of a prebiotic gel containing sucrose with 0.75\\% metronidazole vaginal gel to treat BV (Zeng et al., 2010). In that study, the prebiotic gel displayed a similar therapeutic cure rate to metronidazole, having a major advantage of quicker restoration of the normal vaginal microflora. Recently, Coste and colleagues evaluated the efficacy and safety of another prebiotic gel, applied as adjuvant therapy [[combined with antibiotic treatment]], in women treated for BV and showed an improved recovery of the normal vaginal flora, reducing the risk of recurrences (Coste et al., 2012).
“Surprisingly, up to now only one study evaluated the capability of plant-derived compound to eradicate BV biofilms. Interestingly, Braga and colleagues showed that thymol, a molecule present in thyme essential oil, had an inhibitory effect upon both newly formed and mature G. vaginalis biofilms, which supports the importance of exploring essential oils and their main constituents as therapeutic alternative to treat BV (Braga et al., 2010). Furthermore, the expectations on essential oils as effective agents against BV-biofilms can be inferred from studies in other related vaginal biofilms (Palmeira-de-Oliveira et al., 2012; Bogavac et al., 2015).” [[The suggested delivery was through douche]].
-“Recently, Bahamondes and colleagues verified that a soap containing lactic acid and lactoserum could be used for external intimate hygiene, reducing BV recurrence after treatment with oral metronidazole (Bahamondes et al., 2011). “
-“Interestingly, vitamin C, when coated with silicon, allowed the constant release of the active agent, resulting in a long-lasting vaginal low pH and prevention of vaginal irritation (Polatti et al., 2006). Other studies reported an effective and safe use of vaginal vitamin C tablets in BV treatment (Petersen et al., 2011), contributing to improve abnormal vaginal pH and microflora, especially in pregnant women (Zodzika et al., 2013). Additionally, the regular use of vitamin C during 6 days per month, for 6 months after successful BV treatment, was shown to decrease the risk of BV recurrence (Krasnopolsky et al., 2013).
-“Another alternative comes in the form of buffering agents. Polycarbophil [[like the product Replens]] is a weak poly-acid that it is able to adhere to vaginal epithelial cells, acting as a buffer in the vaginal secretions (Milani et al., 2000). “
-“Another agent that has been long used in the treatment of vaginal infections is boric acid (Van Slyke et al., 1981) [[This could be the 600 mg tablets from brands pH-D, BoriCap, Bona Dea, or Boric Balance as of a recent Google search]]. Recently, Reichman and colleagues reported that the use of boric acid in combination with a nitroimidazole reduce the BV recurrence (Reichman et al., 2009), suggesting a potential impact on BV biofilms. However, this need to be further studied and in vitro biofilm experiments will elucidate the role of boric acid in BV prevention.”
Conclusions and future directions:
BV current approved therapies are not sufficient to deal with this multi-species biofilm-related vaginal disorder. Future, research should address biofilm communities with a particular emphasis on multi-species biofilms, a topic that only recently emerged (Castro and Cerca, 2015). By properly addressing the complex interactions established in multi-species biofilms, novel strategies will hopefully overcome the high recurrence and relapse rates associated with BV.
Hello my name is katt an I have been experiencing bcuz now for 3 yr. I really need to know what exactly will help me. I'm steady seeing use vit c ... but some people say vit c with rose hip which is the best 500mg or a 1000 please tell me
Unfortunately ladies BV has taken over our lives and I had found it hard to believe there is little research done to help us with such a horrifying experience. I also had a hard time wrapping my brain around the fact these doctors kept giving me the same darn medication that wasn't working at ALL! I had BV once when I was 18 due to getting strep throat and having to take a strong dose of antibiotics. I first got a yeast infection, after using the cream, It caused me to have my first experience of BV! Scared out of my mind, my mother filled me in and I got medication for it. It worked for me and I never had a problem until a year ago. My horror story started after I had surgery and was given antibiotics for so long it caused me to get BV. Long story short I got BV so bad, my boyfriend got a red rash and had to be put on metronidazole as well. While his went away, of course mine didn't. I took metronidazole pills so many time, the gel twice and I hated it, almost made it worse. I also took Clindamycin I think it was and it always came back. I then looked up remedies to try like; hydrogen peroxide, apple cider vinegar, different probiotics, different vitamins, coconut oil and tea tree oil. While some things made it feel cleaner nothing worked. Every time the BV came back it was different. The discharge, the smell and even the feeling was always different. Finally, I was brave enough to try Boric Acid, I decided to order it on Amazon and make the capsules myself. I won't deny I was nervous to insert it, I did it once a night for 7 days. I noticed right away it working but still didn't want to get my hopes up. Only discharge I had was the pill in the morning. Finally I felt good enough to stop doing it, all the research I did said different things, I felt 7 days was good for me. It's been over a month, I even had my period and no BV! Once in awhile I will put one in after sex but it's been a week since I've even done that. I know it doesn't sound like a long time but when nothing works and something does, you just know!!!! My advice to all you ladies who are so depressed and embarrassed because we are being grouped as "girls who aren't clean" screw those people who don't understand and find what works for you. It's true, what worked for some won't work for others. I was about to give up when I came across the Broic Acid and it happened to be the key for my body. Good luck! Don't give up and don't let anyone bring you down! We have to stick together. Much love
I am 41 years old and have learned the secret. I have suffered from BV and yeast infections for 5 years and have suffered at the hands of doctors who push gels, creams and medications that do more harm than good just for relief for a couple weeks. I did serious research and found my miracle! You have to treat these both internally and externally and maintenace is critical. Orally i have found my daily dose of Accuflora, folic acid, and garlic supplements are neccessary. If you suffer from yeast as well Azo Yeast daily helps as well. Externally i have found that a nightly (with symptoms and twice a week without symproms) soak in hot water with half a cup of sea salt and 5 drops of tea tree oil is a quick acting cure. The tea tree oil knocks out that odor and symptoms quickly and keeps them away. When I start to feel something coming on I begin my soak and its gone. I used to get infections monthly and now i may only get them twice a year and thats when I shy away from my regimen. If you are experiencing symptoms you can also fill a bowl with water and a few drops of the tea tree oil and use a cotton ball soaked in the solution to wipe front to back. It has a cooling sensation and sticks with you. Stop douching and putting stuff into the vagina. My friend would use the yogurt tampon method and she developed a horrible infection. I hope this helps somebody. It has been my savior.
I dont know what to do. Im 15 years old never been sexually active , never douched , never stuck anything up there. Ive tried to go see a doctor but i dont really have anyone to take me. Its like a nnasty fishy odor coming from my private pparts ,and ive even been bullied because oother people could smell it . I dont knoe what to do , its embarassing . No matter how hard or gentle i wash down there it doesnt go away . Ive tried tea tree oil, baking soda , apple cider vinager. I dont want to spend my money o something that wont work , so can someone give me a way to get rid of it that will work. Im really tired of being talked about it because of it , so please help me.