Currently, there are three types of antibiotics widely used to treat BV. I'm going to cover some basic information about each.
This is an overview of the most prescribed medication for BV: Metronidazole, which comes in two forms.
Metronidazole, a.k.a. Flagyl (oral)
- Description: oral tablets - typical regimen is 500 mg, 2x a day, for 7 days or 2000 mg single-dose
- Cure Rate: 95%, single-dose 84%
- Pros: the first-line-of-defense for BV, has high cure rate; generic version is inexpensive
- Cons: causes metallic taste in mouth; do not drink even a drop of alcohol while taking this, and for 3 days afterwards (not even cough syrup, or even a bite of tiramisu - it will make you very nauseous!)
Metrogel (vaginal gel)
- Description: Vaginal gel
- Cure Rate: 75% for 3-day regimen
- Pros: you can avoid some of the side effects of the oral Flagyl (although you should still avoid alcohol)
- Cons: the cure rate is lower than with the oral medication according to some sources
Whether you choose the Flagyl or Metrogel for your treatment is up to you and your doctor. However, I think it is better to take the oral medication if possible. In recent years, there are more and more research that shows that BV germs can travel from your lower genital tract to your upper genital tract and cause problems. So for that reason, taking the oral medication instead of the intra-vaginal gel/cream may be a better choice.
Many Bust Lounge members have used both types of these medications. Some have shared that after taking it several times, Flagyl makes them nauseous, even when alcohol is not consumed. Some members have also reported that they feel depressed after taking Flagyl.
The cure rate information is from this source.