Vaginitis medical therapy

Jump to navigation Jump to search

Vaginitis Main Page

Patient Information

Overview

Classification

Bacterial Vaginosis
Candida vulvovaginitis
Trichomonas infection
Atrophic Vaginitis

Differential Diagnosis

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The cause of the infection determines the appropriate treatment. It may include oral or topical antibiotics and/or antifungal creams, antibacterial creams, or similar medications. A cream containing cortisone may also be used to relieve some of the irritation. If an allergic reaction is involved, an antihistamine may also be prescribed. For women who have irritation and inflammation caused by low levels of estrogen (postmenopausal), a topical estrogen cream might be prescribed.

Bacterial Vaginosis

Bacterial Vaginosis Treatment
Preferred Regimen
Metronidazole 0.5 gm po bid x 7 days
OR
Metronidazolevaginal gel (1 applicator intravaginally) once daily x 5 days
or 1 applicator contains 5 gm of gel with 37.5 mg Metronidazole
OR
Tinidazole 2 gm po once daily x 2 days
or 1 gm po once daily x 5 days
OR
Clindamycin 2% vaginal cream 5 gm intravaginally at bedtime x 7 days
Alternative Regimen
Clindamycin 300 mg bid po x 7 days
OR
Clindamycin ovules 100 mg intravaginally at bedtime x 3 days
Recurrent refractory BV
Metronidazole 0.5 gm po bid x 7 days
then
Boric acid gelatin cap 600 mg, intravaginal hs x 21 days
then
Metronidazole vaginal gel, 1 applicator, 2 x/week for 16 weeks

References

Template:WH Template:WS