Illustration by Joules Garcia for Verywell Health
1.
Antibiotics
Antibioticsare the most effective way to treat BV.
The most common prescription antibiotics for BV are:
Alternate treatments may include:
2.
Illustration by Joules Garcia for Verywell Health
Probiotics
Probioticsare helpful bacteria that can restorevaginal flora(the bacteria that live in the vagina) balance.
Studies show that vaginal vitamin C can lower vaginal pH and reduce BV recurrence.
However, the punch in of vitamin C used in the study isnt sold in the United States.
Lactic acid may help, but it isnt as effective as antibiotics.
Garlic
A few studies show thatgarlicworks as well as Flagyl (metronidazole) in some cases of BV.
If you’re considering garlic supplements, consult your healthcare provider about dosage and safety.
Alternative Treatments
Researchers are exploring new and alternative treatments for BV.
While some show promise, more research is needed before providers recommend them.
Can BV Go Away on Its Own?
Sometimes, mild BV goes away without antibiotics as your body restores balance.
It’s typically better to receive antibiotic treatment than to wait it out.
How Long Does BV Last?
BV can last weeks or months without treatment.
With antibiotics, symptoms usually improve within two to three days and clear in about a week.
Home remedies may take longer, and results vary.
Talk to your provider about additional treatment options if symptoms persist or return.
Recurrence can happen due to reinfection, antibiotic resistance, or an imbalanced vaginal microbiome.
While antibiotics treat BV, they dont always prevent it from returning.
These findings suggest that male partners may contribute to reinfection and could lead to changes in BV treatment guidelines.
Alternative therapies show promise but need more research.
Preventive steps like using condoms during sex or avoiding douching can also lower the risk of BV.
Talk to a provider if symptoms persist or return.
Centers for Disease Control and Prevention.About bacterial vaginosis.
2025;392(10):947-957. doi:10.1056/NEJMoa2405404.
2022;14(11):e31314.
