Bacterial Vaginosis

Less relapse with 7 day metronidazole than 2g stat at 4 weeks.

Pregnant/breastfeeding: avoid 2g stat.

Treating partners does not reduce relapse.

Topical treatment gives similar cure rates but is more expensive.

Consider testing for HIV.

Oral metronidazole

400mg twice daily

OR 2g

7 days

single dose