Well Down There

Treat BV

BV treatment overview: OTC vs prescription

Prescription

BV is treated with prescription metronidazole, clindamycin, or tinidazole (oral or vaginal). Take the full course even if symptoms improve. Avoid alcohol with metronidazole or tinidazole as directed. (CDC treatment guidelines)

Over the counter

OTC antifungals treat yeast, not BV. Using them for BV will not help. OTC pH gels and probiotics are sometimes used for support, but evidence that they cure BV is limited.

Recurrent BV

Talk to a clinician: longer or repeat regimens exist. Partner-related questions: see is it contagious?

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Last reviewed: October 25, 2026

Medical disclaimer: This site is for education only and is not medical advice, diagnosis, or treatment. See our full disclaimer. If you have severe pain, fever, sores, or are pregnant, contact a clinician.