Clindamycin (Cleocin, Clindesse, others). If left untreated, a yeast infection in a man may go away on its own. But having sex with a new partner, or multiple partners, may increase your risk for BV. Beware of self-diagnosis and treatment. Swallow the extended-release tablet whole.
ACOG Practice Bulletin No. Do not take metronidazole if you have taken disulfiram (Antabuse®) within the last 2 weeks. More on this topic, let the child soak in the water for 30-60 minutes. Preventing an STI is easier than treating an infection after it occurs. These side effects may go away during treatment as your body adjusts to the medicine.
Are the drugs used for treating BV safe for pregnant women? There is no universally accepted definition of recurrent bacterial vaginosis, but in the few publications on the topic the definition used is three or more proved (clinically by Amsel’s criteria or microscopically) episodes of BV in 12 months. Here are some tips that may decrease the risk of BV or recurrent BV: Check with your doctor right away if you have blistering, peeling, or loosening of the skin, red skin lesions, severe acne or a skin rash, sores or ulcers on the skin, or fever or chills with this medicine. Regardless of other risk factors for preterm delivery, all pregnant women with BV who have symptoms should be treated.
In some patients, fluconazole may cause gastrointestinal upset, headache, dizziness, and rash, although these side effects typically are mild. 11 The study protocol had been approved by the Ethics Committee at the Medical Faculty of the University of Essen (Essen, Germany). Using this medicine with any of the following is not recommended. There will be two study arms. This information should not be used for diagnosing or treating a health problem or disease, or prescribing any medication. If that happens, talk you your doctor about treatments. You may report side effects to FDA at 1-800-FDA-1088.
- A UTI is the overgrowth of bacteria in the bladder.
- What are you going to do?
- Patients who are immunocompromised, such as those with HIV infection, should be treated with the same regimens as other patients.
- One hundred and thirty-four patients (15–57 years of age) with hematologic malignancies were enrolled in this study.
- 7 View/Print Table TABLE 4 Classification of Vulvovaginal Candidiasis Uncomplicated Complicated Sporadic or infrequent infection Recurrent infection Mild-to-moderate infection Severe infection Candida albicans as likely cause Infection with Candida species other than C.
- It is caused by a change in the type of bacteria found in the vagina.
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The study was performed as a single-center open-label prospective randomized trial, which compared two different regimens of intestinal bacterial decontamination in order to investigate the incidence of aGVHD. Quantification of bacterial culture growth was expressed as the log 10 of colony-forming units with a detection threshold below 103 c. The over-the-counter therapies do work well for one-time or “occasional-time” infections provided they are yeast. Even among health professionals, the diagnosis is difficult to make based only on clinical signs and symptoms. Another treatment option is paromomycin (Humatin) in a dosage of 5 g intravaginally per day for 14 days. For oral dosage form (extended-release tablets): Ask a doctor at WebMD. This product is available in the following dosage forms:
A less common form of yeast called Candida glabrata, found in up to 15 percent of women with recurring infections. Sections, a lactation consultant or doctor who is knowledgeable about breastfeeding can help, but home treatments are often effective. About 1 in 5 people get infected again within 3 months after treatment. Normally, about 95% of vaginal flora are lactobacillus bacteria. Your doctor will do a pH test and assess your symptoms and may take a simple swab for examination under a microscope before providing a diagnosis.
These might include: Researchers are not sure what makes some women more prone to recurrent BV. For these reasons, before you start using metronidazole vaginal gel it is important that your doctor knows: 5 Investigators are developing approaches, such as intravaginal treatment with DNase, to destroy the vaginal biofilm in order to enhance the efficacy of antibiotic treatment. This is to prevent the infection from coming back. 44 The decision to treat trichomoniasis during pregnancy is further complicated by the fact that physicians are reluctant to use metronidazole in pregnant women. If you rely on home remedies or opt not to treat the yeast infection, symptoms can last for several weeks or more. Metronidazole , available as a pill you swallow or a gel you insert in your vagina.
The dose is usually 7.
How is BV treated?
Generally, the cream should be applied twice a day for one to three weeks. Unfortunately, our website is currently unavailable in most European countries. This significant improvement in vaginal flora was also accompanied by a significant increase in LB at day 60. Monistat 1-Day: To help keep the amount constant, do not miss any doses. Yeast infections affect the folds of the vagina and vulva and can cause discomfort, odor, and a thick white discharge. Continue treatment during your menstrual period.
Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections. Women with bacterial vaginosis at the time of an invasive vaginal procedure have an increased risk of developing more serious infection or inflammation, such as pelvic inflammatory disease (PID) or endometritis. The normal vaginal microbiome is dominated by Lactobacillus crispatus and Lactobacillus jensenii. Antibiotics also do not work on some common bacterial infections, such as many types of bronchitis, sinus infection, and ear infection. Do not take other medicines unless they have been discussed with your doctor. If you are treating a vaginal infection, your sexual partner may also need to take metronidazole (even if no symptoms are present) or you could become reinfected.
Preventing a Yeast Infection and Bacterial Vaginosis
26 These results are encouraging but we do not know if the non-vaginal LB will remain in the vagina to protect against further episodes of BV. For amebiasis infections: If you have a history of seizures, be sure to tell your doctor before starting metronidazole tablets or capsules. In addition, serum estradiol levels rose four-fold in the study, vaginal pH was reduced, and the vaginal maturation index almost doubled. If your dose is different, do not change it unless your doctor tells you to do so. You might have considered taking these good bacteria as a way to maintain a healthy balance of bacteria in your vagina.
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In women with candidal vaginitis, treatment with oral fluconazole has been shown to be safe and as effective as seven days of treatment with intravaginal clotrimazole. Another option is a single or double dose of an oral medication called Diflucan (chemical name: )It doesn't worsen with protected sex. They can develop at any age, but these infections are more common during reproductive years. Stevens-Johnson syndrome is a medical emergency. Adults—Dose is based on body weight and must be determined by your doctor. Probiotics – Taking a daily dose of probiotics in pill form or in fermented drinks like kombucha has been shown to have a favorable benefit in the promotion of healthy bacterial gut flora. He may prescribe extended-use metronidazole.
The amount of medicine that you take depends on the strength of the medicine. When bacterial vaginosis occurs (and this accounts for up to 50 percent of the cases of acute vaginitis) the vaginal flora changes so that lactobacilli dominance gives way to bacteria that don’t like oxygen. The diagnosis is based primarily on the Amsel criteria (milky discharge, pH greater than 4. )At some point make that appointment with your gynecologist or healthcare provider so she or he can evaluate the discharge and irritation and decide if it is yeast. The effect that Flagyl has on an unborn child has not been studied extensively. It sells under the brand names Cleocin and Clindesse. Vulvovaginal candidiasis can be difficult to diagnose because characteristic signs and symptoms (thick, white discharge, dysuria, vulvovaginal pruritus and swelling) are not specific for the infection.
The condition used to be referred to as Gardnerella vaginitis; because Gardnerella is a type of bacteria that sometimes causes the infection. 37 A DNA probe test (e. )This article reviews the diagnosis and management of bacterial vaginosis, vulvovaginal candidiasis, trichomoniasis, and vaginal atrophy. There is an increased risk for a man who has not been circumcised however, with proper hygiene this risk is reduced. As many as one-third of women in the United States have BV. Metronidazole is an antibiotic that fights bacteria.
Metronidazole vaginal is not approved for use by anyone younger than 12 years old.
23 It was thought there was a problem with LB adherence. Do not use more or less of it or use it more often than prescribed by your doctor. When the plunger on the applicator stops moving, the applicator is full. Tell the prescribing physician about all drugs and nutritional supplements, especially those from the following list, which may interact with Flagyl. Bacterial vaginosis results from the overgrowth of certain vaginal bacteria, causing a fishy odor and discharge that can be grayish-white or yellow. It is, however, what doctors call “sexually associated,” meaning it can flare up due to sex (more on that later). Use condoms consistently.
10 Although lactobacillus suppositories26 and oral lactobacillus27 (without concurrent antibiotic treatment) have been shown to briefly resolve bacterial vaginosis, recurrence rates with these treatments have been high. Bacterial vaginosis is the most common cause of abnormal vaginal odor and discharge. Culture of the vagina is costly, but may be the only way to ensure diagnosis of vulvovaginal candidiasis in equivocal cases. This is a decision you and your doctor will make. 5; positive whiff test (the discharge typically has a fishy smell); and presence of clue cells in the vaginal fluid on light microscopy. The decontamination regimen was given until day 35 post transplant, diagnosis of acute GVHD, or death, whichever came first. I'm not sure why symptoms of bacterial vaginitis (or vaginosis) worsen after unprotected sex.
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The LB used need to be able to adhere to vaginal epithelial cells, and to produce hydrogen peroxide. You will find many answers to your questions in her latest book, "Slow Your Clock Down: "However, Flagyl doesn't tend to cause antibiotic-associated diarrhea—in fact, it may be a treatment for it. OTC and prescription medication can usually clear up a yeast infection within a week. Only five percent have the recurrent form of this disorder, (defined by the experts as four or more documented episodes in a year). 10,31 Various topical treatments are available without prescription. This question remains unanswered. RECURRENT BACTERIAL VAGINOSIS Recurrent bacterial vaginosis is common and requires longer treatment (10 to 14 days) with any of the recommended or alternative therapies9 (Table 2).
However, there can be complications such as the infection spreading to the buttocks, scrotum, and inner thighs. Drugs for sexually transmitted infections. Coconut oil can control overgrowth of a fungal pathogen in gi tract, study in mice suggests. Metronidazole gel for the vagina comes with a special applicator.
Use oral medicine or medicine inserted into the vagina. If you are trying to access this site from the United States and believe you have received this message in error, please reach out to [email protected] The bacteria travel there via the urethra, the tube that carries urine from the bladder to the outside of the body. However, you may be more likely to contract this infection if you have recently had sex with a new partner. Then roll a tampon in the mixture until it is saturated, then insert into the vagina.
Men cannot get bacterial vaginosis. How to use garlic for candida and yeast infections, well, now there is! Book an appointment here to speak with an online doctor about bacterial vaginosis and yeast infection treatment. Another option for home treatment is using garlic oil mixed with vitamin E or taking garlic tablets. If you use a breast pump during this time, throw out any milk you collect. Insert a capsule of oil of oregano into the vagina at night before bedtime. A water-soluble lubricant may be used if oestrogen cannot be taken. Candidiasis (yeast infection), my husband’s assessment of the naturopath was, “I was hoping she would be a little more mainstream/normal, but still in this realm of holistic health. Too much douching can disrupt the bacterial balance and lead to infection.
Vulvovaginal candidiasis (VVC), also known as thrush, is a fungal infection of the vagina. Yeast-fighting creams and suppositories, which are applied directly into the vagina, typically need to be used for a few days to a week. To reduce the risk of stomach upset, abdominal pain or nausea while using this medication, avoid alcohol during treatment and for at least one day after completing treatment — check the instructions on the product. Follow cardiosmart, have any other symptoms that may point to a vaginal infection. Access denied, candida (Candida albicans) is a yeast that is a normal part of our digestive flora (the bacteria that lives in our digestive tract) and in the vaginal region in women. A woman with BV may be more likely to become infected with HIV, the sexually transmitted virus that causes AIDS (acquired immunodeficiency syndrome). A higher pH level means that the vagina is less acidic — and less able to keep bacteria under control.
Consider choosing alternative foods that are high in fiber and green vegetables, eggs, beans, lean proteins, fish, nuts, and drinking herbal tea.
This medicine is available only with your doctor's prescription. Researchers want to know if using vaginal suppositories can decrease the risk of vaginal infections. Appropriate studies have not been performed on the relationship of age to the effects of metronidazole capsules and tablets in the pediatric population, except for the treatment of amebiasis. Therefore, the current recommendations against screening and treating asymptomatic pregnant women may be reevaluated. Before initiating treatment with any drugs that should not be used during pregnancy, determine the possibility of pregnancy, test for pregnancy as appropriate, and maintain proper documentation. However, most studies show no difference in risk of preterm delivery in asymptomatic women who don't get treated versus those who get treated. Your data, your experience, your doctor may prescribe medication to treat a vaginal yeast infection. It is not known whether this medicine will harm an unborn baby.
8% were clear with placebo. Inpatient care usually is not indicated, unless serious pelvic infections arise or evidence of systemic infection in an immunocompromised host is present. Welcome to 29 Dates, where we explore the weird, wild and sometimes wonderful world of dating — one date at a time. Peripheral neuropathy:
Although not all of these side effects may occur, if they do occur they may need medical attention. These can include: And conversely, is it possible for a man to harbor any bacteria in his mouth that can upset the bacterial balance or introduce bacteria into the vagina? Discharge also can result from vaginal atrophy (thinning and inflammation of the vaginal wall) and medications such as tamoxifen. Candida and fake illnesses, placental infection is rare. A doctor can prescribe antifungal creams or tablets. Clinical factors associated with a candida albicansgerm tube antibody positive test in intensive care unit patients. Tell any doctor who treats you that you are using this medicine. Vaginal infections.
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Metronidazole can cause unusual results with certain medical tests. Do not break, crush, or chew it. 10 However, topical agents have been shown to decrease symptoms and may be useful in patients with the rare problem of metronidazole resistance. Use the medicine exactly as directed. For trichomoniasis infections: BV causes a watery grayish discharge while a yeast infection causes a white, thick discharge. VVC may be spread by sexual contact.
What Is It?
If you need help planning the best times to take your medicine, check with your doctor. You should not use metronidazole if you are allergic to it, or if you have taken disulfiram (Antabuse) within the past 2 weeks. They work together to keep a natural balance of acidity that is measured by a pH factor.
Rinse with plain water after 30 minutes. The best over-the-counter fixes for utis, yeast infections, allergies, and more, people can also make their own by putting no more than 600 milligrams of boric acid into a clean gel capsule. While the symptoms are often the same or similar, the causes and treatments for these conditions are different. View/Print Table TABLE 3 Treatments for Uncomplicated Candidiasis Agent Dosage Butoconazole 2 percent vaginal cream (Mycelex-3)* 5 g intravaginally per day for 3 days Butoconazole 2 percent vaginal cream, sustained release (Gynezole-1) 5 g intravaginally one time Clotrimazole 1 percent vaginal cream (Mycelex-7)* 5 g intravaginally per day for 7 to 14 days Clotrimazole 100-mg vaginal tablet (Gyne-Lotrimin, Mycelex-7) One tablet intravaginally per day for 7 days or Two tablets intravaginally per day for 3 days Clotrimazole 500-mg vaginal tablet (Mycelex-G) One tablet intravaginally one time Fluconazole (Diflucan)31† One 150-mg tablet orally one time Miconazole 2 percent vaginal cream (Monistat)* 5 g intravaginally per day for 7 days Miconazole 100-mg vaginal suppository (Monistat 7)* One suppository intravaginally per day for 7 days Miconazole 200-mg vaginal suppository (Monistat 3)* One suppository intravaginally per day for 3 days Nystatin 100,000-unit vaginal tablet* One tablet intravaginally per day for 14 days Tioconazole 6.
But, when the beneficial bacteria cannot keep up and bad bacteria overgrow, you can get a bacterial infection, or Bacterial Vaginosis (BV). You can add it to a cup of tea or a glass of water sip it throughout the day or once in the morning. If your pH level is 4 or lower, it is likely that you have a yeast infection and may be able to treat it at home. Women who have bacterial vaginosis when they are exposed to sexually transmitted infections (including HIV ) have an increased risk of becoming infected with the sexually transmitted infection.
5 percent ointment (Vagistat-1)* 5 g intravaginally one time Terconazole 0. LB strains from yoghurt adhere less well to vaginal cells than clinical isolates. This can “feed” yeast. “It’s really about upsetting the normal vaginal flora, however that happens,” says Dr. How do you know if you have a yeast infection or bacterial vaginosis? 10 If the infection does not respond to this regimen, consultation with the CDC is available by telephone (800-227-8922) or via the CDC Web site (http: )Although the specific cause isn't known, a number of health and lifestyle factors have been linked to bacterial vaginosis.
What is bacterial vaginosis (BV)?
The most common therapies are metronidazole (Flagyl), and clindamycin (Cleocin). Bacterial vaginosis is caused by the overgrowth of “bad” bacteria or microflora in your vagina. Intent to treat analysis at 6 months showed 71% were clear with treatment and 4. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. In a double blind RCT looking at LB as a treatment for BV, vaginal pessaries containing L acidophilus were used for 6 days.
What To Think About
Be careful not to get metronidazole gel in your eyes, mouth, or on your skin. Common choices include Flagyl (chemical name: )These measures will help to keep you from getting the infection back again from your partner. Clindamycin cream may weaken latex condoms during treatment and for at least three days after you stop using the cream.
Do not give this medicine to a child without medical advice. It certainly is possible to transmit diseases by oral genital contact. 28 A study looking at sustained vaginal colonisation of LB showed 40% of women remained colonised with L crispatus and L jensenii for over 8 months compared with 5% of women colonised with other LB spp indicating better ability to adhere to vaginal cells. Do not take extra medicine to make up the missed dose. Reduce semen exposure (which can affect the vaginal bacteria balance) by using condoms. Call your doctor right away if you develop a new infection while taking metronidazole. Having more than one sex partner or having a new sex partner.
To identify vaginal candidiasis, they usually take a small sample of vaginal discharge for examination under a microscope. Vaginal yeast infections, the theory is that these foods promote candida overgrowth, so removing them from the diet will reduce candida growth. One such therapy is metronidazole gel (0. )Not all vaginal infections cause pregnancy problems, but BV is potentially serious and requires attention. 8 percent vaginal cream (Terazol 3) 5 g intravaginally per day for 3 days Terconazole 80-mg vaginal suppository (Terazol 3) One suppository intravaginally per day for 3 days TABLE 3 Treatments for Uncomplicated Candidiasis Agent Dosage Butoconazole 2 percent vaginal cream (Mycelex-3)* 5 g intravaginally per day for 3 days Butoconazole 2 percent vaginal cream, sustained release (Gynezole-1) 5 g intravaginally one time Clotrimazole 1 percent vaginal cream (Mycelex-7)* 5 g intravaginally per day for 7 to 14 days Clotrimazole 100-mg vaginal tablet (Gyne-Lotrimin, Mycelex-7) One tablet intravaginally per day for 7 days or Two tablets intravaginally per day for 3 days Clotrimazole 500-mg vaginal tablet (Mycelex-G) One tablet intravaginally one time Fluconazole (Diflucan)31† One 150-mg tablet orally one time Miconazole 2 percent vaginal cream (Monistat)* 5 g intravaginally per day for 7 days Miconazole 100-mg vaginal suppository (Monistat 7)* One suppository intravaginally per day for 7 days Miconazole 200-mg vaginal suppository (Monistat 3)* One suppository intravaginally per day for 3 days Nystatin 100,000-unit vaginal tablet* One tablet intravaginally per day for 14 days Tioconazole 6. Do not use a douche or other vaginal product while using metronidazole vaginal. You can also apply apple cider vinegar externally as a compress or by adding it to your bath water. The presence of small gram-negative rods or gram-variable rods and the absence of longer lactobacilli on a Gram stain of the vaginal discharge also is highly predictive of bacterial vaginosis. It is not known whether metronidazole can harm a nursing baby.
Your doctor will do a vaginal examination and take a swab sample of your vaginal discharge to test for pH factor levels. Take care to avoid alcohol from unexpected sources, such as over-the-counter cough suppressants or cold products (NyQuil, for example). An alternative regimen to treat C glabrata is flucytosine vaginal cream one applicator nightly for 14 days. It should be used with care in nursing mothers. Bacterial vaginosis — usually called BV — is a bacterial infection.
This can be applied in exactly the same way, on a tampon, for 1 or 2 days until the excoriated area has healed. In SA Morse et al. According to current estimates, 8% of females have recurring Candida infections, and around 5% have four or more yeast infections in a year. The main symptom is a vaginal discharge, often with a noticeable fishy smell.
- Cohen can see a future where metronidazole gel and products like LACTIN-V might be sold together over the counter—which would put BV in the pharmacy aisle, on the magazine ad page and, importantly, on people’s minds.
- Postmenopausal (atrophic) vaginal discharge is an infection or inflammation of the vagina caused by lowered oestrogen levels that upset the vagina's normal balance.
- The vaginal suppositories are inserted, one per dose, in an applicator.
- In cases of diarrhea, fecal samples were additionally screened for enterotoxines, enteropathic viruses, and parasites.
- Do not douche with yogurt or any other product.
- What is metronidazole?
Yeast Infection (in Women and Men)
17 There is currently a RCT using vaginal pessaries containing L crispatis to attempt to recolonise the vagina with LB (S Hillier, personal communication). Increased glycogen production (a form of sugar) by the cells lining the vagina during the second half of your menstrual cycle (luteal phase). Metronidazole will not treat a vaginal yeast infection. The different forms of metronidazole have different side effects. This is less likely to happen when using metronidazole vaginal gel than with other forms of metronidazole (tablets, for example), but if it does happen, it is best not to drink alcohol. Patients randomly assigned to the combined intestinal bacterial decontamination medication were treated with oral metronidazole at 400 mg three times daily and ciprofloxacin 750 mg twice daily p. How much douching is excessive? BV is actually a syndrome resulting from an imbalance in the different types of bacteria in the vagina (also called vaginal "flora").
Bacterial vaginosis is characterised by a thin homogeneous white discharge, a vaginal pH of greater than 4. Candidiasis (yeast infection), the label of yogurt usually states whether the bacterial cultures are live or active. One option may be extended-use metronidazole therapy. This agent is effective and generally well tolerated,42 but has not been approved by the U. 39 TREATMENT The standard treatment for trichomoniasis is a single 2-g oral dose of metronidazole. Streicher says. BV is usually easily cured with antibiotics — either pills that you swallow, or a gel or cream that you put in your vagina. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Insert the medicine directly into your vagina using the applicator provided. Family physicians also must remember that vaginal yeast infections may be caused by species other than C. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting. You're in good company, since 75 percent of all women have a diagnosis of vaginal yeast infections (vaginal candidiasis) at some point in their lives. See your doctor and get tested for BV to be sure this is the cause of your symptoms.
Clindamycin can weaken latex condoms not only while you’re using the medication, but for at least 3 days after you stop. Herxheimer reactions and die-off: causes, symptoms, and preventing overgrowth, i haven’t experimented with caprylic acid (from coconuts) yet, but my readers and I have used a similar protocol:. For women with such repeat infection, vaginal cultures should be obtained to confirm Candida and to search for treatment-resistant species, such as Candida glabrata. Other drugs may interact with metronidazole, including prescription and over-the-counter medicines, vitamins, and herbal products. Now, let's get to your concern about repetitive vaginal infections.
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If you have any questions about this, talk with your doctor. 5, explains Lauren F. Thrush or candidiasis, candida can live in your breast milk, and even if you freeze the milk, it won't kill it. Healthy pH helps beneficial bacteria to thrive so that it can do its job maintaining vaginal health. Adults—500 or 750 milligrams (mg) 3 times a day for 5 to 10 days. If you have HIV, BV can also make it more likely for you to transmit HIV to any sexual partner who has a penis. You experience irritation that leads to cracked or bleeding skin at the site of your infection. Miconazole topical powder, the current medical era is partly defined by a relatively high prevalence of immunocompromised patients. How long a yeast infection lasts will depend on how severe the infection is. Keep out of the reach of children.
What is the treatment for trichomoniasis? ” You might notice a slight odor with a yeast infection, she says, but it’s “not foul” like the one that accompanies BV. This medicine can affect the results of certain medical tests. Understanding vaginal yeast infections -- diagnosis & treatment, there's also the idea that the high acidity in ACV could create a vaginal environment that's hostile to yeast, but Dr. Make sure you use all of the medicine the way your doctor says, even if your symptoms go away sooner. Participation in the study will be about 12 months. If you have a painful rash that spreads and blisters or shedding of the top layer of your skin, call 911 or go to the nearest emergency room immediately. 3 In women with recurrent BV the initial response rate appears to be lower.
Once this has been documented, there are various therapies you can try. Think you may have a yeast infection or BV? Do not use anti-diarrhea medicine unless your doctor tells you to. However, BV frequently recurs and can be chronic in some women. Pregnant women should avoid treating yeast infections with fluconazole, due to the risk of birth abnormalities. Using metronidazole during the first trimester of pregnancy could harm the unborn baby. However, more serious cases should be seen by a doctor.