Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance in the natural bacteria present in the vagina. This condition often leads to symptoms such as unusual discharge, an unpleasant odor, and discomfort. BV gels are a common treatment option designed to address this bacterial imbalance. Many individuals wonder if these gels can be used effectively and safely during menstruation.
Understanding BV Gels
BV gels are topical treatments applied directly into the vagina. They are available both over-the-counter and by prescription, with common active ingredients including antibiotics like metronidazole or clindamycin, or substances like lactic acid. Metronidazole gel works by interfering with the genetic material of anaerobic bacteria, causing them to die. Clindamycin cream also functions as an antibiotic, targeting specific bacteria.
Other BV gels, particularly over-the-counter options, often contain lactic acid and glycogen. Lactic acid helps restore and maintain the vagina’s natural acidic pH, which is important for the growth of beneficial Lactobacilli and inhibits harmful microbes. Glycogen provides nutrients to support the growth of these beneficial bacteria. These gels are typically inserted using an applicator, often at bedtime, to help the medication stay in place.
Using BV Gel During Menstruation
The use of BV gels during menstruation depends significantly on the specific type of gel and individual product instructions. For metronidazole gel, some sources indicate it is generally safe to use during menstruation, suggesting menstrual bleeding does not typically interfere with effectiveness. However, other guidelines advise against use during a period, recommending waiting until menstruation concludes. Similarly, for clindamycin cream, some product information suggests delaying treatment until menstruation has stopped, while other sources indicate it may be used with advice to continue treatment.
The rationale for avoiding use during menstruation often relates to concerns that menstrual flow could wash away some of the medication, potentially reducing its effectiveness. Menstrual blood also has a higher pH, which can temporarily raise the overall vaginal pH during a period. This shift might create a less ideal environment for some gels to work optimally or for the vaginal flora to re-establish its balance.
Using vaginal gels during menstruation can also lead to increased mess or discomfort, as the gel and menstrual blood can combine. A panty liner can help manage leakage. Consulting the specific product’s instructions is important, and for personalized guidance, speaking with a healthcare provider is always recommended.
Maximizing Treatment Success
Always complete the full course of BV gel treatment, even if symptoms improve quickly, to maximize success and prevent recurrence. Stopping treatment early can lead to the infection returning. Recurrence is common, with factors including an inability to fully restore beneficial Lactobacilli bacteria or the persistence of bacterial biofilms.
Avoid douching, as it disrupts the natural balance of vaginal bacteria. Using unscented hygiene products and wearing cotton underwear can support vaginal health during and after treatment. Some healthcare professionals recommend avoiding sexual activity during treatment, as it can irritate tissues or interfere with gel effectiveness. Additionally, some gels, like clindamycin cream, can weaken latex condoms, making them less effective for up to 72 hours after use.
If symptoms persist after completing the treatment course, worsen, or recur frequently, consulting a healthcare professional is advisable. They can assess the situation and determine if an alternative or longer course of treatment is needed. Recurrent BV may require extended treatment or a combination of therapies, such as antibiotics followed by pH-balancing gels or suppositories.