Conclusion
PATHOGENESIS, BACTERIAL VAGINOSIS
Oral metronidazole has greater short-term efficacy in the treatment of recurrent bacterial vaginosis than intravaginal lactic acid gel, however women’s preference for therapy is influenced not just by efficacy but also by ease of use and a desire to avoid antibiotics if possible. Current treatments for recurrent bacterial vaginosis have limited efficacy and further research into pathogenesis and management, preferably limiting the use of antibiotics, is required.