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Having arrived at this point, continued attempts to “cure” BV... Symptoms of discharge with or without odor persist or recur... Metronidazole (or Cefadroxil) orally 500 mg twice daily for 14... Trial of suppressive therapy beginning with metronidazole 0.75%... Despite pervasive advertising in journals, DO NOT TRY... Treat for trichomonas or Chlamydia if testing is positive. Testing for Atopobium is either positive or could not be done... Within 1-3 month period when condom use is being adhered to,... Symptoms persist or recur within a few days and pH remains... Symptoms resolve and pH normalizes. Woman should check vaginal pH each month at one week following... Woman should have PCR testing for trichomonas, Chlamydia and... Woman should discuss alternative treatment strategies with her... Symptoms resolve but pH remains > 4.6. Metronidazole 0.75% gel applied intra-vaginally nightly for 5... Woman with a whitish or grayish, homogeneous vaginal discharge...