From the Research
For perineal irritation with suspected bacterial vaginosis (BV), Calmoseptine is an excellent barrier cream option, as it provides both protective and soothing properties, and should be used in conjunction with appropriate antimicrobial treatment, such as metronidazole or clindamycin, as prescribed by a healthcare provider 1. This zinc oxide-based ointment (2.5% zinc oxide and 1% menthol) can be applied to clean, dry skin in the affected perineal area after each bowel movement or urination, and at least 2-3 times daily.
Key Points to Consider
- Other effective alternatives include Desitin (40% zinc oxide), Boudreaux's Butt Paste, or petroleum-based products like Vaseline.
- Gentle cleansing with warm water (avoiding soaps with fragrances or alcohol) before applying the cream will help maximize effectiveness.
- Cotton underwear and loose-fitting clothing can also help reduce irritation while the skin heals.
- It is essential to address the underlying BV with appropriate treatment, as barrier creams alone may not cure the infection.
- Recent studies, such as the one published in 2023, highlight the importance of addressing BV with a comprehensive approach, including treatment and prevention strategies 1.
Treatment of BV
- Metronidazole (oral or vaginal) or clindamycin are commonly prescribed treatments for BV, as supported by studies such as the one published in 1999 2.
- Lactic acid vaginal gel has also shown promise as a treatment option, although its efficacy may vary compared to standard treatments like metronidazole 3.
- The treatment of male partners may also play a role in preventing recurrence, as suggested by a study published in 2018 4.