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If the woman is symptomatic: Prescribe oral metronidazole 400 mg twice a day for 5 to 7 days. If the woman prefers topical treatment or cannot tolerate oral
However, if a pregnant woman is incidentally found to have asymptomatic BV, the woman's obstetrician should be consulted as to whether treatment is appropriate. For symptomatic pregnant women: Oral metronidazole is the treatment of choice. Intravaginal metronidazole gel or intravaginal clindamycin cream are alternative choices.
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