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Whatever the root cause may be, BV happens when the good and bad bacteria of the vagina become imbalanced, which can also increase your risk of contracting other STDs.14Wisp offers a few different BV treatment options, such as:The antibiotics metronidazole or clindamycin in pill, gel, and cream forms. A one-time purchase costs $65, while a quarterly subscription is $45. Additionally, choosing metronidazole gel (+$43) or clindamycin cream (+$55) will add to the cost.A 7-day supply of over-the-counter boric acid suppositories for a one-time cost of $30, or $9 per month on a subscription basis.A 90-day supply of Lactobacillus acidophilus (a naturally occurring vaginal bacteria) probiotics to use alone or in conjunction with a BV antibiotic. This option costs $30 for a one-time purchase or $9 per month for a subscription.In comparison, Nurx is the only competitor mentioned to also offer BV treatment. No matter your treatment of choice from Nurx (metronidazole gel or pills or clindamycin cream), the cost is $65.Yeast infection treatmentVaginal yeast infections (also called vaginal candidiasis) affect up to 75% of AFAB people at some point throughout their lives.15 Fortunately, these infections are easily treatable. Wisp and Nurx offer the prescription fluconazole (tablets), while Hers sells miconazole (vaginal applicators) for the treatment of vaginal yeast infections.Wisp: Fluconazole costs $65 once or $15 per month on a subscription if symptoms are more frequent.Nurx: Fluconazole is available for $65.Hers: Miconazole vaginal applicators are $19.The main difference between Wisp and Nurx is that Wisp actually sends you two tablets of fluconazole. Treatment usually only consists of one tablet, but Wisp gives you an additional one in case your symptoms don’t fully disappear after two days post-treatment.Additionally, Wisp lists its probiotics and boric acid suppositories as potential yeast infection treatments. Both options cost $30 for a one-time purchase, or $9 per month if you subscribe.Urinary tract infection (UTI) treatmentLike a yeast infection, a UTI is very common and treatable.16 Through Wisp, you can request or have your assigned physician choose one of four oral antibiotics to treat your UTI:Nitrofurantoin (Macrobid)Sulfamethoxazole/Trimethoprim (Bactrim)Ciprofloxacin (Cipro)Amoxicillin-Clavulanic Acid (Augmentin)No matter which antibiotic you choose, the cost is the same —$85, as a one-time purchase only.From Nurx, you can get many of the same antibiotics, but for $65, instead. 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Only stop treatment if allergies or serious side effects occur.You should take oral Metronidazole exactly as your doctor has prescribed.Metronidazole and AlcoholDo not drink alcohol during or within 48 hours of a metronidazole course. Metronidazole stops the body from being able to break down alcohol fully, leaving a breakdown product in the body which can cause severe nausea, vomiting, hot flushes, stomach pain and headaches. It is a similar experience to having a severe hangover.Metronidazole SummaryDoseTake ONE tablet TWICE daily for 7 days (7-day course) or take 5 tablets as a single dose (single day course).Type of medicineAntibiotic tablets - nitroimidazoleMechanismKills bacteria by breaking down bacterial DNAActive IngredientMetronidazole 400mgPriceFrom £14.95Side EffectsCan include nausea, diarrhoea, vomiting, loss of appetiteMetronidazole Tablet Prices1-day course (5 tablets)£14.957-day course (14 tablets)£17.50Alternative TreatmentsBacterial vaginosis can also be treated with topical treatments like Zidoval Gel and Dalacin Cream. Zidoval contains Metronidazole as the active ingredient and is applied at bedtime for 5 days. Dalacin contains the active ingredient clindamycin, which is also an antibiotic. 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