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Is it fine to take Metronidazole and Tergynan during pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am six weeks pregnant. Before knowing that I was pregnant, I was treated for recurrent bacterial vaginosis with Metronidazole orally and Tergynan vaginally for a week approximately on weeks four to five of pregnancy. How it can harm my baby?

Cause I heard that it is contraindicated in first trimester.

Please suggest.

Thank you.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

There are medications those can be advised in pregnancy as, during the antenatal period, many symptoms could occur that need to be treated. Metronidazole can be advised in pregnancy. So, do not worry and Tergynan (Neomycin, Metronidazole, and Nystatin) is also antifungal antibiotic and it was advised locally, so acted locally. Actually, medications are better to avoid in the first trimester as basic organogenesis occurs. So now continue Folic acid 5 mg daily and do have scans at 13 weeks for nuchal translucency at 20 weeks for fetal detailed anomaly scan and at 22 weeks for cardiac outflow tract to be on safe side. Do not get stressed. Metronidazole is not contraindicated in pregnancy and Nystatin can be used locally.

I hope this information helps you.

Thanks for using icliniq, and have a nice day.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At March 13, 2019
Reviewed At October 8, 2025

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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