Kubiza kangakanani ukwelashwa kwe-BV? Ngo-2026, kungaba kusuka ku-$0 emtholampilo oxhaswa nguhulumeni kuya ku-$1,000 noma ngaphezulu egumbini lezimo eziphuthumayo. I-antibiotic ngokwayo iyinto eshibhile, ingaphansi kuka-$20 njenge-generic. Lokho okukhokhela ngempela yisivakashi esikhiqiza incwadi kadokotela.
TL;DR: Okubalulekile okumele ukwazi
- Imithi iyashibha. Isivakashi asishibi. Leyo yindleko yonke.
- Imitholampilo ye-Title X kanye neminyango yezempilo yesifunda kungaletha izindleko zombili eduze kuka-$0, kungakhathalekile isimo somshwalense.
- I-Telehealth yisimo esilula sokubuyela emuva ibiza cishe u-$35 kuya ku-$91.
- Cishe u-35.8% wabesifazane badinga umjikelezo wesibili, ngakho-ke hlela imali yokukhokha kabili.
- Umkhuhlane, ubuhlungu obukhulu besinqe, noma izimpawu zokukhulelwa kusho ukwelashwa ubuso nobuso kungakhathalekile inani.
Kubiza kangakanani ukwelashwa kwe-BV? $0 kuya ku-$1,000+, kuya ngokuthi uyephi
Inani eliphelele lokwelashwa kwe-BV yimali yokuvakasha kanye nencwadi kadokotela. Ngo-2026, i-Title X noma umtholampilo womnyango wezempilo kungaletha zombili eduze kuka-$0. I-Telehealth ibiza cishe u-$35 kuya ku-$91. Ukukhokha ngemali ebhange (cash) kudokotela noma ezindaweni zokunakekelwa okusheshayo kuvame ukubiza amakhulu ambalwa. Igumbi lezimo eziphuthumayo lingadlulela u-$1,000. I-generic antibiotic ingaphansi kuka-$20 kunoma iyiphi indlela.
| Indlela | Izindleko zesivakashi | Izindleko zemithi | Konke Lokhu |
|---|---|---|---|
| Umtholampilo we-Title X noma umnyango wezempilo wesifunda | $0 kuya esikhaleni esiguquguqukayo ngokweholo | Ivame ukunikezwa endaweni ngo-$0, noma ingaphansi kuka-$20 | $0 kuya cishe ku-$20 |
| I-Telehealth | $35 kuya ku-$91 (I-RedBox Rx ikhokha u-$35 kuya ku-$39 njengenani elilodwa, ijeli yesithunzi ifakiwe; I-TeleDirectMD ibeka u-$79 kuya ku-$91) | $4 kuya ku-$20, noma ifakiwe enanini elilodwa | Cishe u-$39 kuya ku-$110 |
| Ukunakekelwa okuyisisekelo, ukukhokha ngemali ebhange | Ububanzi obujwayelekile be-$100 kuya ku-$200 | $4 kuya ku-$20 | Cishe u-$105 kuya ku-$220 |
| Isikhungo sokunakekelwa okusheshayo noma umtholampilo wokuthengisa | Ububanzi obujwayelekile be-$125 kuya ku-$250 | $4 kuya ku-$20 | Cishe u-$130 kuya ku-$270 |
| Igumbi lezimo eziphuthumayo | Ububanzi obujwayelekile be-$1,000 futhi yinto engabonakali kakhulu lapha | $4 kuya ku-$20 | $1,000+ |
Wonke amanani angaphezulu ayizintengo zase-US zikashintshi zango-2026 zomuntu okhokha ngaphandle komshwalense, futhi zonke lezi zinto ziyashintsha nge-ZIP code yakho, ikhemisi lakho kanye nemakethe yakho yendawo. Izimfuno zokunakekelwa okuyisisekelo, ezokunakekelwa okusheshayo, zemitholampilo yokuthengisa kanye nezegumbi lezimo eziphuthumayo yizibalo ezijwayelekile zemali ebhange, hhayi izintengo ezicatshiwe; izindlu zezimo eziphuthumayo zikhokhisa izimali zendawo ngaphezu kwezimali zochwephesheshe, yingakho row leyo ibhalwe njengesisekelo kunenombolo. Uma unomshwalense, bona i-FAQ, ngoba ukumbozwa akwenzisi lokhu kushibhile ngokuzenzakalelayo.
Sebenzisa okunye kuleli khasi ngokulandelana. Hlola ukuthi umtholampilo wamahhala uyatholakala yini kuqala, bese uqhathanisa izindlela zesivakashi, bese ubala incwadi kadokotela, bese uhlela ukuba nesidingo somjikelezo wesibili.
Umjikelezo wesibili, hhayi incwadi yokuqala kadokotela, yikho okwenza i-BV ibe dula
Lapho leyo mali iya khona kubaluleke kakhulu kunenani eliphelele. Izivakashi zasehhovisi langaphandle zabungana no-46.5% wezindleko ezihlobene ne-BV. Ukusebenzisa ikhemisi kwakubalwa kuphela u-11.2%. Isivakashi yilona lwevuli; imithi yiyona eyengeziwe.
Ukuphindeka akuyona futhi uphawu lokuthi uthenge imithi enenani elingalungile. I-CDC icacisa ukuthi i-BV ingabuyela ngisho nangemva komjikelezo ogcwele, owenziwe kahle we-antibiotic. Ngakho-ke ngaphambi kokuthi ukhokhe imali eyodwa ye-telehealth, buza umbuzo owodwa ongasuzwisa: ngabe le nani ifaka ukulandelela noma ukwelashwa kabusha uma izimpawu zibuya? Imali yesivakashi yesibili esikhundleni sokuphinda ibilisa inkokhelo yakho ngendlela ibhokisi lesibili lamaphilisi elingasoze lenza ngayo.
Incwadi Kadokotela Iyinto Eshibhile Kakhulu Ekwelashweni Kwe-BV
Izindleko zemithi ye-BV yinto encane kakhulu eqenjini, futhi ihlala incane kuzo zonke izinketho ezintathu. Izinhlelo ze-CDC zango-2021 zokuqala zihlanganisa i-metronidazole yomlomo engu-500 mg kabili ngosuku imigidi engu-7, i-metronidazole yejelo yesithunzi engu-0.75% kanye ngosuku imigidi engu-5, noma i-clindamycin ye-cream yesithunzi engu-2% ebusuku imigidi engu-7. Zonke lezi zingu-generics.
| Uhlelo | Inani lemali ebhange (2026) | Ngekhadi lesaphulelo sekhhemisi |
|---|---|---|
| Amathebulethi e-Metronidazole 500 mg, 14 count | Cishe u-$16.51 | Njengoba nje u-$3.93 kuya ku-$9.66 |
| I-Metronidazole 0.75% ijeli yesithunzi, izinsuku ezingu-5 | Ububanzi obujwayelekile be-$30 kuya ku-$100 | Ngokuvamile ngaphansi kuka-$40 |
| I-Clindamycin 2% cream yesithunzi, izinsuku ezingu-7 | Ububanzi obujwayelekile be-$25 kuya ku-$90 | Ngokuvamile ngaphansi kuka-$30 |
Izibalo zamalithebhulethi zivela kumakhasimende aphathekayo ekhemisi (GoodRx) wezi-2026; imigqa yejeli ne-cream ibhalwe njengezibalo zemali ebhange ngoba zishintsha kakhulu ngokwemikhiqizo yekhemisi. Izindleko ze-Metronidazole yisona sisekelo okumele usigcine engqondweni yakho. Izindleko ze-Clindamycin ze-BV zibalulekile kuphela uma ungakwazi ukuthatha i-metronidazole, futhi njengoba ithebula libonisa, ama-cream, amajelo, nama-ovules ajwayele ukubiza kakhulu kunamaphilisi omulomo acacile, ngakho-ke cela amaphilisi ngaphandle kokuthi kunesizathu sokuthi ungakwenzi.
Ukuthenga imithi kukonga amashumi amadola. Ukuthenga isivakashi kusindisa amakhulu. Amaphilisi e-generic ayenziwa kanje kuyo yonke indawo, yingakho ukuthi i-amoxicillin ingabiza kangakanani ngaphandle komshwalense ibhekana naleso simo esifanayo.
Izinketho Zokwelashwa Ezishibhile Kakhulu Kwe-BV Yimitholampilo, Hhayi Amakhuphoni
Izinketho zokwelashwa ezishibhile ze-BV eziguqula ngempela inani lakho yilezo ezisusa imali yokuvakasha, hhayi lezo ezisusa ama-dollar amane emikhiqizweni. Imitholampilo yokuhlela umndeni ye-Title X yase-US inikeza ukuhlolwa nokwelashwa kwe-STI mahhala noma okushibhile kungakhathalekile isimo somshwalense, ngokubeka phambili abantu abavela emindeni enomholo ophansi.
Ukuthola eyodwa kuthatha cishe imizuzu emihlanu. Sebenzisa i-HHS Office of Population Affairs clinic locator, bese ushayela umnyango wezempilo wesifunda wakho i-STI clinic, evame ukubhekana neziguli eziza zingalindele ngalolo suku. Izindleko zokwelashwa kwe-BV e-Planned Parenthood zisebenza ngesikali esiguquguqukayo esihlobene nomholo kunenani elilodwa, ngakho-ke shayela kusenesikhathi bese ucela isheduli yemali esikhundleni sokucabanga. Uma kungekho okufinyelelekayo ngesikhathi, ikhadi lesaphulelo sekhhemisi liyisixazululo sokugcina, hhayi isu.
Le ngxenye ikhona ngenxa yalokho inani elikwenzayo ezingqondweni. Imibiko ye-KFF ithi u-58% wabantu abadala abangenamshwalense abangaphansi kweminyaka engu-65 abazange bathathe imithi njengoba beyalelwe ngenxa yezindleko, kanti cishe amaphesenti amathathu abuye ahlehlise noma ahlehlise ukunakekelwa okudingekayo.
I-Telehealth Yisivakashi Eshibhile Kakhulu, Kodwa Hhayi Njalo Esifanele
Uma umtholampilo wamahhala ungasiyona inketho, i-telehealth kuvame ukuba yindlela yesibili eshibhile. Iyafaneleka kakhulu ngesimo esihloswe ngaphambili, esichazwe kahle: ukukhishwa okubuncane kunerhwebo elibi, akukho mkhuhlane, akukho ubuhlungu besinqe, akukhulelwe.
Nansi into amakhasi amaningi angakutsheli yona: isivakashi esishibhile sibiza kuphela uma siyayicacisa inkinga. Isivakashi sevidiyo akusona esikwazi ukwenza ukuhlolwa kwesithunzi, ukuthatha isampula yesithunzi, noma ukwenza ukuhlolwa kwe-wet mount noma i-vaginal pH, okungase kukwenze ubuye ukhokhe isivakashi ubuso nobuso, okwenza u-$39 owawuchitha kube isiqalo esihle sokukhokha okude kunokuba yisona sonke. Lokho okufanayo kusibekela lapho isikhunta esisikhumba sidinga incwadi kadokotela: ezinye izinto ikhamera engazicacisa, ezinye ayikwazi.
Uma ubhekene nokuphindeka okwejwayelekile, isivakashi se-inthanethi se-August esingu-$39 sikuxhumanisa nochwepheshe olunesiphetho e-US oluhlola izimpawu zakho futhi lunqume ukuthi incwadi kadokotela ifanele yini. Akukho sivakashi esiqinisekisa eyodwa, futhi ayikho ikholi yevidiyo eyenza ukuhlolwa.
Ezinye izimpawu zidonsa inani lonke.
Shayela u-911 noma uye egumbini lezimo eziphuthumayo manje uma:
- Unomkhuhlane noma ubanda, noma izinhlungu ezimbi zesisu esingezansi noma zesinqe kanye nokukhishwa, okungase kubonise i-pelvic inflammatory disease.
- Ukhulelwe futhi unemizwa yokubeletha, ingcindezi yesinqe, noma ukuvuza koketshezi.
Bhukha isivakashi phakathi nesonto elizayo uma:
- Une-bleeding yesithunzi enkulu noma engafani.
- Izimpawu azithuthuki zingakapheli izinsuku ezimbalwa kusukela uqala ukuthatha i-antibiotic eyalelwe.
- Une-discharge noma iphunga futhi awuzange ube nomsebenzi wezocansi, okungajwayelekile ku-BV.
Khuluma nochwepheshe ngaphambi kokuba uqale uma:
- Ukhulelwe futhi unezimpawu. I-CDC iyayeluleka ukwelashwa kwabesifazane abakhulelwe abanezimpawu ngoba i-BV engalashwanga yandisa ingozi yokubeletha ngaphambi kwesikhathi kanye nokuzalwa kwengane encane, kuyilapho ukuhlolwa okuvamile kwabesifazane abangenawo izimpawu kungelulekwanga.
- Uke waba nokuphendula okubi ku-metronidazole.
Imibuzo Evame Ukubuzwa
Ingabe umshwalense uhlala wenza ukwelashwa kwe-BV kushibhe kunokukhokha ngemali?
Kwezinye izikhathi. Ngomshwalense ophezulu wokukhupha, imali ebhange yomtholampilo kanye nekhadi lesaphulelo sekhhemisi kungaba ngcono kunokusebenzisa isimangalo sakho kuhlelo lwakho, futhi izintengo zamakhadi esaphulelo azikwazi ukufakwa kuhlelo lwakho lokukhupha. Wonke amanani agciniwe kulo mhlahlandlela yizintengo zemali ebhange. Cela umtholampilo ngentengo yawo yemali ebhange kanye nezindleko ezilindelekile zesikhala sakho, bese uqhathanisa. Kubiza kangakanani ukwelashwa kwe-BV kufanele kubuzwe kabili, kanye komunye nomunye.
Ingabe imikhiqizo engathengwa ngaphandle kwesiphatho noma izixazululo zasekhaya zingonga izindleko zencwadi kadokotela?
Cha. Wonke ama-regimens anconyiwe e-CDC e-BV ayidinga incwadi kadokotela. Amanzi okuzihlanza angathengwa ngaphandle kwesiphatho, ama-suppository e-boric acid kanye nama-probiotics engeza izindleko ngaphandle kokwelapha isifo, futhi izindleko zangempela yilezo zokubambezeleka: izinsuku ezisetshenziswe emkhiqizweni we-$25 osadinga isivakashi nencwadi kadokotela ukuze ilungiswe. Uma izimpawu zikhombisa i-BV, sebenzisa imali leyo kusivakashi esikhundleni.
Ingabe ukuhlolwa kwelabhorethri kukhokhiswa ngokuhlukene kusuka emalini yesivakashi?
Yebo, kuvamile. I-wet mount microscopy, ukuhlolwa kwe-vaginal pH kanye ne-swab-based panels kuvame ukukhokhiswa njengezinto ezihlukene kusuka emalini yesikhungo sokuvakasha noma yesikhungo sokunakekelwa okusheshayo, yingakho izintengo zesivakashi ezicatshiwe zilokhu zihlala zincane kunenkokhelo yokugcina. Cela inani lemali ephelele eyenziwa ngemali, ihlanganisa izivivinyo, ngaphambi kokuba ubone. Izikhombisi-ndlela zezimolekyuli ziyinketho enendleko futhi azidingeki njalo.
Ngabe ngidinga ukukhokha ukuze ngelaphe nomlingani wami?
Cha. I-CDC ithi abalingani be-sex abesilisa abadingi ukwelashwa, ngoba ukwelapha bona akuzange kukhombise ukuthi kunciphisa ukuphindeka. I-BV futhi ayibhalisiwe njengesifo esithembekile kwezocansi futhi ingenzeka ngaphandle kwanoma yimiphi imisebenzi yocansi. Akukho luhlelo lwesibili kanye nenkokhelo yesivakashi yesibili okumele ihlelwe ngakolunye uhlangothi lomlingani.
Kwenzeka kanjani uma ngingazi nikho futhi ngiyiyeke i-BV ingalashwa?
Kwesinye isikhathi iyazihlanza ngokwayo. Inkinga yizingozi ezisemva kwayo. I-BV engalashwanga iyandisa ingozi yokuthola ezinye i-STI, futhi ekukhulelweni ihlotshaniswa nokubeletha ngaphambi kwesikhathi kanye nokuzalwa kwengane encane. Lezo ziphumo zibiza kakhulu kunamakhulu ezinkuloni kunama-$16 ekhadi, okwenza ukulinda kube isinqumo esibi sezimali kanye nesinqumo esibi sezokwelapha.
Ngabe ngidinga ukugwema utshwala ngenkathi ngithatha i-metronidazole?
Cha. Lokhu kuphambana nalokho iningi elitshelwe ngakho, ngakho-ke kufanele kube ngqo: iziqondiso zokwelashwa ze-CDC zango-2021 zithi ukudakwa kotshwala ngesikhathi sokwelashwa kwe-metronidazole kwamukelekile, okuguqula isixwayiso esidala esibanzi. Njengoba kunjalo, qeda umjikelezo ogcwele njengoba ugalelwe, ngoba ukuphuma ngaphambi kwesikhathi kuyindlela eqinisekile yokugcina ngokukhokha okwesibili.
Okubalulekile: Bala Umjikelezo Wesibili, Hhayi Owokuqala Kuphela
Lapho ubuzwa ukuthi kubiza kangakanani ukwelashwa kwe-BV, ubuzwa ngempela ukuthi kubiza kangakanani isivakashi, ngoba imithi ye-generic ibiza amadola ambalwa kuya ku-$20 kuyilapho isivakashi sisuka ku-$0 siye ku-$1,000 nangaphezulu. Hlola umtholampilo we-Title X, umnyango wezempilo wesifunda sakho, noma i-Planned Parenthood ngaphambi kokukhokha noma iyiphi imali ebhange. Bese ubeka imali ohlangothini lokuba nesidingo somjikelezo wesibili, ngoba cishe owesithathu wabesifazane uyawudinga.
Umunye: Lesi sihloko esokwazisa kuphela futhi akusona iseluleko sezokwelapha. Hlala uthintana nomhlinzeki wezempilo onekhono ukuthola ukuxilongwa nezinqumo zokwelashwa. Uma uhlangabezana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.
