Bacterial vaginosis (BV)
What is BV?
- It is the most common bacterial imbalance in your vagina.
- “Good” and “bad” bacteria live in balance in your vagina. Too much “bad” bacteria can lead to BV.
- BV is also been called:
- Non-specific Haemophilus vaginitis
- Gardnerella vaginitis
Signs of BV are:
- A foul or "fishy" vaginal odor. The odor often seems worse after having sex.
- More gray-white milky discharge.
- Itching, burning, and irritation are not common. It may happen in 1 out of every 3 people with BV.
- Some women may not notice any signs.
What causes BV?
- The cause of BV is unknown. Many factors can contribute to it.
- BV seems to happen more often in people who have sex regularly.
- You cannot give it from one partner to the other, like chlamydia or gonorrhea.
- People who have not had sex can also get BV.
How to know you have BV
- Only your health care provider can diagnose BV. They will look at a sample of your vaginal discharge under a microscope or other office test.
- BV signs can look like other vaginal infections. Many people who have BV may think they have a yeast infection. They might self-treat at home. This can make your BV worse.
- Your health care provider will help you choose a treatment that will work best for you.
How is BV treated?
- Antibiotics are used to treat BV. They can be:
- A pill you take by mouth
- Do not drink alcohol with this treatment.
- A gel or cream that is put into your vagina
- A suppository that is put into your vagina
- A pill you take by mouth
- Medicines used to treat BV can only be prescribed by a health care provider.
- Over the counter products such as creams, sprays, or douches will not help.
- Douching can upset the normal balance of bacteria and cause other problems. Never douche.
- Sex partners are not normally treated. Your health care provider may suggest treating your partner if you have many infections.
- Do not have sex during your treatment course. If you do have sex, your partner should wear a condom.
- Think about starting a probiotic. There are many choices. You could try Fem Dophilus or Kefir.
- Since care guidelines are recommended. See handout or go visit this link.
Are there any risks?
Some studies show a higher risk for:
- Pelvic infection
- Premature (early) labor if pregnant
- Infection after:
- A vaginal birth
- Cesarean section
- Gynecologic surgery
See your health care provider if you notice any signs of BV or if symptoms do not improve with treatment.