Bacterial Vaginosis (BV):

Bacterial Vaginosis (BV) is a common vaginal infection caused by an imbalance in the natural bacteria found in the vagina. It’s not a sexually transmitted infection (STI), but sexual activity and other factors can increase the risk. What Causes BV? The vagina normally contains a balance of "good" bacteria (lactobacilli) and "harmful" bacteria. BV happens when:

  • The lactobacilli decrease
  • And other bacteria overgrow, especially Gardnerella vaginalis and similar species Common Symptoms of BV;
  • Thin, watery vaginal discharge
  • Usually grey-white in color
  • Strong fishy smell, especially after sex
  • Mild itching or irritation
  • Burning during urination (sometimes)
  • BV does not typically cause intense itching or "cottage cheese" discharge like a yeast infection Treatment Options; 1. Antibiotics (prescription) Avoid alcohol 2. Probiotics
  • May help restore healthy vaginal bacteria
  • Available in oral or vaginal forms
  • Often used to prevent recurrences Recurrent BV
  • BV can return within months, even after successful treatment
  • Preventive options include:
  • Longer-term use of metronidazole gel (e.g., 2x a week)
  • Regular use of probiotics
  • Avoiding triggers like douching or certain soaps What Increases the Risk of BV?
  • Douching or using perfumed vaginal products
  • Multiple or new sexual partners
  • Intrauterine device (IUD) (for some women)
  • Smoking
  • Lack of lactobacilli (good bacteria) in the vagina Prevention Tips
  • Avoid douching and scented soaps
  • Use condoms consistently
  • Practice good hygiene
  • Take probiotics (especially after antibiotics)
  • Limit the number of sexual partners