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