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Understanding Bacterial Vaginosis: Causes, Symptoms, and Treatment

by Harjot Singh, 16 Aug 2024
 

What is Bacterial Vaginosis?

Bacterial Vaginosis (BV) is a common vaginal condition caused by an imbalance of the natural bacteria in the vagina. This imbalance results in an overgrowth of certain bacteria, leading to symptoms that can be uncomfortable and sometimes concerning.

Causes of Bacterial Vaginosis

The exact cause of BV is not fully understood, but several factors can increase the risk of developing this condition:

  • Sexual Activity: Multiple or new sexual partners can disrupt the natural balance of bacteria in the vagina.
  • Douching: Using douches can upset the natural bacterial balance.
  • Smoking: Tobacco use has been linked to an increased risk of BV.
  • Lack of Lactobacilli: These are the “good” bacteria in the vagina that help maintain a healthy balance. A deficiency can contribute to BV.

Symptoms of Bacterial Vaginosis

Many women with BV may not experience any symptoms. However, when symptoms do occur, they can include:

  • Unusual Vaginal Discharge: This is often thin, gray, white, or green.
  • Fishy Odor: Especially noticeable after sexual intercourse.
  • Vaginal Itching: Though less common, some women may experience itching around the outside of the vagina.
  • Burning Sensation: Particularly during urination.

Diagnosis of Bacterial Vaginosis

If you suspect you have BV, it's important to see a healthcare provider for an accurate diagnosis. The diagnosis typically involves:

  • Medical History: Discussing symptoms and sexual activity.
  • Pelvic Exam: A physical examination of the vagina.
  • Lab Tests: A sample of vaginal discharge may be tested to check for the presence of BV.

Treatment for Bacterial Vaginosis

BV is usually treatable with medications prescribed by a healthcare provider. Common treatments include:

  • Antibiotics: Oral or topical antibiotics such as metronidazole or clindamycin are commonly prescribed.
  • Follow-up: It's important to complete the full course of antibiotics even if symptoms improve. Follow-up appointments may be necessary to ensure the infection has cleared.

Prevention of Bacterial Vaginosis

While it may not be possible to prevent BV entirely, certain practices can help reduce the risk:

  • Avoid Douching: This can disrupt the natural balance of bacteria in the vagina.
  • Safe Sexual Practices: Limit the number of sexual partners and use condoms to reduce the risk of BV.
  • Maintain Vaginal Health: Keeping the genital area clean and dry can help maintain a healthy bacterial balance.
  • Probiotics: Some studies suggest that probiotics, especially those containing lactobacilli, might help maintain the vaginal flora.

When to See a Doctor

It's important to see a healthcare provider if you experience symptoms of BV, especially if they persist or recur. Untreated BV can increase the risk of other infections and complications, including:

  • Increased susceptibility to STIs: Including HIV.
  • Complications during pregnancy: Such as preterm delivery or low birth weight.
  • Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs.

For more detailed information on BV, its causes, symptoms, and treatment options, visit the Centers for Disease Control and Prevention (CDC) Bacterial Vaginosis page.


Maintaining awareness and taking preventive measures can help manage and reduce the risk of Bacterial Vaginosis. Open communication with healthcare providers is crucial for diagnosis and effective treatment. If you have any questions or concerns, don’t hesitate to seek medical advice