Understanding Bacterial Vaginosis

A Comprehensive Guide to Causes, Symptoms, and Treatment

Internal Medicine

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Last updated: Mar 24, 2025

What is Bacterial Vaginosis?

Bacterial vaginosis (BV) is the most common vaginal infection in women of reproductive age. It occurs when there's an imbalance in the natural bacteria found in the vagina.

Common Symptoms

  • Thin, grayish-white vaginal discharge
  • Fishy odor, especially after sexual intercourse
  • Mild itching or irritation
  • Some women may experience no symptoms

Risk Factors

  • Multiple or new sexual partners
  • Douching
  • Lack of lactobacilli bacteria
  • Unprotected sexual intercourse
  • Use of intrauterine devices (IUDs)

Diagnosis

Your healthcare provider will:

  1. Perform a pelvic examination
  2. Take a sample of vaginal discharge
  3. Test the pH level of your vagina
  4. Conduct a microscopic examination

Treatment Options

Prescription Medications

  • Metronidazole (oral or gel)
  • Clindamycin cream
  • Tinidazole

Duration

Treatment typically lasts 5-7 days

Prevention Strategies

  • Practice good hygiene
  • Avoid douching
  • Use condoms during sexual activity
  • Wear cotton underwear
  • Complete all prescribed medications

When to See a Doctor

Consult your healthcare provider if you experience:

  • Unusual vaginal discharge
  • Strong fishy odor
  • Burning during urination
  • Persistent symptoms after treatment

Complications if Untreated

  • Increased risk of STIs
  • Pregnancy complications
  • Increased risk of pelvic inflammatory disease

Important Notes

  • BV is not considered a sexually transmitted infection
  • Recurrence is common (about 50% within 12 months)
  • Partners do not typically require treatment
  • Regular check-ups can help prevent complications

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