Bacterial vaginosis

Additional information

What is Bacterial Vaginosis (BV)?

Understanding BV

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance in the natural bacteria within your vagina. You may notice an unusual, thin, watery discharge with a distinct fishy odor, especially after sexual intercourse. Although BV is not classified as a sexually transmitted infection (STI), this imbalance can make you more susceptible to other infections. Courierpharmacy explains intimate conditions in simple language so you can understand what is happening in your body, make informed health decisions, and dispel any myths surrounding these conditions. There is no need to feel embarrassed—what matters is getting checked and starting treatment to restore balance.

What Causes BV?

BV develops when the healthy lactobacilli in your vagina decrease, allowing harmful bacteria to multiply. This imbalance can be triggered by several factors, including:

• Being sexually active, especially with new or multiple partners
• Using intrauterine devices (IUDs) for contraception
• Using scented soaps, bubble baths, or vaginal deodorants
• Washing underwear with harsh detergents

While BV is more common in sexually active women, it can affect anyone.

Recognising the Symptoms

Not everyone with BV will show symptoms, but common signs include:

• A thin, watery discharge that is white or gray
• A strong, fishy odor, particularly after sex
• Mild itching or a burning sensation during urination

Prompt treatment is important to avoid complications, especially during pregnancy. It is also vital to distinguish BV from thrush, which typically produces a thick, white, cottage cheese-like discharge and requires different treatment.

How is BV Diagnosed?

A proper diagnosis should be confirmed by a healthcare professional:

• A doctor will review your symptoms and may perform a visual examination of your vagina.
• They might use a swab to test for BV or rule out other infections like gonorrhea and trichomoniasis.
• A pH test of the vagina is often conducted; a pH reading above 4.5 strongly suggests BV.
• For privacy, home testing kits like the Canestest are also available.

Effective Treatments for BV

The most common treatment for BV is antibiotics, which include:

• Metronidazole tablets, usually taken twice daily for seven days
• Metronidazole vaginal gel (Zidoval), typically applied for five days
• Clindamycin cream (Dalacin) for those who are allergic to metronidazole

It is crucial to complete the full course of treatment even if symptoms improve early to ensure the infection is fully cleared.

Preventing BV

While you can’t always prevent BV, you can reduce your risk by:

• Avoiding scented soaps, bubble baths, and vaginal deodorants
• Using mild detergents when washing underwear
• Refraining from vaginal douching, which can disrupt the natural balance of bacteria

Maintaining Vaginal Health

Keeping your vaginal environment balanced is key to preventing both BV and vaginal thrush. BV occurs when the natural balance of bacteria shifts due to a reduction in lactobacilli, while thrush results from an overgrowth of Candida yeast. Maintaining a healthy balance is essential to avoid these conditions.

Additional Information and Self-Care

For those who have experienced BV before, over-the-counter treatments may be an option. However, if the infection recurs frequently, it’s advisable to consult your doctor to address any underlying issues. Self-care practices such as good hygiene, proper use of treatments, and avoiding irritants can help prevent the spread of the infection.

For more detailed guidance on BV and vaginal thrush, please refer to our blog. After completing our online consultation form, you can purchase BV treatments and related products directly from courierpharmacy.co.uk.