Bacterial vaginosis (BV) can be uncomfortable or unpleasant—but it’s definitely not uncommon. More than one in three people with vaginas will develop BV in their lifetime. The rate is even higher among Black women.
Bacterial vaginosis is caused by an imbalance of good and bad bacteria in the vagina. It’s not a sexually transmitted infection. And you don’t have to have sex to develop BV.
BV can cause bothersome symptoms. Even if symptoms are mild, it’s important to treat BV. While rare, BV can lead to more serious problems—especially those related to fertility and pregnancy. And untreated bacterial vaginosis can increase the risk of sexually transmitted infections (STIs).
Here’s what to look out for when it comes to signs and symptoms of BV. Plus, how you can access bacterial vaginosis treatment online through Dr. B’s virtual health services.
Bacterial vaginosis doesn’t always cause symptoms. Symptoms can be so mild that some people don’t notice them. It’s also possible for symptoms to come and go.
When bacterial vaginosis does cause symptoms, the hallmark sign is a strong, fishy odor and lots of white, gray or yellow discharge. The smell may be worse after sex. The discharge tends to be a thin consistency. (Unlike a yeast infection, which might be clumpy, like cottage cheese.)
The most common symptoms of bacterial vaginosis are:
Bacterial vaginosis can cause some mild discomfort, vaginal itching or burning when you pee. But these aren’t the most common symptoms. If itching and vaginal discomfort are your primary symptoms, it might be something else.
The symptoms of BV can be so mild that some people don’t even know they have it. Look for a milky, thin discharge that is white, gray, green or yellowish. As well as strong, sometimes fishy vagina smells.
Bacterial vaginosis does not cause bleeding, bumps or sores. If you have unusual vaginal bleeding, sores or blisters around the vagina or vulva—or any other new symptoms—see a medical provider. These symptoms could suggest another type of infection or problem.
Bacterial vaginosis is usually mild and it rarely causes long-term problems. Some cases of BV even clear up on their own. But the bad news is that BV can come back multiple times. So you may need to treat bacterial vaginosis more than once before it’s gone for good.
Getting a BV prescription is important—even if your symptoms are mild. Bacterial vaginosis can cause serious problems if left untreated. These include:
Speak with a medical provider if you have new or unusual symptoms. The symptoms of bacterial vaginosis can be similar to other conditions—like UTIs and yeast infections. A medical provider can help you understand which you have and the best treatment options.
Antibiotic treatment can help clear uncomfortable BV symptoms. There are no over-the-counter medications for BV. And while some lifestyle changes help prevent BV, no proven home remedies exist. So you can’t cure BV at home without a medical provider and a bacterial vaginosis prescription.
Dr. B can help!
You can start to treat BV online through our virtual health platform. You’ll first fill out a health assessment. A medical provider will take you through available BV pills and other BV medicines online. If appropriate, they’ll call a prescription into your pharmacy of choice.
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