Bacterial Vaginosis Diagnosis and Treatment – BV Medication Online

A common vaginal infection that results from an imbalance of the bacteria normally present in the vagina.

Bacterial vaginosis (BV) is a frequently occurring vaginal condition caused by a shift in the natural bacterial environment of the vagina. Under normal circumstances, the vagina contains a healthy mix of microorganisms, with “good” bacteria—primarily Lactobacillus species—helping maintain an acidic environment that discourages harmful bacteria from multiplying. When this balance is disrupted, less beneficial bacteria can grow in excess, leading to BV.

What Is Bacterial Vaginosis?

BV is characterized by an imbalance in vaginal flora rather than an infection from an outside source. Although it is not officially classified as a sexually transmitted infection, sexual activity—especially new or multiple partners—can influence the likelihood of developing BV. The condition can appear in mild, moderate, or more noticeable forms and often differs significantly from other vaginal conditions such as yeast infections, which typically cause thick discharge and intense itching.

Why BV Occurs

The exact cause of the bacterial shift is not always clear, but several factors can contribute to this imbalance:

Disruption of Normal Vaginal Bacteria

Anything that alters the natural vaginal environment—such as douching, changes in sexual habits, or hormonal shifts—can decrease protective bacteria and allow harmful bacteria to thrive.

Sexual Activity

While BV is not considered an STI, it is more common in sexually active individuals. Unprotected intercourse and new sexual partners can increase risk by affecting the vaginal microbiome.

Other Contributing Factors

• Use of scented products or harsh cleansers
• Natural variations in vaginal pH
• Smoking
• IUD use in some cases

Symptoms to Watch For

Not everyone with BV experiences noticeable symptoms, which is why the condition may be discovered during routine exams. When symptoms do appear, they often include:

• Unusual vaginal discharge, typically thin, white, or gray
• A strong, “fishy” odor, often more noticeable after intercourse or during menstruation
• Mild vaginal irritation or itching
• Occasional burning during urination, though this is less common
• No symptoms at all, which is common in many cases

Diagnosis and Treatment

Diagnosis requires evaluation by a healthcare professional, as BV can resemble other vaginal infections. Proper testing ensures the correct treatment plan. BV is usually treated with prescription antibiotics, available in oral or topical forms. When taken as directed, these medications effectively restore the normal bacterial balance and relieve symptoms.

Women who suspect BV should seek medical advice for accurate diagnosis and appropriate therapy, as untreated BV can sometimes lead to complications, especially during pregnancy or before gynecologic procedures