What is Bacterial Vaginosis and Why Should You Care?
What is Bacterial Vaginosis and Why Should You Care?
The Basics
Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge in women of reproductive age. It's important to understand because it can increase your risk of getting sexually transmitted infections.
Contents
Symptoms and Diagnosis
The main symptoms of BV are abnormal vaginal discharge and a fishy odor. However, many women with BV have no symptoms at all. Doctors diagnose BV by examining the vaginal discharge under a microscope and testing its pH level. They may also use special lab tests to look for certain types of bacteria.
Treatment Options
The most common treatments for BV are antibiotics like metronidazole or clindamycin. These can be taken as pills by mouth or applied as creams or gels inside the vagina. Treatment usually lasts for 5-7 days. It's important to finish all the medication even if symptoms improve quickly.
Prevention and Recurrence
BV often comes back after treatment. About 30% of women have symptoms again within 3 months, and over 50% within a year. To help prevent recurrence, avoid douching and limit sexual partners. Using condoms may also help. Some doctors recommend taking probiotics, but more research is needed on their effectiveness.
FAQs
Can men get BV?
No, BV only affects people with vaginas.
Does BV increase STI risk?
Yes, it can make you more susceptible to HIV and other STIs.
Is BV an STI itself?
No, but sexual activity can increase risk.
Should sex partners be treated?
Generally no, unless they have symptoms.
Can BV cause pregnancy complications?
It may increase risk of preterm birth.
Key Takeaways
While BV is common and treatable, it's important to see a doctor if you have symptoms to avoid potential complications.
Additional References
- Workowski KA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021;70:1.
- Bradshaw CS, et al. High recurrence rates of bacterial vaginosis over the course of 12 months after oral metronidazole therapy. J Infect Dis 2006;193:1478.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.