Bacterial vaginosis (BV) is a common bacterial infection estimated to affect 1 in 3 women at least once in their lifetime. However, it is possible for infections of bacterial vaginosis to reoccur within 6 months, even after being treated.
While it is not a sexually transmitted infection, it can lower your vagina's natural defence and increase your risk of contracting STIs such as Chlamydia. However, women can pass BV on to other female sexual partners.
BV carries a small risk of causing complications during pregnancy, including pelvic inflammatory disease, premature birth or miscarriage. In most cases where a pregnant woman is infected with BV, no complications occur. If you notice a change in your vaginal discharge while pregnant, speak to your doctor or midwife.
Bacterial Vaginosis causes similar symptoms to vaginal thrush, though there are a few differences between the two infections.
Symptoms of bacterial vaginosis may include:
Approximately half of women will not realise they have a BV infection as they may not experience any symptoms. In addition, bacterial vaginosis is not usually painful or itchy.
They key differences which set BV and thrush infections apart are the differences in the odour and discharge. Discharge, as is the result of vaginal thrush, does not usually smell and is often thick like cottage cheese, while discharge, as a result of a bacterial vaginosis infection, is often watery and emits a foul smell.
If you notice any changes in the smell or discharge of your vagina, speak to your doctor or pharmacist for advice on what might be causing the symptoms.
Put simply, bacterial vaginosis is often caused by a change in the pH balance of the vagina.
While it is easy to assume that poor hygiene, such as not washing often, can contribute to the development of BV, it's often the complete opposite which causes the infection.
The vagina sustains a careful acidic balance. When this balance is disrupted, infections such as bacterial vaginosis and thrush can occur. Using vaginal deodorants, perfumed soaps, bubble baths and washing your underwear with strong detergents can upset the delicate balance, increasing the risk of developing bacterial vaginosis.
BV can also be triggered by sexual intercourse, especially with male partners. This is often due to the alkaline nature of semen, which can affect the natural pH balance of the vagina. Changing partners can also increase the risk of developing an infection. If you notice that you suffer from BV after having sex, consider wearing a condom to prevent future infections.
Women with same-sex partners can also pass on bacterial vaginosis to other women. If this happens, both women may need to be treated for bacterial vaginosis.
Periods can also interfere with the pH balance of the vagina, which can increase the likeliness of a BV infection, as can contraception such as IUD.
If you suspect you have BV, you should arrange an appointment with your GP or a sexual health clinic to rule out any possibility that the symptoms you are experiencing are the result of an STI.
During your appointment, a doctor will ask about your symptoms, and a doctor or nurse may examine your vagina.
A sample of discharge may be taken using a cotton bud, which can be used to test for infections. This is unlikely to hurt but may feel uncomfortable.
Your doctor will then discuss an appropriate course of treatment with you.
Bacterial vaginosis is usually treated with antibiotics, such as Metronidazole. This treatment is available in oral tablets or a topical vaginal gel.
BV can return, even after treating the infection. If this is the case, a longer course of antibiotics may be prescribed.
If any same-sex partners exhibit the symptoms of BV, they, too, may require treatment.
While undergoing treatment for bacterial vaginosis, it is important to avoid using hygiene products which may affect the pH of your vagina and cause recurrent infection.
It is important to be treated for bacterial vaginosis as the condition can cause complications such as pelvic inflammatory disease, premature birth and miscarriage in pregnant women and increases the risk of contracting sexually transmitted infections.
Bacterial Vaginosis can be prevented by making changes to your washing regime.
Doing the following may reduce your symptoms and prevent future BV infections:
Bacterial Vaginosis is not a Sexually Transmitted Infection (STI), but it can increase the risk of getting one. It can be passed between female partners.
Bacterial Vaginosis can lead to discomfort and pain in the vagina but usually not soreness or itching.
The most common cause of Bacterial Vaginosis is an imbalance in natural bacteria levels in the vagina, often due to factors like douching or multiple sex partners.
Yes, Bacterial Vaginosis is the most common vaginal infection affecting young women, including those of childbearing age.
Bacterial Vaginosis can cause complications like premature birth or miscarriage during pregnancy but usually causes no problems.
Bacterial Vaginosis is tested using a vaginal fluid sample to determine if a bacterial infection is causing symptoms.
Bacterial Vaginosis is treated with prescribed antibiotics, either tablets or gels/creams. Consult a healthcare provider for proper treatment.
Bacterial Vaginosis can be more common in women with multiple sexual partners but can also occur in women who have not had sex.
Yes, Bacterial Vaginosis can be caused by an overgrowth of normal vaginal flora, leading to an imbalance of bacteria.
Yes, there is a specific test for Bacterial Vaginosis, which uses a vaginal fluid sample to diagnose the infection.
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