What Is Bacterial Vaginosis?
Bacterial Vaginosis (BV) is a common vaginal condition caused by an imbalance of the natural bacteria in the vagina. It is not a sexually transmitted infection (STI), but it is more common in people who are sexually active.
It is important to treat BV, as you are more likely to get an STI if you have it. This may be because BV makes your vagina less acidic and reduces your natural defences against infection.
What Causes Bacterial Vaginosis?
The vagina normally contains “good bacteria” that help keep it healthy. BV occurs when these good bacteria are reduced and “bad bacteria” grows too much.
Things that may increase the risk of BV include:
- Having a new or multiple sexual partners, although BV can occur even if you are not sexually active.
- You have an IUD (coil contraceptive device)
- Douching or using vaginal washes
- Using perfumed soaps or bubble baths
- Smoking
What Are the Common Symptoms of Bacterial Vaginosis?
Around 50% of people with BV have no symptoms. Others may notice:
- Thin, grey or white vaginal discharge
- A strong fishy smell, especially after sex
- Vaginal itching or irritation (less common)
- Burning when passing urine (rare)
- BV usually does not cause pain or soreness.
How Is Bacterial Vaginosis Diagnosed?
Diagnosis is usually based on symptoms.
A vaginal swab or sample can be arranged by a healthcare professional to confirm the diagnosis.
During an online GP consultation, we can:
- Assess symptoms and risk factors.
- Provide treatment advice or prescriptions if needed.
- Advise if your partner needs treatment.
NB. You may need in-person assessment if the diagnosis is unclear and a physical examination/swab is required.
When to Seek Urgent Medical Help
BV is usually mild, but if untreated it can sometimes lead to complications, especially during pregnancy. Always seek medical advice if you are:
- Pregnant.
- Having symptoms that do not improve with initial treatment.
- Experiencing pain, bleeding, or unexpected symptoms.
What Are the Treatment and Management Options?
Self-Care and Home Management
- Using mild, unperfumed soap or plain water externally only.
- Avoiding douching or vaginal washes.
- Avoiding perfumed products or antiseptic liquids in the genital area.
- Using condoms.
- Not smoking.
Treatment from a GP
A GP can help with:
- Confirming the diagnosis.
- Arranging tests.
- Prescriptions for antibiotic tablets or gels or creams.
- Advice on when symptoms may indicate complications.
When Referral Is Needed
You may need further assessment if symptoms persist, worsen despite initial care, or the diagnosis is unclear.
How Dr.Online UK Can Help
We offer:
- Same-day online GP appointments.
- Expert assessment and guidance.
- Private prescriptions (when appropriate).
- Fit notes or referral letters.
- Clear advice on whether you need in-person care.
Ready to speak to a GP? Book a same-day appointment with Dr.Online UK.
