Bacterial Vaginosis
Condition
Definition
Bacterial vaginosis (BV) is an infection of the vagina. Early treatment can lower the risk of problems.
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Causes
Bacteria can always be found in the vagina. An infection happens when the bacteria are out of balance. This lets unhealthy bacteria grow and spread. It is not always known why this happens.
Risk Factors
Things that may raise the risk of BV are:
- Having a new sex partner or more than one partner
- Having sex without a condom
- Using an intrauterine device (IUD) for birth control
- Smoking
- Douching
Symptoms
Some women will not have symptoms of BV. Others may have:
- Pain, itching, or burning of the vagina
- A burning feeling while urinating
- A fish-like odor, especially after sex
Diagnosis
The doctor will ask about symptoms and health history. You will also be asked about your sexual history. A physical and pelvic exam will be done.
Vaginal fluid may be tested to look for signs of infection.
Treatment
The infection will be treated with antibiotic pills or creams.
Prevention
The risk of BV may be lowered by:
- Abstaining from sex
- Limiting sex to one partner
- Not using douches
- Using latex condoms during sex
American Congress of Obstetricians and Gynecologists
Women's Health—US Department of Health and Human Services
CANADIAN RESOURCES:
Sexuality and U—The Society of Obstetricians and Gynaecologists of Canada
Women's Health Matters
American Congress of Obstetricians and Gynecologists
Women's Health—US Department of Health and Human Services
CANADIAN RESOURCES:
Sexuality and U—The Society of Obstetricians and Gynaecologists of Canada
Women's Health Matters
References
- American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins—Gynecology. Vaginitis in Nonpregnant Patients: ACOG Practice Bulletin, Number 215. Obstet Gynecol. 2020 Jan;135(1):e1-e17.
- Bacterial vaginosis. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/std/BV/STDFact-Bacterial-Vaginosis.htm.
- Bacterial vaginosis. Women's Health—US Department of Health and Human Services website. Available at: https://www.womenshealth.gov/a-z-topics/bacterial-vaginosis.
- Bacterial vaginosis (BV). EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/bacterial-vaginosis-bv.
Contributors
- Beverly Siegal, MD, FACOG
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