Bacterial vaginosis

What is bacterial vaginosis?

Bacterial vaginosis is a condition of the vagina when there are too many of one kind of bacteria, mainly Gardnerella vaginalis. It’s normally harmless, but can lead to unpleasant symptoms or problems with pregnancy.

Note: many other types of bacteria live in the vagina and rarely cause any problems.

How do you get bacterial vaginosis?

You can get bacterial vaginosis without sexual contact, but it is often linked with sexual activity. It can also be caused by hygiene practices such as douching to clean the vagina, using vaginal deodorants, scented soaps, and bubble baths.

Signs and symptoms

The main symptom is a grey discharge from the vagina with a fishy or musty smell. The smell can get stronger after sex or during your period. Some women can have bacterial vaginosis but have no symptoms at all.

Bacterial vaginosis is usually harmless and often goes away by itself. However, if you are pregnant, bacterial vaginosis can cause early labour, so see your doctor.

How do I know I have bacterial vaginosis?

If you think you have bacterial vaginosis, see your doctor, who will check your vagina for discharge.

The doctor may send a sample to a laboratory for more tests because the signs of bacterial vaginosis can be similar to other infections, such as chlamydia or other sexually transmitted infections. Some of these infections are more serious and/or need a different treatment – for example, the treatment for bacterial vaginosis will not cure chlamydia.

Treatment of bacterial vaginosis

Bacterial vaginosis can be treated by taking a course of antibiotics or by applying a cream. It is very important to finish the whole course of antibiotics. Avoid alcohol during the treatment and for 24 hours afterwards as it can affect the antibiotics and make you vomit. Make sure you take all the medicine. If your regular sexual partner has a penis, it is a good idea for your partner to be treated at the same time to avoid recurrence of symptoms.

Don’t have sex until after you and your regular partner/s have completed the full course of treatment. 

How can bacterial vaginosis be prevented?

You can reduce the risks of getting bacterial vaginosis by:

• Always using condoms and water-based lubricant when having sex with casual and regular partners.
• Avoiding douching and using vaginal deodorants, scented soaps, and other fragranced products around the vagina.

Remember

• Bacterial vaginosis is usually harmless, but can lead to problems with pregnancy.
• The condition can be treated with antibiotics.

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This publication is provided for education and information purposes only. It is not a substitute for professional medical care. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your healthcare professional. Readers should note that over time currency and completeness of the information may change. All users should seek advice from a qualified healthcare professional for a diagnosis and answers to their medical questions.