Everything you need to know about bacterial vaginosis!

“Don’t you just love it when your vagina starts doing weird things?” said literally no one ever. As if periods weren’t enough, now we’ve got the itchies, the burnies, and the “what is that smell?” moments.

The truth is, vaginas are delicate ecosystems that rely on a near-perfect balance of bacteria (yes, bacteria - totally normal) to stay healthy. When that balance gets thrown off, one possible outcome is bacterial vaginosis (BV) a common vaginal infection that can be mild and short-lived or lead to more serious complications if left untreated. So how do we deal? By getting informed. Here’s your no-nonsense guide to BV: what it is, how to spot it, and how to treat it like the boss of your own body.

What causes bacterial vaginosis?

BV is caused by an imbalance between the “good” and “bad” bacteria in your vagina. Normally, lactobacilli (the good guys) keep things in check. But when harmful bacteria like Gardnerella vaginalis take over, your vaginal pH shifts and hello, BV.

While BV isn’t technically a sexually transmitted infection (STI), it’s more common in sexually active people, especially those with new or multiple partners. It can also be triggered by:

• Unprotected sex;
• Sharing sex toys;
• Douching;
• Smoking cigarettes.

Important: BV can increase your risk of contracting STIs, including HIV. So if you suspect BV, see a doctor and use protection during sex. And no, you cannot get BV from toilet seats or swimming pools.

BV symptoms: what to watch for?

Here’s the tricky part: up to 75% of people with BV have no symptoms at all. But when symptoms do show up, they might include:

• Thin, white or gray vaginal discharge;
• Strong, fishy odor (especially after sex);
• Vaginal itching or burning;
• Pain or discomfort during urination.

These symptoms can also mimic STIs, so don’t guess get tested. Regular Pap smears and STI screenings are key to protecting your reproductive health.

How to prevent BV?

While the exact cause of bacterial imbalance isn’t fully understood, you can reduce your risk with a few smart habits:

• Avoid smoking - it disrupts estrogen levels and increases BV risk;
• Skip the douches - your vagina is self-cleaning, and douching messes with your pH;
• Use condoms - especially with new or multiple partners;
• Clean sex toys - every time, with mild soap or a toy-safe cleanser;
• Get tested regularly - every 6 months if you’re sexually active with multiple partners.

BV treatment options

If you think you have BV, don’t self-diagnose. BV shares symptoms with STIs, and misdiagnosis can lead to complications. A healthcare provider will usually prescribe antibiotics, such as metronidazole or clindamycin.

Pro tip: Even if symptoms disappear mid-treatment, finish the full course of antibiotics to prevent recurrence.

What happens if you don’t treat BV?

BV can sometimes resolve on its own, but ignoring it can lead to:

• Increased risk of HIV and other STIs;
• Pelvic Inflammatory Disease (PID);
• Preterm birth or low birth weight if pregnant.

So don’t wait. Your vagina deserves better than “maybe it’ll go away”.

BV is common, treatable, and nothing to be ashamed of. Being proactive about your vaginal health is empowering. If something feels off, trust your instincts and talk to a doctor. Your body is brilliant and you’re in charge of keeping it that way.

This article is intended for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment. If you experience symptoms of bacterial vaginosis or have concerns about your vaginal health, please consult a qualified healthcare provider. Every body is unique, and professional guidance is essential for proper care.

 photo: courtesy of Pinterest