Bacterial Vaginosis (BV) Treatment
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Guide for
Bacterial Vaginosis Treatment
By Medical Editor:
Dr. Francesco-Maria Serino, MD, PhD
August, 2024
Summary
Bacterial vaginosis (BV) occurs when the balance of bacteria in the vagina is disrupted, leading to symptoms such as unusual discharge and a “fishy” odor. BV can be caused by factors like sexual activity and douching. Doctorsa Virtual Care offers immediate virtual consultations with doctors who can diagnose and treat BV, providing prescriptions and follow-up care. To manage BV, it’s important to complete the prescribed treatment regimen and maintain good hygiene.
What is a Bacterial Vaginosis (BV)
Bacterial vaginosis (BV) is a health issue where the balance of bacteria in the vagina becomes disrupted. There is a decrease in beneficial bacteria like lactobacilli and an increase in harmful bacteria such as Gardnerella vaginalis and various anaerobes. This imbalance leads to an increase in vaginal pH and the production of amines, which can result in an unpleasant odor (due to substances produced by bacteria and called “amines”).
What are the symptoms of Bacterial Vaginosis (BV)?
Some women might not have any symptoms at all. But when symptoms do show up, they usually include:
- A thin, off-white vaginal discharge that you might notice more after sex or during your period.
- A not-so-pleasant “fishy” smell coming from your vagina.
It’s important to know that bacterial vaginosis doesn’t usually cause itching, burning, or redness. If you’re experiencing those symptoms, it could be a sign of other infections like yeast infections or trichomoniasis.
What causes Bacterial Vaginosis (BV)?
BV is caused by an imbalance in the vaginal bacterial population. This can be influenced by multiple factors, including:
- Sexual activity: BV is more common in sexually active individuals, though it is not considered a traditional sexually transmitted infection since it can occur in those who are not sexually active.
- Douching: This practice can disrupt the normal vaginal flora and increase the risk of developing BV.
- Changes in the vaginal pH that allow for the growth of anaerobic bacteria .
Common BV medications
Metronidazole (Flagyl)
capsules
Clindamycin
topical cream
What are the signs that a bacterial vaginosis is getting worse?
As bacterial vaginosis (BV) gets worse, you might notice stronger and more unpleasant odors down there, often described as “fishy.” You might also see more vaginal discharge, which can change in color and consistency to become thin, off-white, and uniform.
It’s crucial to pay attention if you start having symptoms that could mean bigger problems, like pelvic inflammatory disease. Signs of this include lower belly pain, fever, and if you’re pregnant, a higher chance of giving birth too early or other pregnancy problems.
If your symptoms get worse or stick around, it’s important to see a doctor. BV can sometimes lead to more serious health issues if it’s not treated properly.
How can Doctorsa Virtual Care help with a Bacterial Vaginosis (BV)?
No matter where you are, our platform quickly connects you with doctors for immediate virtual care, available 24/7. A doctor can assess your symptoms and discuss treatment options to help with your bacterial vaginosis. You can even receive prescriptions right in your email, along with follow-up care, all from the comfort of wherever you happen to be. It’s the ideal solution for international travelers looking for fast and reliable medical support.
How to get rid of a BV in 24 hours?
To quickly alleviate symptoms of BV, it is recommended to:
- Follow the prescribed treatment regimen thoroughly to ensure the infection is fully treated.
- Avoid douching as it can disturb the vaginal flora further.
- Maintain good hygiene but avoid over-washing or using harsh soaps in the genital area, which can disrupt the natural balance of bacteria.
It’s important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment plan tailored to your specific condition .
References
- Larsen B, Monif GRG. Understanding the bacterial flora of the female genital tract. Clin Infect Dis. 2001;32(4):e69-e77.
- Marrazzo JM. Bacterial vaginosis: Public health implications and treatment. Clin Obstet Gynecol. 2007;50(3):807-820.
- Sobel JD. Bacterial vaginosis. Annu Rev Med. 2000;51:349-356.
- Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR-03):1-137.
- Onderdonk AB, Delaney ML, Fichorova RN. The human microbiome during bacterial vaginosis. Clin Microbiol Rev. 2016;29(2):223-238.
How does it work?
99% of our users solve their issue within 1 hour. No waiting, no language barriers, no insurance needed.
Answer a few questions
Just answer a few questions about your BV symptoms and choose a convenient time for your online session. It’s simple and hassle-free, with no need to sign up.
Select and connect
Doctors respond in minutes. Select your preferred one and start your virtual consultation right from your web browser.
7-day free follow-up chat
Reach out to your doctor with any questions you might have, at no extra cost for 7 days following your consultation.
How does it work?
99% of our users solve their issue within 1 hour. No waiting, no language barriers, no insurance needed.
Answer a few questions
Just answer a few questions about your BV symptoms and choose a convenient time for your online session. It’s simple and hassle-free, with no need to sign up.
Select and connect
Doctors respond in minutes. Select your preferred one and start your virtual consultation right from your web browser.
7-day free follow-up chat
Reach out to your doctor with any questions you might have, at no extra cost for 7 days following your consultation.
Your questions answered
What are common symptoms of bacterial vaginosis?
Bacterial vaginosis (BV) often causes an unusual vaginal discharge that can be thin, gray, or white. This discharge typically has a strong, fishy odor, especially noticeable after sex or washing the area. Some people might also experience vaginal itching or a burning sensation when urinating. There may be mild discomfort in the vaginal area, although not everyone with BV will have symptoms. Sometimes, BV doesn’t cause any noticeable signs at all. If you notice any changes or are concerned, it’s important to see a healthcare provider for proper diagnosis and treatment.
How is a bacterial vaginosis diagnosed?
Bacterial vaginosis (BV) is usually diagnosed by a healthcare provider through a combination of discussing your symptoms and collecting your medical history. Based on the findings from your symptoms and medical history, the provider can most of the times diagnose BV and recommend appropriate treatment. In some cases a vaginal exam might be necessary.
Can I get BV treatment without seeing a doctor in-person?
Yes, antibiotics can be prescribed during a video consultation with a doctor. Antibiotics in Europe are not available over the counter and pharmacies do not have doctors on site. To buy antibiotics, you’ll need to carry a doctor’s prescription to a pharmacy. For example, the cost of antibiotics typically ranges from 5 to 15 euros.
How does Doctorsa work?
Open the intake form and choose one of the following options:
- Urgent Care: For immediate treatment of your Bacterial Vaginosis via virtual care.
- Set Up an Appointment: To schedule a same-day or future appointment.
- Prescription Refill: Use this option if you have lost or forgotten your medication.
Next, select how you would like to receive appointment offers from doctors.
We recommend using WhatsApp as it is faster and more reliable. You will quickly receive various visit options. Choose the one that suits you best and proceed to online payment.
Video visits are browser-based, so no apps are needed. Simply click the link you receive to start your video visit in your browser.
After the consultation, expect to receive an invoice and an e-prescription via email. You can show or print the e-prescription to purchase medication at the pharmacy of your choice.
How do I get a prescription from an online doctor?
Following the consultation, the doctor will either email the e-prescription to you or send it via WhatsApp. You can then either print it out or show it directly to the pharmacist when purchasing the medication.
It’s important to understand that doctors must responsibly evaluate each case individually. They can’t simply prescribe medication solely based on a patient’s request or a recommendation from another doctor without confirming that it’s suitable for the patient’s specific condition.
How much does it cost?
The total cost may differ based on the providers. Each one competes for your request, offering a fair price tailored to your needs. On average, an online doctor visit costs 25 Euros. Prices for in-person appointments, specialists, and lab work vary by city. You can send a request to learn more—there’s no commitment to book, and you can select your provider.
Please note that the visit fee doesn’t cover medication expenses, but common antibiotics are quite affordable in Europe. The cost of antibiotic treatment typically ranges from 5 to 15 euros approximately.
Are doctors available on weekends?
Yes, whenever you submit your request it is instantly received by the doctors active at that time. Whether it’s late at night, on a Sunday morning, or on New Year’s Eve, there’s always someone on the other side who’s ready to see you. When you receive an option for an appointment, there’s a person behind it (a doctor) who’s read your request and is willing to assist you.
Can I contact the doctor for follow-up questions after the consultation?
You can message your physician with follow-up questions at no additional cost for up to 7 days after the video visit.