I Have BV... What are the Next Steps?

Ahhh BV. Aka Bacterial vaginosis, that pesky lil rascal. What exactly is it? What do you do?

Let’s be super clear. bacterial vaginosis is NOT a sexually transmitted infection, but it is possible to develop it after sexual intercourse. Also, this is super common. Like 1 in 3 people super common…

Take it away, Dr. Leo.

How do you know you have BV?

You may notice a change in your vaginal discharge. You may notice more discharge, it may change to a white or grey color, become thin and watery, or develop a strong, fishy smell (especially noted after sex).

What will not happen?

One thing that typically does not happen with bv is pain, itching, irritation type symptoms - still go to your doctor if you’re feeling these! There may be something else going on.

What are some causes of BV?

Here’s the deal, BV is highly dependent on bacteria and changes in bacteria or changes in ph balance in your vagina. These changes can come from perfumed soaps or bath gel, douching, strong detergents that you use to wash your underwear, and antiseptic liquids.

Hormones play a huge role as well. Think your menstrual cycle, semen in the vagina after sex, even an intrauterine contraceptive device (IUD) and genetic factors! So many possibilities… Again, BV is not an STI but you can get it after sexual intercourse, particularly if you have had a change in sexual partners.

So what do you do?

If you think you may have BV (or something else), go see your doctor! The exam is typically quick - they will likely take a swab of the walls of your vagina, and they may take a ph test with a thin paper. You may also be tested during a regular cervical exam. Test results typically come fairly quickly, but can take up to two weeks.

How do you treat BV?

Your treatment will usually one of two. Either antibiotics or a topical gel or cream. Talk to your care provider on the treatment plan and how this can impact your normal life/routine. There shouldn’t be too large of a change, but note that the topical treatments can weaken latex condoms or diaphragms. Inquire about antibiotics as those can have an adverse effect with alcohol!

If your symptoms don’t go away, call your doctor! They should clear up if you follow your instructions.

Remember, vaginas are dynamic a f. So much is going on there so it is very likely that something may pop up! Don’t feel bad or guilty or dirty or whatever. It’s life!