Bacterial vaginosis

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Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed
Dr. Ikechukwu Ogbu, MD — Medical Director
Dr. Ikechukwu Ogbu, MD

Board-Certified · Internal Medicine · Medical Director

4.9(2,612+ verified patient reviews)

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About Bacterial vaginosis

Bacterial vaginosis (BV) is a shift in the vaginal microbiome away from protective lactobacilli toward anaerobic bacteria such as Gardnerella vaginalis. It typically produces a thin, gray-white discharge with a characteristic “fishy” odor, especially after intercourse, but many cases are asymptomatic. BV increases the risk of acquiring STIs and complicates pregnancy. Diagnosis is by Amsel criteria, Gram stain, or PCR. First-line treatment is oral or vaginal metronidazole or clindamycin; recurrence is common and may require longer or maintenance therapy.

Common questions

Reference only. Not a substitute for medical advice. Not appropriate for emergencies.