Request an online visit for Bacterial vaginosis. A licensed provider reviews your case and prescribes treatment when appropriate.
Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
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.