Bakteryjne zapalenie pochwy
Objawy

Bakteryjne zapalenie pochwy (BV) jest najczęstszą przyczyną nieprawidłowej wydzieliny pochwowej u kobiet w wieku rozrodczym, charakteryzującą się zaburzeniem równowagi mikrobiologicznej pochwy, gdzie dochodzi do zmniejszenia liczby Lactobacillus i nadmiernego wzrostu bakterii beztlenowych. Objawy kliniczne obejmują cienką, wodnistą wydzielinę o barwie białej, szarej lub zielonkawej, z charakterystycznym, nieprzyjemnym zapachem „rybim”, nasilającym się po stosunku i podczas miesiączki, a także pieczenie przy mikcji i rzadziej świąd. Diagnostyka opiera się na kryteriach Amsela, w tym pH pochwy >4,5 (czułość 89%) oraz dodatnim teście aminowym (swoistość 93%). Nieleczone BV zwiększa ryzyko zakażeń przenoszonych drogą płciową (m.in. HIV, Chlamydia, HPV) oraz powikłań położniczych, takich jak poronienie, przedwczesny poród i niska masa urodzeniowa (<2500 g). Nawroty są częste, występują u 50-80% kobiet w ciągu 3-12 miesięcy po terapii, co wymaga czasem dłuższego leczenia podtrzymującego.

Bakteryjne zapalenie pochwy – objawy

Bakteryjne zapalenie pochwy (BV) to najczęstsza przyczyna nieprawidłowej wydzieliny pochwowej u kobiet w wieku rozrodczym. Jest to stan spowodowany zaburzeniem równowagi bakteryjnej w pochwie, prowadzący do nadmiernego wzrostu niektórych bakterii, które normalnie występują w pochwie w małych ilościach12. U około 50-84% kobiet z bakteryjnym zapaleniem pochwy nie występują żadne objawy, co oznacza, że wiele kobiet może nie wiedzieć o istnieniu infekcji34.

Charakterystyczne objawy BV

Gdy bakteryjne zapalenie pochwy objawia się klinicznie, najczęstsze symptomy obejmują56:

  • Zmienioną wydzielinę pochwową – cienką, wodnistą, o kolorze białym, szarym lub zielonkawym78
  • Charakterystyczny, nieprzyjemny zapach określany jako „rybi”, który często nasila się po stosunku seksualnym oraz podczas miesiączki910
  • Uczucie pieczenia podczas oddawania moczu1112
  • Swędzenie pochwy lub okolic zewnętrznych narządów płciowych (występuje rzadziej)1314

Wydzielina pochwowa u kobiet z bakteryjnym zapaleniem pochwy jest zwykle cienka i wodnista. Kolor może być biały, szary lub zielonkawy, a konsystencja wydzieliny może przypominać pianę1516. Objętość wydzieliny może być zwiększona w porównaniu z normalną wydzieliną pochwową17.

Rzadziej występujące objawy

Niektóre kobiety z bakteryjnym zapaleniem pochwy mogą doświadczać również1819:

  • Bólu podczas stosunku seksualnego (dyspareunia)20
  • Tępego bólu w podbrzuszu21
  • Plamienia pomiędzy miesiączkami lub po stosunku seksualnym (rzadko)22

Bakteryjne zapalenie pochwy nie powoduje zwykle zaczerwienienia, stanu zapalnego czy obrzęku okolic pochwy i sromu, a także nie jest typowo związane z silnym świądem, jak w przypadku zakażeń grzybiczych2324.

Progresja bakteryjnego zapalenia pochwy

Naturalny przebieg nieleczonego BV

Bakteryjne zapalenie pochwy może w niektórych przypadkach ustąpić samoistnie bez leczenia, szczególnie gdy jest bezobjawowe2526. Jednakże, u wielu kobiet infekcja może się utrzymywać, a nawet prowadzić do poważniejszych powikłań, jeśli nie zostanie odpowiednio leczona27.

Nieleczone bakteryjne zapalenie pochwy zwiększa podatność na inne infekcje, ponieważ stan zapalny pochwy stwarza korzystne środowisko dla patogenów28. BV może również wpływać na przebieg ciąży oraz zwiększać ryzyko zakażenia innymi chorobami przenoszonymi drogą płciową29.

Nawroty bakteryjnego zapalenia pochwy

Nawroty bakteryjnego zapalenia pochwy są bardzo częste. Około 50-80% kobiet doświadcza nawrotu objawów w ciągu 3-12 miesięcy po skutecznym leczeniu3031. Według niektórych badań, u około jednej trzeciej kobiet objawy BV powracają w ciągu 3 miesięcy od zakończenia leczenia, a u ponad połowy w ciągu 12 miesięcy3233.

Za nawracające bakteryjne zapalenie pochwy uważa się wystąpienie trzech lub więcej potwierdzonych epizodów BV w ciągu 12 miesięcy3435. Przyczyny wysokiej częstości nawrotów nie są w pełni poznane, ale mogą być związane z niepełnym wyeliminowaniem pierwotnej infekcji, nowym zakażeniem lub tworzeniem się biofilmu bakteryjnego w pochwie36.

Powikłania bakteryjnego zapalenia pochwy

Chociaż bakteryjne zapalenie pochwy zazwyczaj nie powoduje poważnych problemów zdrowotnych, nieleczona infekcja może prowadzić do następujących powikłań3738:

  1. Zwiększone ryzyko zakażeń przenoszonych drogą płciową, w tym:
    • HIV – bakteryjne zapalenie pochwy zwiększa prawie dwukrotnie ryzyko zakażenia HIV39
    • Chlamydia i rzeżączka40
    • Opryszczka narządów płciowych (HSV-2)41
    • Wirus brodawczaka ludzkiego (HPV)42
  2. Powikłania ciąży, takie jak:
    • Poronienie43
    • Przedwczesny poród44
    • Niska masa urodzeniowa dziecka (poniżej 2500 g)45
    • Przedwczesne pęknięcie błon płodowych46
    • Zapalenie błon płodowych (chorioamnionitis)47
    • Zapalenie endometrium po porodzie48
  3. Choroby zapalne miednicy mniejszej (PID), które mogą prowadzić do49:
    • Zapalenia endometrium50
    • Zapalenia jajowodów (salpingitis)51
    • Problemów z płodnością52
  4. Powikłania po zabiegach ginekologicznych, takich jak53:
    • Zakażenia po histerektomii54
    • Zakażenia po założeniu wkładki wewnątrzmacicznej55
    • Zakażenia po aborcji56
    • Zakażenia po cięciu cesarskim57

Ze względu na możliwe powikłania, ważne jest, aby kobiety z objawami bakteryjnego zapalenia pochwy zgłaszały się do lekarza w celu odpowiedniej diagnostyki i leczenia58.

Przebieg leczenia i objawy ustępowania infekcji

Leczenie bakteryjnego zapalenia pochwy opiera się głównie na antybiotykoterapii, której celem jest przywrócenie prawidłowej równowagi bakteryjnej w pochwie59. Najczęściej stosowanymi antybiotykami w leczeniu BV są metronidazol i klindamycyna, które mogą być podawane doustnie lub dopochwowo w postaci żeli, kremów czy tabletek6061.

Po rozpoczęciu leczenia antybiotykami, objawy bakteryjnego zapalenia pochwy zwykle zaczynają ustępować w ciągu 2-3 dni62. Całkowite ustąpienie objawów powinno nastąpić w ciągu 5-7 dni, co odpowiada standardowemu czasowi trwania terapii antybiotykami63.

Oznaki świadczące o ustępowaniu infekcji obejmują64:

  • Zmniejszenie ilości wydzieliny pochwowej
  • Zanik nieprzyjemnego zapachu
  • Ustąpienie dolegliwości bólowych i pieczenia podczas oddawania moczu
  • Ustąpienie świądu i podrażnienia

Bardzo ważne jest, aby przyjmować przepisane leki zgodnie z zaleceniami lekarza, nawet jeśli objawy ustąpią wcześniej. Przedwczesne przerwanie leczenia może prowadzić do nawrotu infekcji65. W przypadku nawracającego bakteryjnego zapalenia pochwy, lekarz może zalecić dłuższy kurs antybiotyków trwający nawet kilka miesięcy jako leczenie podtrzymujące i zapobiegające nawrotom6667.

Jeśli objawy nie ustępują po zakończeniu leczenia lub pojawiają się ponownie, konieczna jest ponowna konsultacja lekarska68. Około 10-15% kobiet potrzebuje drugiego cyklu leczenia, aby całkowicie wyeliminować infekcję69.

Objawy bakteryjnego zapalenia pochwy w szczególnych grupach pacjentek

Objawy BV u kobiet w ciąży

Bakteryjne zapalenie pochwy występuje u około 20% kobiet podczas ciąży70. Objawy BV u kobiet ciężarnych są podobne jak u innych kobiet, jednak ze względu na zmiany hormonalne w ciąży, ciężarne mogą być bardziej podatne na infekcje pochwowe71.

Kobiety w ciąży z bakteryjnym zapaleniem pochwy powinny być leczone niezależnie od tego, czy występują u nich objawy, czy też nie, ze względu na zwiększone ryzyko powikłań ciąży7273. Lekarz prowadzący ciążę może przepisać leki bezpieczne do stosowania w tym okresie74.

Objawy BV u kobiet po menopauzie

Bakteryjne zapalenie pochwy może również występować u kobiet po menopauzie, choć jest to mniej powszechne niż u kobiet w wieku rozrodczym. Według badań, częstość występowania BV wśród kobiet po menopauzie na całym świecie wynosi około 17%75.

Ze względu na zmiany fizjologiczne związane z menopauzą, takie jak zmniejszona produkcja estrogenów i zmiana pH pochwy, objawy BV mogą różnić się od tych obserwowanych u młodszych kobiet. Zmniejszona wilgotność pochwy u kobiet po menopauzie może maskować niektóre objawy, takie jak charakterystyczna wydzielina76.

Różnicowanie objawów BV z innymi infekcjami pochwy

Objawy bakteryjnego zapalenia pochwy mogą przypominać inne infekcje narządów płciowych, dlatego właściwa diagnoza jest kluczowa dla skutecznego leczenia77. Poniżej przedstawiono główne różnice między bakteryjnym zapaleniem pochwy a innymi częstymi infekcjami pochwy78:

Cecha kliniczna Bakteryjne zapalenie pochwy Drożdżyca pochwy Rzęsistkowica
Wydzielina Cienka, wodnista, biała, szara lub zielonkawa Gęsta, biała, serowata Żółto-zielona, pienista
Zapach Charakterystyczny „rybi”, nasilający się po stosunku Brak lub łagodny Nieprzyjemny
Świąd Nieobecny lub łagodny Intensywny Umiarkowany
Stan zapalny/zaczerwienienie Rzadko Często Często
Ból podczas oddawania moczu Może występować Może występować Często
pH pochwy Podwyższone (>4,5) Normalne (3,8-4,5) Podwyższone (>4,5)

Diagnostyka bakteryjnego zapalenia pochwy opiera się na badaniu lekarskim, badaniu pH pochwy oraz mikroskopowej ocenie wydzieliny pochwowej79. W praktyce klinicznej BV jest diagnozowane na podstawie obecności co najmniej trzech z czterech kryteriów Amsela80:

  1. Charakterystyczna cienka, jednorodna wydzielina pochwowa
  2. pH pochwy >4,5
  3. Dodatni test z KOH (test aminowy, „test rybiego zapachu”)
  4. Obecność komórek jeżowatych w preparacie mikroskopowym

pH pochwy powyżej 4,5 jest najbardziej czułym (89%) markerem bakteryjnego zapalenia pochwy, a pozytywny test aminowy jest najbardziej swoistym (93%) wskaźnikiem wykrywania BV81.

Ze względu na podobieństwo objawów bakteryjnego zapalenia pochwy do innych infekcji, zaleca się konsultację lekarską w celu właściwej diagnozy i odpowiedniego leczenia82.

Objawy i przebieg bakteryjnego zapalenia pochwy – obserwacje kliniczne

Bakteryjne zapalenie pochwy jest najczęstszą przyczyną nieprawidłowej wydzieliny pochwowej u kobiet w wieku rozrodczym83. Charakteryzuje się zaburzeniem równowagi bakteryjnej w pochwie, gdzie następuje zmniejszenie ilości pałeczek kwasu mlekowego (Lactobacillus) i nadmierny wzrost bakterii beztlenowych84.

Najczęstsze objawy bakteryjnego zapalenia pochwy obejmują8586:

  • Nieprawidłową wydzielinę pochwową – cienką, białą, szarą lub zielonkawą
  • Charakterystyczny, nieprzyjemny zapach określany jako „rybi”, nasilający się po stosunku seksualnym i podczas miesiączki
  • Pieczenie podczas oddawania moczu
  • Swędzenie i podrażnienie pochwy lub sromu (rzadziej)

Warto zauważyć, że bakteryjne zapalenie pochwy rzadko powoduje ból, silny świąd, zaczerwienienie czy obrzęk okolic pochwy, które są bardziej charakterystyczne dla innych infekcji87. BV nie wywołuje również typowo plamienia lub krwawienia z pochwy, choć w rzadkich przypadkach może się to zdarzyć88.

Objawy bakteryjnego zapalenia pochwy mogą występować w dowolnym momencie cyklu miesiączkowego, w tym przed, w trakcie lub po miesiączce89. U wielu kobiet objawy nasilają się podczas lub tuż po miesiączce, prawdopodobnie ze względu na zmianę pH pochwy w tym okresie90.

Bakteryjne zapalenie pochwy jest stanem, który często nawraca. Po skutecznym leczeniu, u ponad połowy kobiet objawy powracają w ciągu 12 miesięcy91. Nawroty mogą być związane z niepełnym wyeliminowaniem pierwotnej infekcji, nowym zakażeniem lub innymi czynnikami, które zaburzają równowagę bakteryjną w pochwie92.

Ze względu na potencjalne powikłania, zwłaszcza u kobiet w ciąży oraz zwiększone ryzyko zakażeń przenoszonych drogą płciową, zaleca się konsultację lekarską i odpowiednie leczenie, nawet jeśli objawy są łagodne93.

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  1. 16.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Bacterial Vaginosis Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/bacterial-vaginosis
    BV doesn’t always cause symptoms. But when it does, you might have pain or discomfort when you pee or have sex and a fishy-smelling vaginal discharge. […] Most people (84%) who have BV report no symptoms. […] But symptoms of BV may include: burning sensation when you pee, fishy smell that worsens after sex, higher vaginal pH, pain, burning, or itching in the vagina, stomach pain, thin gray, green, or white discharge. […] Because BV symptoms mimic symptoms of other vaginal infections, it’s important to get a proper diagnosis and treatment plan. […] Although BV can go away on its own, you may need treatment usually a five- to seven-day course of an antibiotic. […] Keep in mind that BV symptoms can worsen after having sex. […] If BV recurs, your provider may need to put you on a long-term course of antibiotics.
  • #2 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
  • #3 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
  • #4 Recurrent Bacterial Vaginosis | Baylor Medicine
    https://www.bcm.edu/healthcare/specialties/obstetrics-and-gynecology/ob-gyn-conditions/recurrent-bacterial-vaginosis
    Symptoms may include: […] Strong fishy or unpleasant vaginal odor, which may be stronger after sex or menstruating […] Increase in vaginal discharge (about 50 percent of the time) […] Vaginal discharge that is thin in consistency and milky white or gray […] Vaginal itching, burning or pain when urinating […] In many cases, women with bacterial vaginosis have no symptoms and only discover the condition through a routine pelvic exam.
  • #5 Bacterial vaginosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/symptoms-causes/syc-20352279
    Bacterial vaginosis can cause discomfort and pain of the vagina. It happens when natural bacteria levels are out of balance. […] Symptoms of bacterial vaginosis include: Thin, vaginal discharge that may be gray, white or green. Foul-smelling, „fishy” vaginal odor. Vaginal itching. Burning during urination. Many people with bacterial vaginosis have no symptoms. […] Bacterial vaginosis happens when the vagina’s natural bacteria levels are out of balance. The bacteria in the vagina are called the vaginal flora. Balanced vaginal flora help keep the vagina healthy. […] Bacterial vaginosis doesn’t cause complications very often. But sometimes, having BV may lead to: Sexually transmitted infections. If you have BV, you have a higher risk of getting an STI. […] Past studies have shown a possible link between BV and problems with pregnancy. These include preterm birth and low birth weight. New studies show that these risks may be due to other reasons.
  • #6 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
  • #7 Bacterial vaginosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/symptoms-causes/syc-20352279
    Bacterial vaginosis can cause discomfort and pain of the vagina. It happens when natural bacteria levels are out of balance. […] Symptoms of bacterial vaginosis include: Thin, vaginal discharge that may be gray, white or green. Foul-smelling, „fishy” vaginal odor. Vaginal itching. Burning during urination. Many people with bacterial vaginosis have no symptoms. […] Bacterial vaginosis happens when the vagina’s natural bacteria levels are out of balance. The bacteria in the vagina are called the vaginal flora. Balanced vaginal flora help keep the vagina healthy. […] Bacterial vaginosis doesn’t cause complications very often. But sometimes, having BV may lead to: Sexually transmitted infections. If you have BV, you have a higher risk of getting an STI. […] Past studies have shown a possible link between BV and problems with pregnancy. These include preterm birth and low birth weight. New studies show that these risks may be due to other reasons.
  • #8 Bacterial Vaginosis (BV): Symptoms, Causes, Diagnosis, Treatment, Prevention, Complications
    https://www.webmd.com/women/what-is-bacterial-vaginosis
    Bacterial vaginosis (BV) is an infection of the vagina that results from a change in the normal balance of vaginal bacteria. BV symptoms can look like those from other infections, so its important to find out the cause. About half of the time, people with BV have no symptoms. But they can include: Pain, burning, or itching in the vagina […] Burning sensation when you pee […] Fishy smell that gets stronger after sex […] Thin white, gray, or green discharge […] Stomach pain […] Higher vaginal pH. Not everyone with BV has vaginal discharge. If you do, it is usually thin and watery. The color can be white, gray, or greenish. You can have BV and not notice any change in vaginal odor. But often, there is a fishy or foul-smelling odor, especially after sex. Because BV symptoms can look like those from other infections, its important to find out the cause. If you keep getting BV, youre not alone. Researchers arent sure why, but recurrent BV is very common. Nearly 50% of people with BV will get it again within one year. Sometimes, BV comes back after treatment and can even become chronic. As many as 50% of people who have BV will have a recurrence. This may happen if: Youre resistant to treatment […] Treatment didnt clear the whole infection […] You are reinfected by new sexual partners.
  • #9 Patient education: Bacterial vaginosis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bacterial-vaginosis-beyond-the-basics/print
    Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge. Additional symptoms of BV include vaginal odor and a burning sensation. […] People with classic symptoms often describe an unpleasant and „fishy smelling” vaginal discharge that is off-white and thin. Burning or itching may be present. Some people find that the odor is more noticeable after sexual intercourse with male partners, as well as during, and immediately after, their period. However, approximately 50 to 75 percent of people with BV have no symptoms. […] Pain during urination or sex, redness, and swelling are not typical. […] Relapse or repeat BV infections are common. For people who initially improve after initial BV treatment, approximately 1 in 3 will have a recurrence of BV symptoms within three months, and more than half will have a recurrence of symptoms within 12 months. Symptoms may return because of a new infection or relapse (return) of the prior infection. […] Recurrent BV is considered as having three or more confirmed episodes of BV in 12 months.
  • #10 Bacterial Vaginosis: Causes, Common Symptoms & Testing For BV
    https://yoursexualhealth.co.uk/blog/bacterial-vaginosis-causes-common-symptoms-testing-for-bv/
    Bacterial vaginosis is a common infection that affects both sexually active and non-sexually active women. […] Common bacterial vaginosis (also known as BV) symptoms include unusual discharge that may be grey or green in colour, and watery in texture. The discharge is usually accompanied by a foul fishy odour, which worsens after sex. However, many women with BV wont experience symptoms. […] Sometimes, bacterial vaginosis can be asymptomatic, but when bacterial vaginosis does cause symptoms, women often experience: […] The most common symptom of BV is a change in vaginal discharge. Discharge may be off-white, green, or dull greyish colour. The texture may be thin or foamier than usual, healthy vaginal discharge. […] The discharge you experience with a BV infection may be accompanied by a foul-smelling odour that can sometimes be described as fishy. The odour may worsen during, or after sex. The odour can also become stronger while menstruating.
  • #11 Bacterial Vaginosis Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/bacterial-vaginosis
    BV doesn’t always cause symptoms. But when it does, you might have pain or discomfort when you pee or have sex and a fishy-smelling vaginal discharge. […] Most people (84%) who have BV report no symptoms. […] But symptoms of BV may include: burning sensation when you pee, fishy smell that worsens after sex, higher vaginal pH, pain, burning, or itching in the vagina, stomach pain, thin gray, green, or white discharge. […] Because BV symptoms mimic symptoms of other vaginal infections, it’s important to get a proper diagnosis and treatment plan. […] Although BV can go away on its own, you may need treatment usually a five- to seven-day course of an antibiotic. […] Keep in mind that BV symptoms can worsen after having sex. […] If BV recurs, your provider may need to put you on a long-term course of antibiotics.
  • #12 Bacterial vaginosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/symptoms-causes/syc-20352279
    Bacterial vaginosis can cause discomfort and pain of the vagina. It happens when natural bacteria levels are out of balance. […] Symptoms of bacterial vaginosis include: Thin, vaginal discharge that may be gray, white or green. Foul-smelling, „fishy” vaginal odor. Vaginal itching. Burning during urination. Many people with bacterial vaginosis have no symptoms. […] Bacterial vaginosis happens when the vagina’s natural bacteria levels are out of balance. The bacteria in the vagina are called the vaginal flora. Balanced vaginal flora help keep the vagina healthy. […] Bacterial vaginosis doesn’t cause complications very often. But sometimes, having BV may lead to: Sexually transmitted infections. If you have BV, you have a higher risk of getting an STI. […] Past studies have shown a possible link between BV and problems with pregnancy. These include preterm birth and low birth weight. New studies show that these risks may be due to other reasons.
  • #13 Bacterial vaginosis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/symptoms-causes/syc-20352279
    Bacterial vaginosis can cause discomfort and pain of the vagina. It happens when natural bacteria levels are out of balance. […] Symptoms of bacterial vaginosis include: Thin, vaginal discharge that may be gray, white or green. Foul-smelling, „fishy” vaginal odor. Vaginal itching. Burning during urination. Many people with bacterial vaginosis have no symptoms. […] Bacterial vaginosis happens when the vagina’s natural bacteria levels are out of balance. The bacteria in the vagina are called the vaginal flora. Balanced vaginal flora help keep the vagina healthy. […] Bacterial vaginosis doesn’t cause complications very often. But sometimes, having BV may lead to: Sexually transmitted infections. If you have BV, you have a higher risk of getting an STI. […] Past studies have shown a possible link between BV and problems with pregnancy. These include preterm birth and low birth weight. New studies show that these risks may be due to other reasons.
  • #14 Bacterial Vaginosis: Causes, Common Symptoms & Testing For BV
    https://yoursexualhealth.co.uk/blog/bacterial-vaginosis-causes-common-symptoms-testing-for-bv/
    Although not a common symptom, some women experience some itching around the vagina. Along with itching around your vagina, you may experience burning sensations during urination, or similar types of pain on your urethra. However, many people dont have any noticeable irritation or discomfort with BV. […] Bacterial vaginosis can behave in a similar way to STDs and have a similar incubation period of around 4 days. The incubation period usually starts after a trigger that throws off the balance of bacteria in your vagina. […] However, over 50% of women who have BV are asymptomatic. Asymptomatic BV usually doesnt require treatment.
  • #15 Bacterial Vaginosis Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/bacterial-vaginosis
    BV doesn’t always cause symptoms. But when it does, you might have pain or discomfort when you pee or have sex and a fishy-smelling vaginal discharge. […] Most people (84%) who have BV report no symptoms. […] But symptoms of BV may include: burning sensation when you pee, fishy smell that worsens after sex, higher vaginal pH, pain, burning, or itching in the vagina, stomach pain, thin gray, green, or white discharge. […] Because BV symptoms mimic symptoms of other vaginal infections, it’s important to get a proper diagnosis and treatment plan. […] Although BV can go away on its own, you may need treatment usually a five- to seven-day course of an antibiotic. […] Keep in mind that BV symptoms can worsen after having sex. […] If BV recurs, your provider may need to put you on a long-term course of antibiotics.
  • #16 Bacterial Vaginosis: Causes, Common Symptoms & Testing For BV
    https://www.yoursexualhealth.co.uk/blog/bacterial-vaginosis-causes-common-symptoms-testing-for-bv/
    Bacterial Vaginosis is a common infection that affects both sexually active and non-sexually active women. […] Common bacterial vaginosis (also known as BV) symptoms include unusual discharge that may be grey or green in colour, and watery in texture. The discharge is usually accompanied by a foul fishy odour, which worsens after sex. However, many women with BV wont experience symptoms. […] Sometimes, bacterial vaginosis can be asymptomatic, but when bacterial vaginosis does cause symptoms, women often experience: […] The most common symptom of BV is a change in vaginal discharge. Discharge may be off-white, green, or dull greyish colour. The texture may be thin or foamier than usual, healthy vaginal discharge. […] The discharge you experience with a BV infection may be accompanied by a foul-smelling odour that can sometimes be described as fishy. The odour may worsen during, or after sex. The odour can also become stronger while menstruating.
  • #17 Bacterial Vaginosis: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/254342-overview
    Typical symptoms of BV include the following: Vaginal odor (the most common, and often initial, symptom of BV); often recognized only after sexual intercourse. […] Mildly to moderately increased vaginal discharge. […] Vulvar irritation (less common). […] Dysuria or dyspareunia (rare). […] Uncomplicated cases of bacterial vaginosis typically resolve after the standard antibiotic treatment. […] The prognosis for uncomplicated cases of bacterial vaginosis is generally excellent. Uncomplicated bacterial vaginosis that is assessed promptly typically resolves with standard antibiotic treatment. […] Long-standing or untreated BV may lead to more serious sequelae, such as endometritis, salpingitis, pelvic inflammatory disease, or complications of pregnancy, including premature rupture of membranes, premature labor, chorioamnionitis, and postpartum endometritis.
  • #18 Bacterial Vaginosis: Causes, Symptoms, and Treatment
    https://patient.info/sexual-health/vaginal-discharge-female-discharge/bacterial-vaginosis
    When BV causes symptoms, this is usually a change in vaginal discharge. Some women will also notice the characteristic smell. […] The discharge is often white or grey in colour and often has a fishy smell. […] BV should not cause vaginal bleeding, although it is often more noticeable at the time of a period. […] BV can sometimes cause pain – usually on intercourse. Some women also describe dull pains low down in their tummy. […] In certain circumstances, having bacterial vaginosis can cause complications, such as: […] If you have untreated BV, the chance of developing an infection of the womb is slightly higher following certain operations (such as termination of pregnancy or a vaginal hysterectomy). […] BV can affect pregnancy. If you have untreated BV during pregnancy, you have a slightly increased risk of developing some health problems, including:
  • #19 BV Symptoms | LifeMD
    https://lifemd.com/learn/bv-symptoms
    Bacterial vaginosis occurs in almost all women, especially those who are sexually active. […] It is very possible to have BV and not experience any symptoms, but there are some common symptoms to look out for that may prove to be bacterial vaginosis. […] The most prevalent and distinguishable symptom of bacterial vaginosis is a fishy or foul-smelling odor of the vagina. This odor is intensified after sex or during menstruation. […] Besides odor, there are some other symptoms that are common with BV. Identifying the signs early will enable you to seek prompt medical attention so you can find relief from any pain or discomfort. […] A more rare symptom of BV is abnormal vaginal bleeding. For women with BV, light spotting can occur between menstrual cycles or after sex. […] Itching and irritation in the vaginal area can also be symptoms of BV.
  • #20 Bacterial Vaginosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459216/
    Bacterial vaginosis manifests as increased vaginal discharge with a distinct odor and extends beyond mere discomfort, with implications for both individual well-being and broader public health concerns. […] Most females with bacterial vaginosis present with a complaint of malodorous vaginal discharge. Often, this symptom becomes more pronounced after sexual intercourse. Additional symptoms may include dysuria, dyspareunia, and vaginal pruritus; however, many affected individuals may be asymptomatic. […] The association between bacterial vaginosis and an increased risk of acquiring future STIs stems from the fact that bacterial vaginosis allows other vaginal pathogens to gain access to the upper genital tract. […] Most uncomplicated cases of bacterial vaginosis resolve with treatment. However, recurrences are not uncommon due to the frequent failure of antibiotic treatment to restore the vagina to its typical Lactobacillus-dominant state.
  • #21 Bacterial Vaginosis: Causes, Symptoms, and Treatment
    https://patient.info/sexual-health/vaginal-discharge-female-discharge/bacterial-vaginosis
    When BV causes symptoms, this is usually a change in vaginal discharge. Some women will also notice the characteristic smell. […] The discharge is often white or grey in colour and often has a fishy smell. […] BV should not cause vaginal bleeding, although it is often more noticeable at the time of a period. […] BV can sometimes cause pain – usually on intercourse. Some women also describe dull pains low down in their tummy. […] In certain circumstances, having bacterial vaginosis can cause complications, such as: […] If you have untreated BV, the chance of developing an infection of the womb is slightly higher following certain operations (such as termination of pregnancy or a vaginal hysterectomy). […] BV can affect pregnancy. If you have untreated BV during pregnancy, you have a slightly increased risk of developing some health problems, including:
  • #22 BV Symptoms | LifeMD
    https://lifemd.com/learn/bv-symptoms
    While cramping or abdominal pain may occur in some cases of BV, they are not as common as other symptoms. […] Pelvic pain can be a symptom of BV, but it is very rare. […] Untreated or recurrent BV has been linked to infertility in women. […] Pregnant women are more likely to get BV because of hormonal changes in their bodies. […] In most cases, BV results in no symptoms or just mild symptoms primarily affecting the vagina.
  • #23 Bacterial Vaginosis Vs. Yeast Infections: Differences and Similarities – Advanced Gynecology
    https://www.advancedgynecology.com/blog/bacterial-vaginosis-vs-yeast-infections-differences-and-similarities
    Bacterial vaginosis is the result of the bad, or anaerobic bacteria disrupting that balance and becoming overgrown. […] With BV, a doctor may find that the pH of the area is higher than 4.5. […] A fishy odor, which gets stronger during menstruation and after sex. […] Burning sensations while urinating. […] Discomfort. […] Itching. […] Thin yellow, white, gray or even greenish discharge. […] The bacterial vaginosis discharge color can be white, gray, yellow or greenish and is typically thin. […] There is not typically redness or inflammation around the vaginal opening or on the vulva, as with a yeast infection. […] BV tends to be uncomfortable rather than painful. Pain or burning during sex may be an indication that it’s a yeast infection. […] BV is typically treated by antibiotics (like Metronidazole, Clindamycin and Tinidazole). […] If the discomfort and itching persist, it’s important to get a pelvic exam from a gynecologist to rule out a BV or more serious issues.
  • #24 Patient education: Bacterial vaginosis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bacterial-vaginosis-beyond-the-basics/print
    Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge. Additional symptoms of BV include vaginal odor and a burning sensation. […] People with classic symptoms often describe an unpleasant and „fishy smelling” vaginal discharge that is off-white and thin. Burning or itching may be present. Some people find that the odor is more noticeable after sexual intercourse with male partners, as well as during, and immediately after, their period. However, approximately 50 to 75 percent of people with BV have no symptoms. […] Pain during urination or sex, redness, and swelling are not typical. […] Relapse or repeat BV infections are common. For people who initially improve after initial BV treatment, approximately 1 in 3 will have a recurrence of BV symptoms within three months, and more than half will have a recurrence of symptoms within 12 months. Symptoms may return because of a new infection or relapse (return) of the prior infection. […] Recurrent BV is considered as having three or more confirmed episodes of BV in 12 months.
  • #25 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
  • #26 Bacterial vaginosis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bacterial-vaginosis
    Bacterial vaginosis (or BV) often has no symptoms, but can cause a watery, white or grey vaginal discharge with a strong smell. […] Symptoms of BV may include: a change or increase of discharge from the vagina, a strong or unusual odour from the vagina (often described as a fishy smell), vaginal discomfort and/or itch. […] Bacterial vaginosis may occur at the same time as sexually transmissible infections (STIs). […] If symptoms of BV return after treatment, see your doctor.
  • #27 Bacterial Vaginosis: Treatments, Symptoms, and FAQ
    https://www.healthline.com/health/home-remedies-forbacterial-vaginosis
    Although BV can clear up on its own, there are times when it can get worse without treatment. Also, untreated bacterial vaginosis has been associated with other serious health complications. […] Recurring BV is common. Despite treatment, infections recur in more than 50% of cases within 6 months to 1 year. The reasons for this high recurrence rate are not known. […] If bacterial vaginosis symptoms recur soon after your treatment, you may want to see a healthcare professional to consider alternative treatments. Options include different or extended drug therapies or supplementation to restore normal flora balance in the vaginal microbiome.
  • #28 Vaginitis: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/9131-vaginitis
    Yes, it usually changes the smell, color and texture of your discharge. Your vagina normally produces a discharge thats usually clear or slightly cloudy with very little or no odor. […] Vaginitis has multiple causes, depending on what kind of vaginitis you have. Some of the causes are: Changes in the microorganisms in your vagina. Two of the most common types of vaginitis yeast infections and bacterial vaginosis occur when bacteria naturally occurring in your vagina become unbalanced in some way. Taking antibiotics can also disrupt the normal bacteria in your vagina, leading to a yeast infection. […] If you have vaginitis, you may be more likely to get STIs. This is because inflamed or irritated vaginal lining is more prone to infection. […] Getting a proper diagnosis is key to successful treatment. This isnt always easy, as the same symptoms can exist in different forms of vaginitis.
  • #29 About Bacterial Vaginosis (BV) | Bacterial Vaginosis (BV) | CDC
    https://www.cdc.gov/bacterial-vaginosis/about/index.html
    Bacterial vaginosis (BV) is a condition that happens when there is too much of certain bacteria in the vagina, causing an imbalance. […] Many people with BV do not have symptoms. If you do have symptoms, you may notice: A thin white or gray vaginal discharge, Pain, itching, or burning in the vagina, A strong fish-like odor, especially after sex, Burning when peeing, Itching around the outside of the vagina. […] At times, BV will go away without treatment. However, treatment can help avoid the increased chance of some serious health risks associated with BV, including: Getting or transmitting HIV, Delivering your baby too early if you have BV while pregnant and Getting other STDs like chlamydia and gonorrhea. These bacteria can cause pelvic inflammatory disease (PID), which can make it difficult for you to have children.
  • #30 Bacterial Vaginosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459216/
    Within 3 months following treatment, approximately 80% of women may experience a recurrence of bacterial vaginosis. […] Bacterial vaginosis can lead to various complications, underscoring the importance of timely diagnosis and management. The complications associated with bacterial vaginosis include the following: Increased risk of endometritis and salpingitis, Increased risk of acquiring STIs, Elevated risk of postsurgical infections, Adverse pregnancy outcomes include premature labor, premature rupture of membranes, and postpartum endometritis, Development of pelvic inflammatory disease, Increased risk of neonatal meningitis.
  • #31 Bacterial vaginosis
    https://www.nhs.uk/conditions/bacterial-vaginosis/
    Symptoms of bacterial vaginosis include: an unusual vaginal discharge that has a strong fishy smell, particularly after sex […] a change to the colour and consistency of your discharge, such as becoming greyish-white and thin and watery. Half of women with bacterial vaginosis do not have any symptoms. Bacterial vaginosis does not usually cause any soreness or itching. It’s common for bacterial vaginosis to come back, usually within a few months. If it comes back, you’ll usually be given more antibiotics to treat it. If you keep getting it (you get it more than 4 times in a year), you may be given an antibiotic gel that you put in your vagina. You may need to use this for a few months to help stop bacterial vaginosis coming back. If you develop bacterial vaginosis in pregnancy, there’s a small chance of complications, such as premature birth or miscarriage. But bacterial vaginosis causes no problems in the majority of pregnancies.
  • #32 Patient education: Bacterial vaginosis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bacterial-vaginosis-beyond-the-basics/print
    Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge. Additional symptoms of BV include vaginal odor and a burning sensation. […] People with classic symptoms often describe an unpleasant and „fishy smelling” vaginal discharge that is off-white and thin. Burning or itching may be present. Some people find that the odor is more noticeable after sexual intercourse with male partners, as well as during, and immediately after, their period. However, approximately 50 to 75 percent of people with BV have no symptoms. […] Pain during urination or sex, redness, and swelling are not typical. […] Relapse or repeat BV infections are common. For people who initially improve after initial BV treatment, approximately 1 in 3 will have a recurrence of BV symptoms within three months, and more than half will have a recurrence of symptoms within 12 months. Symptoms may return because of a new infection or relapse (return) of the prior infection. […] Recurrent BV is considered as having three or more confirmed episodes of BV in 12 months.
  • #33 Bacterial Vaginosis: Treatments, Symptoms, and FAQ
    https://www.healthline.com/health/home-remedies-forbacterial-vaginosis
    Although BV can clear up on its own, there are times when it can get worse without treatment. Also, untreated bacterial vaginosis has been associated with other serious health complications. […] Recurring BV is common. Despite treatment, infections recur in more than 50% of cases within 6 months to 1 year. The reasons for this high recurrence rate are not known. […] If bacterial vaginosis symptoms recur soon after your treatment, you may want to see a healthcare professional to consider alternative treatments. Options include different or extended drug therapies or supplementation to restore normal flora balance in the vaginal microbiome.
  • #34 Patient education: Bacterial vaginosis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bacterial-vaginosis-beyond-the-basics/print
    Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge. Additional symptoms of BV include vaginal odor and a burning sensation. […] People with classic symptoms often describe an unpleasant and „fishy smelling” vaginal discharge that is off-white and thin. Burning or itching may be present. Some people find that the odor is more noticeable after sexual intercourse with male partners, as well as during, and immediately after, their period. However, approximately 50 to 75 percent of people with BV have no symptoms. […] Pain during urination or sex, redness, and swelling are not typical. […] Relapse or repeat BV infections are common. For people who initially improve after initial BV treatment, approximately 1 in 3 will have a recurrence of BV symptoms within three months, and more than half will have a recurrence of symptoms within 12 months. Symptoms may return because of a new infection or relapse (return) of the prior infection. […] Recurrent BV is considered as having three or more confirmed episodes of BV in 12 months.
  • #35 Chronic and Recurrent Bacterial Vaginosis | Dr. Len Kliman
    https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/chronic-and-recurrent-bacterial-vaginosis/
    Bacterial Vaginosis (BV) is the most common vaginal infection in women of child bearing age. […] When symptoms do occur the most common include: an abnormal amount of vaginal discharge, vaginal discharge is thin and greyish white, vaginal odour, an unpleasant or fishy odour, vaginal discharge and odour are more noticeable after sexual intercourse, very rarely, pain with intercourse or following or during urination. […] Three or more infections within 12 months implies recurrent bacterial vaginosis. […] Symptoms of BV, if present, can occur at any time during the menstrual cycle. […] Even after a woman has been cured BV often recurs. A second course of antibiotics is necessary if a woman experiences recurrent BV that produces symptoms. More than half of those treated experience recurrent symptoms within 12 months. […] Recent studies show prophylactic (preventative) treatment of BV lasting six to 12 months can be particularly effective in cases of recurrent BV. Recurrent BV is best treated with a combination of oral and vaginal medications over 3 to 6 months.
  • #36 What Is BV? The Ultimate Guide to Bacterial Vaginosis | Evvy
    https://www.evvy.com/blog/what-is-bv
    Recurrent bacterial vaginosis is pretty common because it tends to resist treatment or come back after successfully treating it. […] One potential reason why your BV is being stubborn is that a biofilm has formed in your vaginal microbiome. […] One way to help prevent a BV recurrence is to take a probiotic with helpful strains of vaginal bacteria regularly. […] Sometimes, bacterial vaginosis can go away on its own. It often doesn’t cause symptoms so your immune system might get rid of it before you even notice. However, it’s best to see your healthcare provider if you’re experiencing bacterial vaginosis symptoms. Untreated BV is linked to a higher risk of contracting sexually transmitted infections, developing pelvic inflammatory disease, and even infertility.
  • #37 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Yes. Up to 80% of people get bacterial vaginosis again in their lifetime. […] Bacterial vaginosis doesnt typically cause serious complications. But if left untreated it could lead to: Complications during pregnancy: If youre pregnant and have BV, it may lead to premature birth. Sexually transmitted infections (STIs): BV increases your risk for STIs like chlamydia and gonorrhea. If you have HIV and develop BV, youre at higher risk for passing HIV to your partner. Pelvic inflammatory disease (PID): BV can cause PID, an infection of your reproductive organs. Untreated, PID can lead to difficulties getting pregnant. […] If you have bacterial vaginosis (BV), your provider can prescribe medication thats safe to use during pregnancy. You should get treated for the infection whether or not you have symptoms. BV can cause pregnancy complications, such as premature birth or having a baby that weighs less than average (low birth weight).
  • #38 Bacterial Vaginosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459216/
    Within 3 months following treatment, approximately 80% of women may experience a recurrence of bacterial vaginosis. […] Bacterial vaginosis can lead to various complications, underscoring the importance of timely diagnosis and management. The complications associated with bacterial vaginosis include the following: Increased risk of endometritis and salpingitis, Increased risk of acquiring STIs, Elevated risk of postsurgical infections, Adverse pregnancy outcomes include premature labor, premature rupture of membranes, and postpartum endometritis, Development of pelvic inflammatory disease, Increased risk of neonatal meningitis.
  • #39
  • #40 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Yes. Up to 80% of people get bacterial vaginosis again in their lifetime. […] Bacterial vaginosis doesnt typically cause serious complications. But if left untreated it could lead to: Complications during pregnancy: If youre pregnant and have BV, it may lead to premature birth. Sexually transmitted infections (STIs): BV increases your risk for STIs like chlamydia and gonorrhea. If you have HIV and develop BV, youre at higher risk for passing HIV to your partner. Pelvic inflammatory disease (PID): BV can cause PID, an infection of your reproductive organs. Untreated, PID can lead to difficulties getting pregnant. […] If you have bacterial vaginosis (BV), your provider can prescribe medication thats safe to use during pregnancy. You should get treated for the infection whether or not you have symptoms. BV can cause pregnancy complications, such as premature birth or having a baby that weighs less than average (low birth weight).
  • #41 Bacterial vaginosis treatment guidelines – Melbourne Sexual Health Centre (MSHC)
    https://www.mshc.org.au/health-professionals/treatment-guidelines/bacterial-vaginosis-treatment-guidelines
    Bacterial vaginosis (BV) is a common cause of abnormal vaginal discharge in women of reproductive age and affects 30% of women globally. […] Up to 50% of women may be asymptomatic. […] BV is associated with increased risk of spontaneous abortion, premature labour, chorioamnionitis, postpartum endometritis and pelvic inflammatory disease (PID). […] BV is associated with a 2-4 fold increased risk of acquiring STIs including chlamydia, gonorrhoea, herpes simplex type 2 and HIV infection, and increases the risk of HIV transmission to male partners. […] BV recurrence is common with 50% of women experiencing post-treatment recurrence within 3-12 months.
  • #42 What Is BV? The Ultimate Guide to Bacterial Vaginosis | Evvy
    https://www.evvy.com/blog/what-is-bv
    Bacterial vaginosis doesn’t always have symptoms, so many people up to 84% don’t even know they have it. […] The main symptom of BV is increased vaginal discharge that is watery and has a strong fishy smell that is more noticeable after having sex. The discharge may be white, gray, or greenish. […] Sometimes, you may have a little itching or burning when you pee, but most people don’t have noticeable irritation or discomfort. […] The bacteria present in your vaginal microbiome influence the risk of a variety of other health issues, and untreated BV increases your risk of serious complications, including: STIs like chlamydia, gonorrhea, trichomoniasis, herpes, HPV, and HIV, Pelvic inflammatory disease (PID), Fertility issues and failed in-vitro fertilization (IVF), Pregnancy complications like miscarriage, preterm birth, low birth weight, and preeclampsia, Gynecological cancers such as ovarian, cervical, or endometrial cancer, Cervicitis, Toxic shock syndrome (TSS).
  • #43 Bacterial vaginosis – Wikipedia
    https://en.wikipedia.org/wiki/Bacterial_vaginosis
    In addition, bacterial vaginosis as either pre-existing, or acquired, may increase the risk of pregnancy complications, most notably premature birth or miscarriage. Pregnant women with BV have a higher risk of chorioamnionitis, miscarriage, preterm birth, premature rupture of membranes, and postpartum endometritis.
  • #44 Bacterial vaginosis and pregnancy | March of Dimes
    https://www.marchofdimes.org/find-support/topics/pregnancy/bacterial-vaginosis-and-pregnancy
    Bacterial vaginosis (BV) is a common infection thats easily treated, but it can cause problems for your baby during pregnancy. […] Having BV during pregnancy can increase your babys risk for premature birth and low birthweight. […] If you have BV during pregnancy, your baby is at increased risk for preterm birth and low birthweight. Preterm birth is birth before 37 weeks of pregnancy. Low birthweight is when your baby is born weighing less than 5 pounds, 8 ounces. Being born too early or too small can cause health problems for your baby. […] Many women with BV have no signs or symptoms, but you may have: Thin white or grey vaginal discharge, Strong, fishy odor, especially after having sex, Pain, itching or burning in the vagina, Itching around the outside of the vagina, Burning feeling when you urinate.
  • #45 Bacterial vaginosis and pregnancy | March of Dimes
    https://www.marchofdimes.org/find-support/topics/pregnancy/bacterial-vaginosis-and-pregnancy
    Bacterial vaginosis (BV) is a common infection thats easily treated, but it can cause problems for your baby during pregnancy. […] Having BV during pregnancy can increase your babys risk for premature birth and low birthweight. […] If you have BV during pregnancy, your baby is at increased risk for preterm birth and low birthweight. Preterm birth is birth before 37 weeks of pregnancy. Low birthweight is when your baby is born weighing less than 5 pounds, 8 ounces. Being born too early or too small can cause health problems for your baby. […] Many women with BV have no signs or symptoms, but you may have: Thin white or grey vaginal discharge, Strong, fishy odor, especially after having sex, Pain, itching or burning in the vagina, Itching around the outside of the vagina, Burning feeling when you urinate.
  • #46 Bacterial Vaginosis: Practice Essentials, Pathophysiology, Etiology
    https://emedicine.medscape.com/article/254342-overview
    BV leads to an increased risk for acquiring HIV, and intravaginal practices are an important risk factor for developing BV. […] Bacterial vaginosis (BV) may lead to an increased risk of salpingitis and/or endometritis, postsurgical infections (eg, postcesarean endometritis, posthysterectomy vaginal cuff cellulitis), and adverse outcomes in pregnancy, including premature rupture of membranes, premature labor, chorioamnionitis, and postpartum endometritis.
  • #47 Bacterial vaginosis (BV): Symptoms, causes, and more
    https://www.medicalnewstoday.com/articles/184622
    Bacterial vaginosis (BV) results from an imbalance in beneficial and harmful bacteria in the vagina. It can cause vaginal itchiness, unusual discharge, and a characteristic odor, among other symptoms. […] Many people with BV have no symptoms. If symptoms occur, they typically involve: changes to vaginal discharge, a burning, itching, and irritation in the vaginal area, a burning sensation when urinating. […] The persons vaginal discharge may have a watery, thin consistency, a gray or white color, a strong, unpleasant smell, often described as fishy. […] There may also be a burning sensation during urination and itching around the outside of the vagina. However, this is less common. […] BV itself is not harmful, but it can increase the risk of other health issues. […] Possible complications of BV during pregnancy include: early or preterm delivery, loss of pregnancy, the amniotic sac breaking open too early, postpartum endometritis, which is irritation or inflammation of the lining of the uterus after delivery, chorioamnionitis, which is inflammation of the membranes around the fetus.
  • #48 Bacterial Vaginosis (BV) – Women’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/women-s-health-issues/vaginitis-cervicitis-and-pelvic-inflammatory-disease/bacterial-vaginosis-bv
    Bacterial vaginosis causes a thin, yellow-green or gray discharge, which may be profuse and have a fishy odor. […] In bacterial vaginosis, the vaginal discharge may be yellow-green or gray, thin, and have a strong, fishy odor. The odor may become stronger after sexual intercourse and during menstrual periods. Itching, redness, and swelling are not common. […] Bacterial vaginosis is associated with serious potential complications, such as pelvic inflammatory disease and, for pregnant women, infection of the membranes around the fetus (intra-amniotic infection), preterm labor and delivery, and infections of the uterus after delivery or after an abortion. […] When treated, bacterial vaginosis usually resolves in a few days but commonly recurs. If it recurs often, antibiotics may have to be taken for several weeks or months.
  • #49 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Yes. Up to 80% of people get bacterial vaginosis again in their lifetime. […] Bacterial vaginosis doesnt typically cause serious complications. But if left untreated it could lead to: Complications during pregnancy: If youre pregnant and have BV, it may lead to premature birth. Sexually transmitted infections (STIs): BV increases your risk for STIs like chlamydia and gonorrhea. If you have HIV and develop BV, youre at higher risk for passing HIV to your partner. Pelvic inflammatory disease (PID): BV can cause PID, an infection of your reproductive organs. Untreated, PID can lead to difficulties getting pregnant. […] If you have bacterial vaginosis (BV), your provider can prescribe medication thats safe to use during pregnancy. You should get treated for the infection whether or not you have symptoms. BV can cause pregnancy complications, such as premature birth or having a baby that weighs less than average (low birth weight).
  • #50 Bacterial Vaginosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459216/
    Within 3 months following treatment, approximately 80% of women may experience a recurrence of bacterial vaginosis. […] Bacterial vaginosis can lead to various complications, underscoring the importance of timely diagnosis and management. The complications associated with bacterial vaginosis include the following: Increased risk of endometritis and salpingitis, Increased risk of acquiring STIs, Elevated risk of postsurgical infections, Adverse pregnancy outcomes include premature labor, premature rupture of membranes, and postpartum endometritis, Development of pelvic inflammatory disease, Increased risk of neonatal meningitis.
  • #51 Bacterial Vaginosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459216/
    Within 3 months following treatment, approximately 80% of women may experience a recurrence of bacterial vaginosis. […] Bacterial vaginosis can lead to various complications, underscoring the importance of timely diagnosis and management. The complications associated with bacterial vaginosis include the following: Increased risk of endometritis and salpingitis, Increased risk of acquiring STIs, Elevated risk of postsurgical infections, Adverse pregnancy outcomes include premature labor, premature rupture of membranes, and postpartum endometritis, Development of pelvic inflammatory disease, Increased risk of neonatal meningitis.
  • #52 Symptoms of bacterial vaginosis to know – Dr. B
    https://hidrb.com/resources/symptoms-of-bacterial-vaginosis
    Bacterial vaginosis can cause some mild discomfort, vaginal itching or burning when you pee. But these arent the most common symptoms. […] Bacterial vaginosis is usually mild and it rarely causes long-term problems. Some cases of BV even clear up on their own. But the bad news is that BV can come back multiple times. So you may need to treat bacterial vaginosis more than once before its gone for good. […] Getting a BV prescription is importanteven if your symptoms are mild. Bacterial vaginosis can cause serious problems if left untreated. These include: Pelvic inflammatory disease; Infertility; Increased risk of sexually transmitted infections, including chlamydia, gonorrhea, human papillomavirus (HPV), and human immunodeficiency virus (HIV); Miscarriage and preterm delivery. […] Speak with a medical provider if you have new or unusual symptoms. The symptoms of bacterial vaginosis can be similar to other conditionslike UTIs and yeast infections. A medical provider can help you understand which you have and the best treatment options.
  • #53 Bacterial Vaginosis: Causes, Symptoms, and Treatment
    https://patient.info/sexual-health/vaginal-discharge-female-discharge/bacterial-vaginosis
    When BV causes symptoms, this is usually a change in vaginal discharge. Some women will also notice the characteristic smell. […] The discharge is often white or grey in colour and often has a fishy smell. […] BV should not cause vaginal bleeding, although it is often more noticeable at the time of a period. […] BV can sometimes cause pain – usually on intercourse. Some women also describe dull pains low down in their tummy. […] In certain circumstances, having bacterial vaginosis can cause complications, such as: […] If you have untreated BV, the chance of developing an infection of the womb is slightly higher following certain operations (such as termination of pregnancy or a vaginal hysterectomy). […] BV can affect pregnancy. If you have untreated BV during pregnancy, you have a slightly increased risk of developing some health problems, including:
  • #54 Bacterial Vaginosis | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/bacterial-vaginosis
    The most common symptom of bacterial vaginosis is abnormal vaginal discharge. It may look greyish white or yellow. It may have a „fishy” odour, which may be worse after vaginal intercourse. But in many cases, bacterial vaginosis doesn’t cause any symptoms. […] In many cases, bacterial vaginosis doesn’t cause any symptoms. And it doesn’t typically cause itching. But it may cause: […] Bacterial vaginosis often clears up on its own. But in some cases it doesn’t go away on its own. If your symptoms don’t go away, treatment usually helps. But sometimes bacterial vaginosis comes back after it has cleared up. […] Bacterial vaginosis usually doesn’t cause other health problems. But in some cases it can lead to serious problems. […] If you have it when you are pregnant, it increases the risk of miscarriage, early (preterm) delivery, and uterine infection after pregnancy. […] If you have it when you have a pelvic procedure such as a caesarean section, an abortion, or a hysterectomy, you are more likely to get a pelvic infection. […] If you have it and you are exposed to a sexually transmitted infection (including HIV), you are more likely to catch the infection.
  • #55 Bacterial vaginosis (BV) – symptoms, treatment and prevention | healthdirect
    https://www.healthdirect.gov.au/bacterial-vaginosis
    Having BV can put you at an increased risk of other conditions. These can include: sexually transmitted infections such as chlamydia or gonorrhoea, pelvic inflammatory disease (inflammation of organs in your pelvic area), human immunodeficiency virus (HIV) infection, complications if you have a procedure such as insertion of an intrauterine contraceptive device (IUD). […] Untreated BV during pregnancy can cause pregnancy complications, such as premature (early) birth, miscarriage.
  • #56 Bacterial Vaginosis | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/bacterial-vaginosis
    The most common symptom of bacterial vaginosis is abnormal vaginal discharge. It may look greyish white or yellow. It may have a „fishy” odour, which may be worse after vaginal intercourse. But in many cases, bacterial vaginosis doesn’t cause any symptoms. […] In many cases, bacterial vaginosis doesn’t cause any symptoms. And it doesn’t typically cause itching. But it may cause: […] Bacterial vaginosis often clears up on its own. But in some cases it doesn’t go away on its own. If your symptoms don’t go away, treatment usually helps. But sometimes bacterial vaginosis comes back after it has cleared up. […] Bacterial vaginosis usually doesn’t cause other health problems. But in some cases it can lead to serious problems. […] If you have it when you are pregnant, it increases the risk of miscarriage, early (preterm) delivery, and uterine infection after pregnancy. […] If you have it when you have a pelvic procedure such as a caesarean section, an abortion, or a hysterectomy, you are more likely to get a pelvic infection. […] If you have it and you are exposed to a sexually transmitted infection (including HIV), you are more likely to catch the infection.
  • #57 Bacterial Vaginosis | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/bacterial-vaginosis
    The most common symptom of bacterial vaginosis is abnormal vaginal discharge. It may look greyish white or yellow. It may have a „fishy” odour, which may be worse after vaginal intercourse. But in many cases, bacterial vaginosis doesn’t cause any symptoms. […] In many cases, bacterial vaginosis doesn’t cause any symptoms. And it doesn’t typically cause itching. But it may cause: […] Bacterial vaginosis often clears up on its own. But in some cases it doesn’t go away on its own. If your symptoms don’t go away, treatment usually helps. But sometimes bacterial vaginosis comes back after it has cleared up. […] Bacterial vaginosis usually doesn’t cause other health problems. But in some cases it can lead to serious problems. […] If you have it when you are pregnant, it increases the risk of miscarriage, early (preterm) delivery, and uterine infection after pregnancy. […] If you have it when you have a pelvic procedure such as a caesarean section, an abortion, or a hysterectomy, you are more likely to get a pelvic infection. […] If you have it and you are exposed to a sexually transmitted infection (including HIV), you are more likely to catch the infection.
  • #58 Bacterial Vaginosis Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/bacterial-vaginosis
    BV doesn’t always cause symptoms. But when it does, you might have pain or discomfort when you pee or have sex and a fishy-smelling vaginal discharge. […] Most people (84%) who have BV report no symptoms. […] But symptoms of BV may include: burning sensation when you pee, fishy smell that worsens after sex, higher vaginal pH, pain, burning, or itching in the vagina, stomach pain, thin gray, green, or white discharge. […] Because BV symptoms mimic symptoms of other vaginal infections, it’s important to get a proper diagnosis and treatment plan. […] Although BV can go away on its own, you may need treatment usually a five- to seven-day course of an antibiotic. […] Keep in mind that BV symptoms can worsen after having sex. […] If BV recurs, your provider may need to put you on a long-term course of antibiotics.
  • #59 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
  • #60 Vaginitis: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/9131-vaginitis
    Bacterial vaginosis (BV). Your provider will prescribe antibiotics, typically metronidazole or clindamycin. These medications come in a gel or cream you insert into your vagina. Some antibiotics are pills you can take orally (by swallowing them). […] It isnt a good idea to wait for vaginitis to disappear unless you know whats causing it. For instance, some mild yeast infections go away on their own, but not all cases do. Bacterial vaginosis can clear up on its own, but left untreated, it can put you more at risk for STIs. It can also cause complications if youre pregnant.
  • #61 Vaginitis | ACOG
    https://www.acog.org/womens-health/faqs/vaginitis
    Bacterial vaginosis (BV) not an infection. It is a condition caused by an imbalance in the types of normal bacteria that live in the vagina. […] The main symptom is increased discharge with a strong fishy odor. The odor may be stronger during your menstrual period or after sex. The discharge is usually thin and dark or dull gray, but it may have a greenish color. Itching is not common, but there may be itching if there is a lot of discharge. […] Several different antibiotics can be used to treat BV, including metronidazole and clindamycin. They can be taken by mouth or inserted into the vagina as a cream or gel. Sexual partners do not need to be treated. […] BV often recurs. It may require repeated treatment. In some cases, longer treatment for 3 to 6 months may be needed.
  • #62 How Long Does Bacterial Vaginosis (BV) Last? | RoRoRo
    https://ro.co/health-guide/how-long-does-bacterial-vaginosis-last/
    Once you start treatment with a simple course of antibiotics, the symptoms of bacterial vaginosis (BV) usually go away within two to three days. […] The most common sign of BV is white or gray vaginal discharge with a fishy odor. Other symptoms may include pain, itching, or burning in the vagina, itching around the outside of the vagina, and burning sensation when urinating. […] While BV may seem like just a minor bother, it can actually increase your risk of contracting other STIs like chlamydia and gonorrhea. […] Untreated BV increases the risk of adverse effects in pregnant women like miscarriage, premature birth, and having a baby with a low birth weight (under 5.5 pounds), which itself can carry a lot of risks.
  • #63 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
  • #64 How Do You Know When Bacterial Vaginosis Has Cleared?
    https://statlabdiagnostics.com/how-do-you-know-when-bacterial-vaginosis-has-cleared/
    Understanding the signs of recovery from bacterial vaginosis (BV) is crucial for anyone who has experienced this common infection. BV occurs when there is an imbalance of bacteria in the vagina, often resulting in a range of uncomfortable symptoms. […] Common symptoms of bacterial vaginosis include: Inflammation, Unusual discharge and odor, Discomfort during intercourse, Itching around the vagina, General discomfort. […] The most apparent sign that bacterial vaginosis has cleared is the disappearance of symptoms altogether. Initially, symptoms like unusual discharge, odor, and irritation should diminish and eventually fade away entirely. […] Additionally, BV can cause itching, irritation, and discomfort in the vaginal area. As the infection clears, these uncomfortable feelings should also gradually diminish until they fully disappear.
  • #65 Bacterial vaginosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/diagnosis-treatment/drc-20352285
    During a pelvic exam, a doctor inserts one or two gloved fingers inside the vagina. Pressing down on the abdomen at the same time, the doctor can check the uterus, ovaries and other organs. […] To diagnose bacterial vaginosis, your doctor may: […] A vaginal pH of 4.5 or higher is a sign of bacterial vaginosis. […] Take your medicine or use the cream or gel for as long as prescribed, even if your symptoms go away. If you stop treatment early, BV may come back. This is called recurrent bacterial vaginosis. […] It’s common for bacterial vaginosis to come back within 3 to 12 months even with proper treatment. […] If your symptoms return soon after treatment, talk with your care team.
  • #66 Chronic and Recurrent Bacterial Vaginosis | Dr. Len Kliman
    https://drlenkliman.com.au/services/vulval-and-vaginal-skin-disorders/chronic-and-recurrent-bacterial-vaginosis/
    Bacterial Vaginosis (BV) is the most common vaginal infection in women of child bearing age. […] When symptoms do occur the most common include: an abnormal amount of vaginal discharge, vaginal discharge is thin and greyish white, vaginal odour, an unpleasant or fishy odour, vaginal discharge and odour are more noticeable after sexual intercourse, very rarely, pain with intercourse or following or during urination. […] Three or more infections within 12 months implies recurrent bacterial vaginosis. […] Symptoms of BV, if present, can occur at any time during the menstrual cycle. […] Even after a woman has been cured BV often recurs. A second course of antibiotics is necessary if a woman experiences recurrent BV that produces symptoms. More than half of those treated experience recurrent symptoms within 12 months. […] Recent studies show prophylactic (preventative) treatment of BV lasting six to 12 months can be particularly effective in cases of recurrent BV. Recurrent BV is best treated with a combination of oral and vaginal medications over 3 to 6 months.
  • #67 Bacterial vaginosis
    https://www.nhs.uk/conditions/bacterial-vaginosis/
    Symptoms of bacterial vaginosis include: an unusual vaginal discharge that has a strong fishy smell, particularly after sex […] a change to the colour and consistency of your discharge, such as becoming greyish-white and thin and watery. Half of women with bacterial vaginosis do not have any symptoms. Bacterial vaginosis does not usually cause any soreness or itching. It’s common for bacterial vaginosis to come back, usually within a few months. If it comes back, you’ll usually be given more antibiotics to treat it. If you keep getting it (you get it more than 4 times in a year), you may be given an antibiotic gel that you put in your vagina. You may need to use this for a few months to help stop bacterial vaginosis coming back. If you develop bacterial vaginosis in pregnancy, there’s a small chance of complications, such as premature birth or miscarriage. But bacterial vaginosis causes no problems in the majority of pregnancies.
  • #68
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh2668
    Bacterial vaginosis is a condition in which there is excess growth of certain bacteria that are normally found in the vagina. Symptoms often include abnormal grey or yellow discharge with a „fishy” odour. […] Symptoms can be annoying and uncomfortable. But bacterial vaginosis does not usually cause other health problems. However, in some cases it can lead to more serious issues. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse vaginal itching or discharge. You have unexpected vaginal bleeding. You are not getting better as expected. Your symptoms return after you finish the course of your medicine.
  • #69 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Bacterial vaginosis may cause your vaginal discharge to have a fishy odor. It can also cause vaginal irritation in some people. Others may not have any symptoms of BV. […] Up to 84% of people with bacterial vaginosis dont have symptoms. If you do, you may have: Off-white, gray or greenish-colored vaginal discharge. Fishy-smelling vaginal discharge, especially after sex. Vaginal itching or irritation. A burning feeling when you pee. […] Some cases of bacterial vaginosis resolve on their own without any medications. However, if you have symptoms, you should seek medical care. Having BV makes you prone to sexually transmitted infections and can affect pregnancy. […] Most of the time, one round of antibiotics taken for up to seven days eliminates the infection. About 10% to 15% of people need another round of treatment.
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  • #71 What is Bacterial vaginosis I Canesten
    https://www.canesten.co.uk/intimate-health/learning-zone/what-is-bacterial-vaginosis
    BV can be a very unpleasant condition that prevents you from living your life to the full. BV is a common condition and can be easily treated. It can affect up to 1 in 3 women of childbearing age. […] Getting bacterial vaginosis might be worrying because the symptoms are not pleasant: you will notice a fishy, unpleasant odour and/or thin, white vaginal discharge. Those signs can worsen after having sex. You should also know that some women who have BV might not experience any symptoms at all. […] Bacterial vaginosis causes a fishy, unpleasant odour and abnormal vaginal discharge that’s grey-white and watery. BV should not cause you pain, irritation or itchiness in your vagina. […] You should consider seeing a doctor if you have bacterial vaginosis for the first time or if you are pregnant. Pregnant women can be more susceptible to vaginal infections because of the hormonal changes that can upset the balance in their vagina. If you develop bacterial vaginosis during pregnancy, there is a small chance of complications, including premature birth or miscarriage. However, in the majority of pregnancies BV causes no problems. There is also a link between BV and increased risk of problems with reproductive health and fertility. […] Bacterial vaginosis can be easily treated with an internal gel like Canesbalance. If you visit your doctor, they may want to give you a course of antibiotics.
  • #72 Bacterial vaginosis and pregnancy | March of Dimes
    https://www.marchofdimes.org/find-support/topics/pregnancy/bacterial-vaginosis-and-pregnancy
    Bacterial vaginosis (BV) is a common infection thats easily treated, but it can cause problems for your baby during pregnancy. […] Having BV during pregnancy can increase your babys risk for premature birth and low birthweight. […] If you have BV during pregnancy, your baby is at increased risk for preterm birth and low birthweight. Preterm birth is birth before 37 weeks of pregnancy. Low birthweight is when your baby is born weighing less than 5 pounds, 8 ounces. Being born too early or too small can cause health problems for your baby. […] Many women with BV have no signs or symptoms, but you may have: Thin white or grey vaginal discharge, Strong, fishy odor, especially after having sex, Pain, itching or burning in the vagina, Itching around the outside of the vagina, Burning feeling when you urinate.
  • #73 Bacterial Vaginosis (BV): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
    Yes. Up to 80% of people get bacterial vaginosis again in their lifetime. […] Bacterial vaginosis doesnt typically cause serious complications. But if left untreated it could lead to: Complications during pregnancy: If youre pregnant and have BV, it may lead to premature birth. Sexually transmitted infections (STIs): BV increases your risk for STIs like chlamydia and gonorrhea. If you have HIV and develop BV, youre at higher risk for passing HIV to your partner. Pelvic inflammatory disease (PID): BV can cause PID, an infection of your reproductive organs. Untreated, PID can lead to difficulties getting pregnant. […] If you have bacterial vaginosis (BV), your provider can prescribe medication thats safe to use during pregnancy. You should get treated for the infection whether or not you have symptoms. BV can cause pregnancy complications, such as premature birth or having a baby that weighs less than average (low birth weight).
  • #74 Bacterial Vaginosis: Causes, symptoms & treatment – Flo
    https://flo.health/health-articles/diseases/bacterial-vaginosis
    Pregnant women with BV have an increased risk of preterm delivery and other pregnancy complications. […] If you start to experience the symptoms associated with BV during pregnancy, you should reach out to your health care provider. […] Unfortunately, bacterial vaginosis tends to linger once you’ve had it. In fact, one study found that 52% of people who had been diagnosed with BV once had it again at least once more. […] So now we know that thin, gray discharge and a fishy odor (especially after sex) can both be symptoms of bacterial vaginosis a common condition that is not an STI nor a sign of poor hygiene but something that happens when your vaginal bacteria balance gets thrown off.
  • #75 Bacterial Vaginosis: Treatments, Symptoms, and FAQ
    https://www.healthline.com/health/home-remedies-forbacterial-vaginosis
    Bacterial vaginosis is common in people with a vagina. Although it can clear up on its own, getting treatment can lower your chance of complications and health risks. […] According to the Centers for Disease Control and Prevention (CDC), BV is the most common cause of vaginal symptoms among women ages 14-49 in the United States. Although most prevalent among women of reproductive age, BV can also affect postmenopausal women. A 2021 research review shows that the prevalence of BV among postmenopausal women worldwide is about 17%. […] An excess of bad bacteria throws the vaginal environment out of balance, resulting in bacterial vaginosis symptoms like: thin grayish-white discharge, especially after sexual intercourse; discharge with a fishlike odor; pain during urination; pain during or after sexual intercourse; vaginal itching. In some cases, BV causes no symptoms.
  • #76 Bacterial Vaginosis: Treatments, Symptoms, and FAQ
    https://www.healthline.com/health/home-remedies-forbacterial-vaginosis
    Bacterial vaginosis is common in people with a vagina. Although it can clear up on its own, getting treatment can lower your chance of complications and health risks. […] According to the Centers for Disease Control and Prevention (CDC), BV is the most common cause of vaginal symptoms among women ages 14-49 in the United States. Although most prevalent among women of reproductive age, BV can also affect postmenopausal women. A 2021 research review shows that the prevalence of BV among postmenopausal women worldwide is about 17%. […] An excess of bad bacteria throws the vaginal environment out of balance, resulting in bacterial vaginosis symptoms like: thin grayish-white discharge, especially after sexual intercourse; discharge with a fishlike odor; pain during urination; pain during or after sexual intercourse; vaginal itching. In some cases, BV causes no symptoms.
  • #77 Vaginitis: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/9131-vaginitis
    Yes, it usually changes the smell, color and texture of your discharge. Your vagina normally produces a discharge thats usually clear or slightly cloudy with very little or no odor. […] Vaginitis has multiple causes, depending on what kind of vaginitis you have. Some of the causes are: Changes in the microorganisms in your vagina. Two of the most common types of vaginitis yeast infections and bacterial vaginosis occur when bacteria naturally occurring in your vagina become unbalanced in some way. Taking antibiotics can also disrupt the normal bacteria in your vagina, leading to a yeast infection. […] If you have vaginitis, you may be more likely to get STIs. This is because inflamed or irritated vaginal lining is more prone to infection. […] Getting a proper diagnosis is key to successful treatment. This isnt always easy, as the same symptoms can exist in different forms of vaginitis.
  • #78 Bacterial Vaginosis Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/bacterial-vaginosis
    BV doesn’t always cause symptoms. But when it does, you might have pain or discomfort when you pee or have sex and a fishy-smelling vaginal discharge. […] Most people (84%) who have BV report no symptoms. […] But symptoms of BV may include: burning sensation when you pee, fishy smell that worsens after sex, higher vaginal pH, pain, burning, or itching in the vagina, stomach pain, thin gray, green, or white discharge. […] Because BV symptoms mimic symptoms of other vaginal infections, it’s important to get a proper diagnosis and treatment plan. […] Although BV can go away on its own, you may need treatment usually a five- to seven-day course of an antibiotic. […] Keep in mind that BV symptoms can worsen after having sex. […] If BV recurs, your provider may need to put you on a long-term course of antibiotics.
  • #79 Bacterial vaginosis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis/diagnosis-treatment/drc-20352285
    During a pelvic exam, a doctor inserts one or two gloved fingers inside the vagina. Pressing down on the abdomen at the same time, the doctor can check the uterus, ovaries and other organs. […] To diagnose bacterial vaginosis, your doctor may: […] A vaginal pH of 4.5 or higher is a sign of bacterial vaginosis. […] Take your medicine or use the cream or gel for as long as prescribed, even if your symptoms go away. If you stop treatment early, BV may come back. This is called recurrent bacterial vaginosis. […] It’s common for bacterial vaginosis to come back within 3 to 12 months even with proper treatment. […] If your symptoms return soon after treatment, talk with your care team.
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  • #82 What are the Warning Signs of Bacterial Vaginosis? – Gynecology Associates of GwinnettWhat are the Warning Signs of Bacterial Vaginosis? – Gynecology Associates of Gwinnett
    https://gyngwinnett.com/what-are-the-warning-signs-of-bacterial-vaginosis/
    For many women, sudden unexpected symptoms like vaginal itching can be an indicator of a vaginal infection. […] Bacterial vaginosis occurs when there is an overgrowth of the bacteria that causes an imbalance of the yeast and bacteria present in the vagina. […] Although in many cases, bacterial vaginosis can exist without any noticeable symptoms, there are some warning signs we recommend looking out for. BV often comes with a thin vaginal discharge that is white or gray in color. It may have a fishy or sour odor, especially after sex. Other common symptoms include a burning sensation during urination, vaginal itching, and vaginal irritation. […] The symptoms of BV can be similar to yeast infections, so it’s important to visit your board-certified gynecologist in order to receive a proper diagnosis.
  • #83 Bacterial vaginosis | STI Guidelines Australia
    https://sti.guidelines.org.au/sexually-transmissible-infections/bacterial-vaginosis/
    Most common cause of abnormal vaginal discharge in people of childbearing age. […] Symptoms: Malodorous vaginal discharge, Thin white or greyish homogenous vaginal discharge, Commonly asymptomatic (up to 50%). […] Increased risk of spontaneous abortion, premature labour, chorioamnionitis, postpartum endometritis, pelvic inflammatory disease (including after surgical termination of pregnancy, intra-uterine device (IUD) insertion or other gynaecological instrumentation), acquisition of chlamydia, gonorrhoea, herpes simplex type 2, acquisition and transmission of human immunodeficiency virus (HIV) infection. […] Symptoms of bacterial vaginosis: abnormal vaginal discharge and/or malodour. […] > 50% of people experience post-treatment recurrence within 3-12 months.
  • #84 Bacterial Vaginosis (BV) – Gynecology and Obstetrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/vaginitis-cervicitis-and-pelvic-inflammatory-disease/bacterial-vaginosis-bv
    Bacterial vaginosis is a dysbiosis, a complex alteration of vaginal flora, in which lactobacilli decrease and anaerobic pathogens overgrow. Symptoms include a yellow-green or gray, thin, malodorous vaginal discharge. […] Vaginal discharge due to bacterial vaginosis is yellow-green or gray, thin, and malodorous, usually with a fishy odor that often becomes stronger when the discharge is more alkaline after coitus and during menses. […] Symptoms are vaginal discharge, which is typically thin, yellow-green or gray, and malodorous. […] BV increases the risk of pelvic inflammatory disease, postpartum endometritis, and some pregnancy complications, including prelabor rupture of membranes and preterm birth. […] When treated, symptomatic bacterial vaginosis usually resolves in a few days but commonly recurs. If it recurs often (current infection and at least 2 previous episodes within the previous 12 months), ongoing suppressive antibiotics may be required. Suppressive therapy using the metronidazole gel 2 times a week for 16 weeks may be considered in patients with recurrent bacterial vaginosis.
  • #85
    https://www.who.int/news-room/fact-sheets/detail/bacterial-vaginosis
    Some women with BV may not notice any symptoms whereas others might express: unusual discharge from the vagina […] a strong fishy or musty odour from the vagina […] itching or irritation around the vagina […] burning during urination. […] BV is a very common condition and does not usually cause serious complications. However, if untreated it could lead to: problems in pregnancy (for example, spontaneous abortion and preterm delivery) […] higher risk of sexually transmitted infections, including HIV […] pelvic inflammatory disease.
  • #86 Bacterial Vaginosis – STI Treatment Guidelines
    https://www.cdc.gov/std/treatment-guidelines/bv.htm
    BV is a highly prevalent condition and the most common cause of vaginal discharge worldwide. However, in a nationally representative survey, the majority of women with BV were asymptomatic. […] Women with BV are at increased risk for STI acquisition, such as HIV, N. gonorrhoeae, C. trachomatis, T. vaginalis, M. genitalium, HPV, and HSV-2; complications after gynecologic surgery; complications of pregnancy; and recurrence of BV. […] Follow-up visits are unnecessary if symptoms resolve. Because persistent or recurrent BV is common, women should be advised to return for evaluation if symptoms recur. Limited data are available regarding optimal management strategies for women with persistent or recurrent BV.
  • #87
    https://www.sexualwellbeing.ie/sexual-health/sexually-transmitted-infections/genital-conditions/bacterial-vaginosis.html
    BV is the most common cause of abnormal discharge from the vagina. […] If you have BV, as well as an abnormal discharge from the vagina, common symptoms include an abnormal smell from the vagina, like a shy smell, or a discharge from the vagina which can be grey, pale and thin. Sometimes the shy smell is worse after sex. […] BV does not cause itch, soreness or irritation. […] For most women there are no complications from BV. It often clears up without treatment but if it persists you should visit a healthcare professional.
  • #88 BV Symptoms | LifeMD
    https://lifemd.com/learn/bv-symptoms
    Bacterial vaginosis occurs in almost all women, especially those who are sexually active. […] It is very possible to have BV and not experience any symptoms, but there are some common symptoms to look out for that may prove to be bacterial vaginosis. […] The most prevalent and distinguishable symptom of bacterial vaginosis is a fishy or foul-smelling odor of the vagina. This odor is intensified after sex or during menstruation. […] Besides odor, there are some other symptoms that are common with BV. Identifying the signs early will enable you to seek prompt medical attention so you can find relief from any pain or discomfort. […] A more rare symptom of BV is abnormal vaginal bleeding. For women with BV, light spotting can occur between menstrual cycles or after sex. […] Itching and irritation in the vaginal area can also be symptoms of BV.
  • #89 Bacterial Vaginosis (BV) Infection: Symptoms, Treatment, Causes, Medication
    https://www.medicinenet.com/bacterial_vaginosis_causes_symptoms_treatment/article.htm
    Bacterial vaginosis also is referred to as nonspecific vaginitis, is a vaginal condition that can produce vaginal discharge and results from an overgrowth of certain kinds of bacteria in the vagina. […] When symptoms do occur, the most common include: An abnormal amount of vaginal discharge, The vaginal discharge is thin and grayish-white, Vaginal odor (foul-smelling or unpleasant fishy odor), The vaginal discharge and odor are often more noticeable after sexual intercourse, Pain with sexual intercourse or urination (rare symptoms). […] Symptoms of bacterial vaginosis, if present, can occur any time in the menstrual cycle, including before, during, or after the menstrual period. […] More than half of those treated experience recurrent symptoms within 12 months. […] Women with bacterial vaginosis are at increased risk for contracting HIV infection as well as other STDs including genital herpes, gonorrhea, and Chlamydia. […] In pregnancy, bacterial vaginosis has been linked to premature labor, but the exact relationship is still not clear.
  • #90 Bacterial Vaginosis: Causes, Common Symptoms & Testing For BV
    https://www.yoursexualhealth.co.uk/blog/bacterial-vaginosis-causes-common-symptoms-testing-for-bv/
    Bacterial Vaginosis is a common infection that affects both sexually active and non-sexually active women. […] Common bacterial vaginosis (also known as BV) symptoms include unusual discharge that may be grey or green in colour, and watery in texture. The discharge is usually accompanied by a foul fishy odour, which worsens after sex. However, many women with BV wont experience symptoms. […] Sometimes, bacterial vaginosis can be asymptomatic, but when bacterial vaginosis does cause symptoms, women often experience: […] The most common symptom of BV is a change in vaginal discharge. Discharge may be off-white, green, or dull greyish colour. The texture may be thin or foamier than usual, healthy vaginal discharge. […] The discharge you experience with a BV infection may be accompanied by a foul-smelling odour that can sometimes be described as fishy. The odour may worsen during, or after sex. The odour can also become stronger while menstruating.
  • #91 Bacterial Vaginosis (BV) Infection: Symptoms, Treatment, Causes, Medication
    https://www.medicinenet.com/bacterial_vaginosis_causes_symptoms_treatment/article.htm
    Bacterial vaginosis also is referred to as nonspecific vaginitis, is a vaginal condition that can produce vaginal discharge and results from an overgrowth of certain kinds of bacteria in the vagina. […] When symptoms do occur, the most common include: An abnormal amount of vaginal discharge, The vaginal discharge is thin and grayish-white, Vaginal odor (foul-smelling or unpleasant fishy odor), The vaginal discharge and odor are often more noticeable after sexual intercourse, Pain with sexual intercourse or urination (rare symptoms). […] Symptoms of bacterial vaginosis, if present, can occur any time in the menstrual cycle, including before, during, or after the menstrual period. […] More than half of those treated experience recurrent symptoms within 12 months. […] Women with bacterial vaginosis are at increased risk for contracting HIV infection as well as other STDs including genital herpes, gonorrhea, and Chlamydia. […] In pregnancy, bacterial vaginosis has been linked to premature labor, but the exact relationship is still not clear.
  • #92 Bacterial Vaginosis (BV): Symptoms, Causes, Diagnosis, Treatment, Prevention, Complications
    https://www.webmd.com/women/what-is-bacterial-vaginosis
    Bacterial vaginosis (BV) is an infection of the vagina that results from a change in the normal balance of vaginal bacteria. BV symptoms can look like those from other infections, so its important to find out the cause. About half of the time, people with BV have no symptoms. But they can include: Pain, burning, or itching in the vagina […] Burning sensation when you pee […] Fishy smell that gets stronger after sex […] Thin white, gray, or green discharge […] Stomach pain […] Higher vaginal pH. Not everyone with BV has vaginal discharge. If you do, it is usually thin and watery. The color can be white, gray, or greenish. You can have BV and not notice any change in vaginal odor. But often, there is a fishy or foul-smelling odor, especially after sex. Because BV symptoms can look like those from other infections, its important to find out the cause. If you keep getting BV, youre not alone. Researchers arent sure why, but recurrent BV is very common. Nearly 50% of people with BV will get it again within one year. Sometimes, BV comes back after treatment and can even become chronic. As many as 50% of people who have BV will have a recurrence. This may happen if: Youre resistant to treatment […] Treatment didnt clear the whole infection […] You are reinfected by new sexual partners.
  • #93 Bacterial Vaginosis
    http://www.idph.state.il.us/public/hb/hbbv.htm
    Bacterial vaginosis (BV) is a condition in women where the normal balance of bacteria in the vagina is disrupted and replaced by an overgrowth of certain bacteria. It is sometimes accompanied by discharge, odor, pain, itching or burning. […] Women with BV often have an abnormal vaginal discharge with an unpleasant odor. Some women report a strong fish-like odor, especially after intercourse. The discharge is usually white or gray; it can be thin. Women with BV may have burning during urination or itching around the outside of the vagina, or both. Some women with BV report no signs or symptoms at all. […] Pregnant women with BV more often have babies who are born premature or with low birth weight (low birth weight is less than 5.5 pounds). […] Although BV will sometimes clear up without treatment, all women diagnosed with BV should be treated to avoid such complications as PID. Treatment is especially important for pregnant women. All pregnant women who have symptoms of BV should be checked and treated.