Break the Cycle: How to Beat Recurrent Bacterial Vaginosis for Good

• By Princess Dennar
• July 22, 2024

Understanding and Managing Recurrent Bacterial Vaginosis (BV)

If you’ve been experiencing persistent vaginal discharge or an unpleasant “fishy” odor, you might be dealing with bacterial vaginosis (BV). This common condition can be frustrating, especially if it keeps coming back. Let’s break down what BV is, what causes it, and how you can manage and treat it effectively.

What is Bacterial Vaginosis?

Bacterial vaginosis is a condition where there is an overgrowth of certain bacteria in the vagina. It often causes a thin, off-white discharge that has a strong fishy smell. This odor might get stronger after sex or during your period. Unlike other infections, BV doesn’t usually cause redness, swelling, or pain around the vulva.

Common Symptoms of BV:

• Vaginal discharge: Thin and off-white
• Unpleasant odor: Often described as fishy, especially after intercourse or during your period
• No significant swelling or redness: BV usually doesn’t cause noticeable irritation or pain outside the vagina

What Can Cause BV?

BV can happen for several reasons, and some factors make it more likely:

• Sexual activity: Having new or multiple partners can increase the risk.
• Changes in hygiene products: Switching to new soaps or douches might disrupt the natural balance in your vagina.
• Menstrual cycle changes: Hormonal shifts can sometimes trigger BV.
• Antibiotics: These can kill both bad and good bacteria in your vagina, disrupting its balance.

How is BV Diagnosed?

If you think you have BV, your doctor will ask about your symptoms and take a closer look during a pelvic exam. They might check for signs like:

• Abnormal discharge: Examining the color, texture, and smell.
• Cervical discharge: Checking for signs of other infections.
• Other factors: Looking for signs of STIs, foreign bodies, or even more serious conditions like cervical cancer.

Treating BV: What Works Best?

For most non-pregnant women with BV, treatment involves antibiotics. Here are some common options:

• Metronidazole: Available as a pill (500 mg twice daily for seven days) or gel (0.75%, once daily for five days).
• Clindamycin: Comes as a cream (2%, once daily for seven days). Note: Avoid using latex condoms with this cream.

What About Recurrent BV?

Recurrent BV is defined as having three or more episodes in a year. If you’re dealing with this, your doctor will suggest a treatment plan tailored to you. The goal is to manage the infection and reduce the chance of it coming back.

Treatment tips for recurrent BV:

• Discuss your preferences: Choose the treatment that suits you best in terms of cost, convenience, and previous medications.
• Consider probiotics: Some studies suggest that probiotics might help restore the natural balance in your vagina.

When Should You Seek Help?

If you notice any new symptoms or if your BV keeps returning despite treatment, it’s a good idea to see your doctor. They can check for other issues or suggest different treatments. Remember, treating BV effectively often requires a combination of medication, lifestyle adjustments, and regular follow-up.

Tips to Help Prevent BV:

• Change your hygiene practice: Avoid douching or using scented products in your vaginal area.
• Use condoms: They can help protect against infections and reduce the risk of BV.
• Watch your diet: Eating foods rich in probiotics, like yogurt, can support a healthy vaginal environment.

Understanding BV and knowing how to manage it can make a big difference in your comfort and health. If you have any concerns or questions, don’t hesitate to reach out to your healthcare provider. They’re there to help you find the best treatment and support you through your journey to better health.