Bacterial vaginosis (BV) is a condition that occurs in many women. BV is not a sexually transmitted infection, but it does require treatment to prevent further infection. All women have bacteria that grow in the vagina. Normally, a “good” bacterium known as lactobacilli is the predominant type. Under certain circumstances, bacteria known as anaerobes become the more common type of bacteria in the vagina and produce the condition called bacterial vaginosis.
With changes in the balance of bacteria in the vagina, some women notice a vaginal discharge while others have no symptoms. This discharge may be thin or thick, may be white or yellow in appearance, and may even have a “fishy” odor. Many women also report itching or burning of the vaginal tissue with the development of the discharge. When symptomatic, the condition is called BV.
Anyone who develops the symptoms above or is concerned about BV needs to see their doctor, as BV will not go away without treatment. BV is not typically a serious infection, but if left untreated more serious infections in the uterus or fallopian tubes could occur and it may increase the risk for premature labor during pregnancy.
Your physician will examine your vaginal area and take a sample of the discharge with a cotton swab. The sample can be examined underneath the microscope while you are in the office. If the sample is consistent with BV, then you will be given a prescription for metronidazole (the brand name is Flagyl®) that you typically take twice a day for seven days. It is important that you take all of the medicine because incomplete treatment could lead to a return of symptoms. If you are prescribed metronidazole, it is also important to not drink any alcohol or you can have very severe side effects.
If you have been sexually active in the past, it is also important to remember that you may not be able to tell the difference between BV and other more serious infections such as Gonorrhea or Chlamydia. Ask your doctor to check for these infections also if necessary.
Posted 3-13-06
