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20 Old Brompton Road, South Kensington, London SW7 3DL

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Bacterial Vaginosis (BV)

Bacterial vaginosis (BV) is among the most common vaginal infections, affecting thousands of women in the UK each year. While minor cases often go unreported, it’s estimated that as many as 1 out of 3 women will experience BV at some point in their lives.

Although BV is not classified as a sexually transmitted infection (STI), it can cause discomfort and other symptoms. In many cases, the symptoms are mild and can resolve without medication. However, for more severe infections, BV can be treated with medication. Our clinic offers BV diagnosis and treatment services to all women seeking private, professional care.

Causes

BV occurs when the natural balance of bacteria in the vagina is disrupted. Every woman’s vagina contains a mix of good and bad bacteria, which usually exist in balance, helping maintain a healthy environment. However, when the “bad” bacteria outweigh the “good” bacteria, BV can develop.

The exact reasons for this imbalance are not fully understood. Nonetheless, several factors can contribute to the disruption. Despite the lack of clarity about the specific cause, BV is common and can be managed with appropriate treatment from healthcare professionals.

Risk Factors

While the actual cause of BV remains unclear, there are several factors that can increase the likelihood of developing the condition. They include:

  • Being sexually active. Though BV can occur in women who aren’t sexually active, the risk is higher for those who are.
  • Having a new sexual partner or multiple partners.
  • A history of STIs.
  • Smoking cigarettes.
  • Having an intrauterine device (IUD).
  • Afro-Caribbean heritage.
  • Using perfumed products

To reduce the risk, consider the following preventive measures:

  • Taking oral contraceptive pill
  • Ensuring your male partner is circumcised
  • Using condoms
  • Washing the genital area with water and plain soap
  • Taking showers instead of baths

Have more questions?

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Common Symptoms

The most common BV symptom is vaginal discharge, which is typically white or gray. The discharge often has a distinct, fishy odor that may become more noticeable during sexual intercourse. It tends to be heaviest after menstruation or following sexual activity.

The discharge usually doesn’t cause irritation or tenderness in the vagina or vulva (the external area of the vagina). In fact, up to 50% of females with BV may not experience any symptoms.

Diagnosis

Our doctors usually diagnose BV based on the characteristic symptoms, such as the fishy-smelling, grayish-white discharge. If you are in a stable, monogamous sexual relationship, a GP may make this diagnosis without further testing. However, additional tests can be performed for confirmation. These may include laboratory tests that analyze the discharge to check for an imbalance in the bacteria and PH levels.

Have more questions?

We’re here to help - get in touch or book your appointment today.

Treatments Options

In mild cases of BV, the condition often resolves on its own as the body restores the normal pH balance. However, for more severe or persistent cases, antibiotic treatment is necessary.

The most commonly prescribed antibiotic for BV is Metronidazole. The usual dosage is 400 to 500 mg twice a day for a period of 5 to 7 days. During this treatment, it is important to avoid alcohol consumption for at least 48 hours after completing the course of medication to prevent adverse reactions.

If you have concerns about other sexually transmitted infections, we can also conduct tests for those at the same time and provide treatment. Visit us or contact us today to schedule a discreet and confidential appointment.

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Friday 8am to 5pm

Saturday & Sunday by Appointment Only

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20 Old Brompton Road, South Kensington, London SW7 3DL