What is Bacterial Vaginosis (BV)?
Bacterial Vaginosis is the most common vaginal condition in women aged 15-44. It occurs when there is an imbalance of the naturally occurring bacteria in the vagina. Normally, the vagina contains mostly "good" bacteria (lactobacilli) and fewer "harmful" bacteria (anaerobes). In BV, there is a decrease in lactobacilli and an overgrowth of anaerobes.
While BV is not considered a sexually transmitted infection (STI), it is more common in sexually active women. Having BV can increase your risk of getting other STIs like chlamydia and gonorrhea.
Symptoms of BV
Many women with BV have no symptoms. When symptoms are present, they can include:
- A thin, white or gray vaginal discharge.
- A strong, fish-like odor, which is often more noticeable after sexual intercourse.
- Pain, itching, or burning in the vagina.
- Burning sensation during urination.
Causes and Risk Factors
The exact cause of the bacterial imbalance is not fully understood, but certain factors can increase your risk, including:
- Having a new sexual partner or multiple sexual partners.
- Douching, which upsets the natural balance of bacteria in the vagina.
- Natural lack of lactobacilli bacteria.
BV Treatment in Nepal
BV is treatable with prescription medications. Our doctors at STD Nepal will prescribe the most appropriate treatment, which may include:
- Metronidazole: Available as oral tablets or a topical gel.
- Clindamycin: Available as a cream or oral tablets.
It is important to complete the full course of medication, even if symptoms go away. Recurrence of BV is common, and our specialists can help manage recurrent or persistent cases.
Prevention
- Avoid douching.
- Use mild, unscented soaps.
- Limit your number of sexual partners.
- Use condoms.