So You Have Bacterial Vaginosis. What Do You Do Now?

What Is Bacterial Vaginosis?

Bacterial vaginosis (BV) is an imbalance of the normal vaginal flora, leading to an overgrowth of anaerobic bacteria. Symptoms can include a thin grayish discharge, a fish‑like odor, and mild itching or irritation.

Why Sexual Transmission Is Relevant

Recent research shows that BV can be passed between sexual partners, even when condoms are used correctly. This doesn’t mean BV is a classic sexually transmitted infection, but it does highlight the importance of mutual hygiene and open communication.

Steps You and Your Partner Can Take

1. Get Tested Together – Schedule a joint appointment with a healthcare provider to rule out other infections and to discuss treatment options.

2. Complete the Full Course of Antibiotics – Even if symptoms improve, finish the prescribed medication to reduce the chance of recurrence.

3. Avoid Douching – Douching disrupts the natural balance of vaginal bacteria and can worsen BV.

4. Use Barrier Protection – Condoms and dental dams can lower the risk of bacterial exchange during oral or vaginal sex.

5. Practice Good Personal Hygiene – Both partners should wash the genital area with mild, unscented soap and water before and after sexual activity.

6. Limit Alcohol and Smoking – These habits can alter the vaginal environment, making it more susceptible to bacterial overgrowth.

When to Seek Further Help

If symptoms persist after treatment, or if you experience pain, fever, or unusual bleeding, contact your doctor promptly. Recurrent BV may require a longer or different antibiotic regimen.

Bottom Line

While bacterial vaginosis isn’t strictly an STI, its potential to spread between partners means both you and your partner should take proactive steps. With proper treatment, good hygiene, and open communication, you can manage BV effectively and reduce the chance of it returning.