Health Library · Women's Health

BV (bacterial vaginosis) symptoms

Overview

BV is an imbalance in vaginal bacteria — not an STI, but sexually associated. Fishy odor and thin gray discharge are characteristic.

Symptoms to watch for

  • Thin, gray or white discharge
  • Fishy odor, worse after sex
  • Mild irritation or itching (less than yeast)

What else could this be?

  • Yeast (itching + thick white)
  • Trichomoniasis (frothy yellow-green)
  • STIs

Treatment

Metronidazole (oral 500 mg BID 7 days or gel) or clindamycin. Avoid alcohol with oral metronidazole.

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