How To Get Rid of Bacterial Vaginosis?

Bacterial vaginosis (BV) is typically treated with antibiotics, either taken by mouth or applied vaginally, over a prescribed period—usually 5 to 7 days. Common options include metronidazole or clindamycin, both of which help rebalance vaginal bacteria.

What Is Bacterial Vaginosis (BV)?

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance in the vaginal microbiota, where harmful anaerobic bacteria outnumber beneficial Lactobacillus species. This disruption in the vaginal environment can lead to unpleasant symptoms or be asymptomatic in some people. Some of the common symptoms of bacterial vaginosis include unusual discharge and discomfort.

At Manhattan Medical Arts, our team, led by Dr. Syra Hanif, has diagnosed and managed thousands of bacterial vaginosis cases, ranging from mild symptoms to complex, recurrent bacterial vaginosis. With our advanced in-house lab and individualized care approach, we deliver fast and effective BV treatment in Manhattan, New York.

🩺 Book a walk-in or online appointment with Dr. Syra Hanif to get tested and treated today: Schedule Now

Bacterial Vaginosis Symptoms

• Thin, grayish-white vaginal discharge

• Fishy or strong vaginal odor

• Burning sensation during urination

• Vaginal itching or irritation

• Pain during or after sex

• Other vaginal symptoms like general discomfort or unusual fluid changes

• Additional symptoms of bacterial vaginosis may include bloating, irritation, and subtle abdominal pressure

Some cases of asymptomatic bacterial vaginosis go unnoticed, but even without symptoms, untreated bacterial vaginosis can cause increased risk of complications.

What Causes Bacterial Vaginosis?

BV isn’t fully understood, but several factors increase the risk:

• Multiple sex partners or a new sexual partner

• Having sex while vaginal pH is disrupted

• Douching or using scented products

• Unprotected sex or frequent sexual activity

• Low levels of vitamin D

• A patient’s medical history can also contribute to recurrent or persistent BV, especially if there are underlying conditions affecting immunity or vaginal flora.

Sexually active individuals face higher rates, and BV is more prevalent among women aged 14-49, per the Centers for Disease Control and Prevention (CDC).

Is Bacterial Vaginosis Contagious?

Bacterial vaginosis is not classified as an STD, but it is sexually associated. Transmission between partners, especially female-to-female, is well-documented. Some vaginal bacteria may be shared, affecting the normal vaginal microbiota. Lab tests often reveal multiple strains of bacteria present in the sample.

A male partner treatment isn’t usually required, but if you have a female sex partner, both may need evaluation.

How Do We Diagnose Bacterial Vaginosis?

At Manhattan Medical Arts, we use:

• Pelvic exam to check the vaginal walls and discharge

• Microscopy: Checking for clue cells on vaginal cells

• Vaginal pH test: BV often raises pH above 4.5

• Amsel criteria and Nugent scoring

Home test kits can give clues but often miss vaginal infections like BV. It’s best to confirm at a clinic where we test for both symptoms and the types of bacteria present in the vaginal fluid.

BV Treatment Options

We offer a complete BV treatment regimen, tailored to your case:

1. Prescription Antibiotics

• Metronidazole treatment: Oral or gel form (Flagyl, Metrogel-Vaginal)

• Clindamycin: Cream, pill, or vaginal suppository (Cleocin, Clindesse)

• Tinidazole and Secnidazole for resistant or recurring cases

Important: Always complete the full antibiotic treatment to avoid BV recurrence. Your provider will guide your initial treatment plan based on your test results and symptoms. In some resistant cases, modifying your initial treatment protocol can help address associated resistance patterns.

2. Home-Based Remedies (Supplemental Only)

• Probiotic supplements (Lactobacillus strains)

• Intravaginal boric acid suppositories (used under medical guidance)

• Avoid: Tea tree oil, apple cider vinegar, and garlic internally—they’re not proven safe

We use evidence from randomized controlled trials to guide all treatment options and effectively treat bacterial vaginosis.

Can BV Go Away Without Treatment?

In some mild cases, bacterial vaginosis resolves on its own. But this isn’t reliable. Risks of untreated bacterial vaginosis include:

• Pelvic inflammatory disease

• Sexually transmitted infections (HIV, chlamydia, gonorrhea)

• Pregnancy complications: Premature birth, low birth weight, adverse pregnancy outcomes

• Increased risk of HIV transmission during unprotected sex or when exposed to an infected partner

• Persistent symptoms may be accompanied by discomfort and stomach pain

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How To Prevent Bacterial Vaginosis

To prevent BV recurrence and protect your vaginal microbiome:

• Avoid douching and harsh soaps

• Practice safe sex, use latex condoms

• Limit multiple sexual partners

• Wear breathable cotton underwear

• Take daily probiotic supplements

Our providers give custom prevention plans as part of every BV treatment.

Recurrent Bacterial Vaginosis

Recurrent BV happens in up to 50% of patients within 6 months. Causes include:

• Antibiotic resistance or incomplete treatment

• Sexual activity without barrier protection

• Disruption of vaginal microbiota or healthy bacteria levels

Dr. Hanif often recommends:

• Extended metronidazole treatment courses

• Long-term vaginal suppository use

• Combined oral + intravaginal boric acid

Our approach is designed to thoroughly treat bacterial vaginosis and reduce future flare-ups. Maintaining balanced vaginal fluid and microbiota is key to success. We also monitor vaginal fluid characteristics to track response to treatment and help relieve symptoms more effectively. Some patients with recurrent BV also report mild stomach pain as part of their flare-up pattern.

💬 Have BV symptoms that keep coming back? See Dr. Syra in-office or online

FAQs About BV

Trusted References

• CDC: Bacterial Vaginosis – CDC

• NIH: National Library of Medicine

• Mayo Clinic: Bacterial Vaginosis Overview

• ACOG: Practice Bulletin – Vaginitis

• JAMA & NEJM for treatment trial data

Disclaimer 
This blog is for informational & educational purposes only, and does not intend to substitute any professional medical advice or consultation. For any health related concerns, please consult with your physician, or call 911.