Bacterial vaginosis (BV) is the most common vaginal condition affecting women of reproductive age. It occurs when the natural balance of bacteria in the vagina is disrupted, leading to uncomfortable symptoms. While BV isn't a sexually transmitted infection, it can be embarrassing to discuss and challenging to address in a foreign healthcare system. UrgentDoc's English-speaking doctors provide discreet, compassionate consultations and effective treatment to help you feel like yourself again.
What is Bacterial Vaginosis?
The vagina naturally contains a balance of different bacteria, with lactobacilli being the predominant "good" bacteria that maintain a healthy acidic environment. Bacterial vaginosis develops when this balance is disrupted and other bacteria (particularly Gardnerella vaginalis and anaerobic bacteria) overgrow, raising the vaginal pH and causing characteristic symptoms.
Important: BV is not caused by poor hygiene. In fact, excessive washing or douching can increase your risk by disrupting the natural vaginal flora.
BV vs. Other Vaginal Infections
It's important to distinguish BV from other conditions for proper treatment:
Bacterial Vaginosis
Thin, grayish-white discharge with a strong "fishy" odor (especially after sex). Usually no itching or irritation. Discharge is typically uniform and coats the vaginal walls.
Yeast Infection (Thrush)
Thick, white, "cottage cheese"-like discharge. Intense itching, burning, and redness. Usually no strong odor. Treated with antifungals, not antibiotics.
Trichomoniasis (STI)
Frothy, yellow-green discharge with foul odor. Itching, burning, and redness. Pain during urination or sex. Requires treatment for both partners.
Common Symptoms of BV
Our doctors can help if you're experiencing these symptoms:
- Unusual vaginal discharge – thin, watery, grayish-white in color
- Fishy odor – particularly noticeable after sexual intercourse or during menstruation
- Burning during urination – mild discomfort when passing urine
- Vaginal itching – mild itching around the outside of the vagina (less common than with yeast infections)
Note: About 50% of women with BV have no noticeable symptoms. If you've been diagnosed with BV during a routine exam, treatment is still recommended.
Risk Factors for BV
While BV can affect any woman, certain factors increase the likelihood:
- New or multiple sexual partners
- Douching or using vaginal deodorants
- Using scented soaps or bubble baths in the vaginal area
- Having an IUD (intrauterine device)
- Not using condoms
- Smoking
- Natural hormonal changes
How Our Consultation Works
Book a Private Appointment
Select a convenient time and briefly describe your symptoms. All consultations are completely confidential.
Confidential Consultation
Our English-speaking doctor will ask about your symptoms, medical history, and any relevant factors. No physical examination is required—diagnosis is based on your symptom description.
Prescription & Treatment
If BV is suspected, you'll receive a prescription for antibiotics that can be collected at any pharmacy in Spain, discreetly and conveniently.
Treatment Options
BV is effectively treated with antibiotics. Our doctors may prescribe:
- Metronidazole (oral) – taken as tablets twice daily for 7 days, or a single larger dose
- Metronidazole (vaginal gel) – applied once daily for 5 days
- Clindamycin (vaginal cream) – applied at bedtime for 7 days
- Tinidazole (oral) – an alternative oral antibiotic option
Important: Avoid alcohol during metronidazole treatment and for 48 hours after finishing, as it can cause severe nausea and vomiting.
Why Treating BV Matters
While BV sometimes resolves on its own, treatment is recommended because untreated BV can:
- Increase susceptibility to sexually transmitted infections including HIV
- Cause complications during pregnancy (preterm birth, low birth weight)
- Increase the risk of pelvic inflammatory disease (PID)
- Lead to infections after gynecological procedures
- Persist or recur, causing ongoing discomfort
Preventing BV Recurrence
BV can recur in up to 50% of women within 12 months. To reduce your risk:
- Avoid douching—the vagina is self-cleaning
- Use only water or mild, unscented soap to wash the external genital area
- Avoid scented feminine products (sprays, wipes, tampons, pads)
- Wear cotton underwear and avoid tight-fitting clothing
- Use condoms consistently
- Consider probiotic supplements (discuss with your doctor)
- Complete the full course of prescribed antibiotics
When to Seek Immediate Care
Seek urgent medical attention if you experience:
- Severe pelvic or abdominal pain
- Fever or chills
- Nausea or vomiting
- Symptoms that worsen despite treatment
- New symptoms such as sores, blisters, or rash
- Unusual bleeding or spotting
- Pregnancy with any vaginal symptoms
These symptoms could indicate a more serious infection requiring in-person examination.
Why Choose UrgentDoc for BV Treatment?
Quick & Discreet
Same-day appointments with complete privacy and confidentiality
Confidential Consultations
Discuss sensitive symptoms from the comfort and privacy of your home
English-Speaking Doctors
Discuss intimate health concerns without language barriers
Prescription Antibiotics
Collect your treatment discreetly at any pharmacy in Spain
Concerned About BV Symptoms?
Get discreet, professional care from the comfort of your home. Book a confidential consultation with one of our doctors today.
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