Bacterial Vaginosis (BV)

One of the most common reasons women come in to see their OBGYN is for vaginal discharge.  Many women come in wanting to know if they have a “yeast infection”.  Many have tried over the counter treatments for yeast infections but are still having bothersome discharge.   Bacterial Vaginosis is the second most common cause of bothersome vaginal discharge and many women have never heard of it.

What is it?

  • Increased vaginal discharge
  • Foul odor
  • Vaginal or vulvar irritation

Where does it come from?

  • Due to a change in the vaginal environment, Lactobacillus sp. Is replaced by other various bacteria ( Vaginalis is one of the more common)
  • This imbalance causes the changes in the discharge

Why did I get it?

BV is associated with:

  • Sexual activity
  • Multiple partners (male or female)
  • Lack of condom use

Lessor risk factors include:

  • Vaginal douching
  • Tobacco exposure

How is it treated?

Fortunately, treatment is easy, either an oral tablet for 7 days or a vaginal insert for 5.  Both require a prescription.  

If you have recurrent BV, one thing to consider is a vaginal moisturizer to help maintain a normal pH balance.  After completing a treatment for BV, use the vaginal moisturizer 2-3 times a week for 4-6 weeks.   If you haven’t had another infection in that time, you can continue use or try stopping it to see if BV recurs.   Easily available moisturizers include products like Replens and RepHresh.



El Camino Women’s Medical Group offers the latest Minimally Invasive Solutions for gynecologic problems.   Drs. Amy TengErika Balassiano, and Pooja Gupta, all members of AAGL (American Association of Gynecologic Laparoscopy) are highly trained and experienced in the field of Minimally Invasive Gynecgologic Surgery.   Dr. Erika Balassiano is also completed a Minimally Invasive Gynecologic Surgery Fellowship, under the supervision of world-renowned Dr. Camran Nezhat.


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