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Women’s health

Bacterial vaginosis (BV): virtual care options

Bacterial vaginosis, or BV, happens when the normal balance of bacteria in the vagina shifts. It is one of the most common causes of unusual discharge in women of childbearing age. Some people have no symptoms, while others notice a change in odor or discharge.

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Common symptoms

What people often notice. Only a provider can tell you what’s causing yours.

  • Thin gray, white, or green discharge
  • A fishy odor, which may be stronger after sex
  • Vaginal itching or irritation
  • Burning when urinating

What a virtual visit may involve

Care is decided by the provider, based on your situation.

  • A virtual visit where a licensed provider asks about your symptoms, sexual health, and past infections
  • A provider decides whether treatment can be prescribed or whether a swab or test is needed first
  • Prescriptions, if appropriate, can be sent to a pharmacy near you
  • Tips on what to avoid during treatment and when to check back in

When in-person care may be better

Urgent care, your doctor, or a clinic can examine and test you.

  • You are pregnant or think you might be
  • BV keeps coming back after treatment
  • You may have been exposed to a sexually transmitted infection and want testing
  • A provider asks for an exam or vaginal swab

When to go to the ER

Call 911 or go to the nearest emergency room if you have:

  • Fever or chills with vaginal symptoms
  • Pelvic or lower belly pain, especially if it is getting worse
  • Vomiting and you cannot keep fluids down
  • Bleeding, leaking fluid, or cramping during pregnancy

Ready to explore a virtual visit for BV?

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Common questions

BV, answered.

General information, not medical advice. A provider can answer questions about your situation.

Can bacterial vaginosis be treated online?
In many cases, yes. A provider can review your symptoms in a virtual visit and may prescribe treatment if it is appropriate. They may recommend testing if your symptoms are unclear or keep returning.
Will BV go away on its own?
Sometimes it clears without treatment, but it can also linger or return. Untreated BV has been linked to a higher risk of some other infections, so it is worth checking in with a provider.
Is BV a sexually transmitted infection?
BV is not considered an STI, but it is more common in people who are sexually active and can be linked to a new partner. A provider can talk with you about STI testing if you have concerns.

This is not for emergencies.

For life-threatening symptoms, severe chest pain, trouble breathing, or immediate danger, call 911 or go to the nearest emergency department.