Symptoms, causes, and treatment of bacterial vaginosis

Author Name: Rahma Shoman - Published Date: 29 September 2025

    Bacterial vaginosis is one of the most common vaginal infections among women of all ages. It is a health problem that can cause discomfort and uncomfortable symptoms that affect the quality of daily life.

    What is bacterial vaginosis?

    It is an infection resulting from an imbalance of beneficial and harmful bacteria within the vaginal area, leading to strong-smelling discharge and other symptoms that vary in severity from one woman to another.

    Causes of Bacterial Vaginosis

    The causes of bacterial vaginosis can be attributed to several factors, such as:

    • Excessive use of vaginal douching.
    • Hormonal changes, especially during pregnancy.
    • Unprotected sexual intercourse.
    • Weakened immunity or a previous infection.

    Symptoms of Bacterial Vaginosis

    bacterial vaginosis

    The disease usually manifests itself through a set of clear symptoms that warrant attention, the most prominent of which are:

    • White or gray vaginal discharge.
    • Foul, fishy odor.
    • Itching or burning sensation in the vaginal area.
    • In some cases, there may be no obvious symptoms.

    The Difference Between Bacterial and Yeast Vaginosis

    It is important to know the difference between bacterial and yeast infections to determine the appropriate treatment:

    • Bacterial vaginosis is characterized by gray discharge and a strong odor.
    • Yeast infections appear as a thick, white, cottage cheese-like discharge accompanied by severe itching.

    Note: Bacterial vaginosis is considered more serious in some cases because it may cause complications during pregnancy or increase the risk of sexually transmitted diseases if left untreated.

    The Effect of Bacterial Vaginosis on Pregnancy

    During pregnancy, bacterial vaginosis can lead to serious complications such as premature birth or low birth weight, so it is essential to consult a doctor immediately upon noticing symptoms.

    Methods of Diagnosis

    bacterial vaginosis

    To diagnose bacterial vaginosis, the doctor relies on:

    • A clinical examination of the symptoms.
    • Taking a swab of the vaginal discharge.
    • A microscopic examination is performed to determine the type of bacteria.

    Treatment of Bacterial Vaginosis

    The disease is treated with:

    • Oral or topical antibiotics.
    • Avoid overuse of douching.
    • Comply with the prescribed treatment to prevent recurrence.

    Medications used to treat bacterial vaginosis

    The most common medications used to treat bacterial vaginosis include:

    • Metronidazole.
    • Clindamycin.
    • Vaginal tablets or gel, as prescribed by your doctor.

    Can bacterial vaginosis go away without treatment?

    In some cases, symptoms disappear temporarily, but the infection often recurs, so treatment under a doctor's supervision is always recommended.

    Does bacterial vaginosis affect fertility?

    It usually does not directly affect fertility, but neglecting treatment can lead to reproductive system complications that affect the chances of pregnancy.

    Summary of symptoms, causes, and treatment of bacterial vaginosis

    Bacterial vaginosis is a common problem among women that results from an imbalance of bacteria in the vagina.

    By understanding its causes, symptoms, and diagnosis, appropriate treatment can be initiated and complications avoided, especially during pregnancy.

    It is also essential to differentiate it from a fungal infection in order to obtain the correct treatment.