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Bacterial Vaginosis

Discussion in 'All Categories' started by Kamya - Jul 17th, 2025 6:41 am.
Kamya	I have bacterial vaginosis. What could be the possible causes of my bacterial vaginosis and are there any specific risk factors that may have contributed to this condition?
re: Bacterial Vaginosis by Dr. B. S. Bhalla - Jul 17th, 2025 6:43 am #1
Dr. B. S. Bhalla	Bacterial vaginosis (BV) is a common vaginal infection that occurs due to an imbalance in the natural bacteria found in the vagina. Normally, Lactobacillus bacteria dominate the vaginal flora and help maintain an acidic pH, which protects against infections. In BV, the number of Lactobacillus decreases and is replaced by an overgrowth of other bacteria such as Gardnerella vaginalis, Mobiluncus, or Prevotella. Possible Causes and Risk Factors: The exact cause of this imbalance is not always clear, but several known risk factors can contribute: Multiple or new se-xual partners – While BV is not strictly a se-xually transmitted infection (STI), changes in se-xual activity, especially having new or multiple partners, may disrupt the vaginal flora. Douching – Using vaginal cleansers or douches alters the natural pH and can remove beneficial bacteria. Smoking – Tobacco use is associated with changes in vaginal flora and increased risk of BV. Lack of Lactobacillus – Some women naturally have fewer protective Lactobacillus species, making them more susceptible. Use of intrauterine device (IUD) – Some women using an IUD may have an increased risk, although this varies. Unprotected intercourse – Semen is alkaline and may temporarily disrupt vaginal acidity, promoting bacterial overgrowth. If you have BV, it’s important to complete the prescribed antibiotic treatment, commonly metronidazole or clindamycin, even if symptoms improve early. Avoid douching or using scented vaginal products. Practice safe se-x and consider limiting the number of se-xual partners. If BV recurs frequently, speak with your doctor about preventive strategies. Probiotic therapies or lifestyle changes might be recommended to restore and maintain a healthy vaginal flora. Always consult a gynecologist for proper diagnosis and personalized treatment.