Bacterial Vaginosis – What You Need to Know

When dealing with bacterial vaginosis, a common vaginal infection caused by an imbalance of natural bacteria. Also known as BV, it often shows up as discharge, odor, or irritation.

The vaginal microbiome, the community of microbes that normally protect the vagina plays a starring role. Bacterial vaginosis encompasses an overgrowth of anaerobic bacteria and a drop in protective lactobacilli. This shift creates a higher pH level, which in turn fuels the symptoms many women notice. In short, an unhealthy microbiome leads to BV, and BV requires a way to restore balance.

One of the most common ways to reset the microbiome is a short course of antibiotics, medications like metronidazole or clindamycin that kill the excess anaerobes. Antibiotics target the harmful bacteria, lower the pH, and give lactobacilli a chance to bounce back. However, antibiotics alone don’t guarantee long‑term success; many people experience recurrence within months.

That’s where probiotics, supplements or foods containing beneficial lactobacillus strains come in. Probiotics help repopulate the vagina with good bacteria, keeping the pH acidic and reducing the odds of a second episode. Research shows that combining antibiotics with a probiotic regimen can cut recurrence rates noticeably.

Other factors that influence BV include hormonal fluctuations, especially around menstruation or pregnancy, and sexual activity that introduces new microbes. While BV isn’t classified as a classic sexually transmitted infection, the exchange of fluids can shift the microbial balance. Maintaining a healthy pH—ideally between 3.8 and 4.5—is a practical daily goal. Simple habits like avoiding scented soaps, douching, or overly tight clothing support that balance.

Below you’ll find an easy‑to‑read collection of articles that dive deeper into each piece of the puzzle. From the science behind the vaginal microbiome to step‑by‑step guides on using antibiotics and probiotics, the posts give you actionable insights you can apply right away. Keep reading to discover how to recognize symptoms early, choose the right treatment, and prevent future flare‑ups.