Bacterial Vaginosis (BV)
Symptoms
- Thin, watery, grey or white discharge
- A strong fishy smell, often more noticeable after sex
- Usually no soreness or itching (unlike thrush)
Who this service is for
- Women aged 18 and over with typical BV symptoms
- Those who have had BV diagnosed before
- Women without symptoms suggesting a sexually transmitted infection
This service is not suitable for
- Those experiencing these symptoms for the first time (see GP or sexual health clinic for diagnosis)
- Pregnant or breastfeeding women (see GP)
- Women with recurring BV (4+ episodes per year)
- Those with possible STI exposure or a new sexual partner with symptoms
When to seek urgent care
Contact your GP or seek emergency care immediately if you experience:
- Pelvic or lower abdominal pain
- Fever or feeling generally unwell
- Unusual vaginal bleeding
- Blisters, sores or ulcers
- Symptoms during pregnancy
Treatment information
Bacterial vaginosis is treated with a short antibiotic course, taken by mouth or applied as a vaginal gel. Your prescriber will confirm the symptoms fit BV, choose the option that suits you and explain the alcohol restriction that applies to some of these medicines.
Prescription treatment is only supplied following a clinical assessment. If treatment is not clinically appropriate, you will not be charged for medication.
Treatment options
- A short oral antibiotic course.
- An antibacterial vaginal gel as an alternative.
- Advice on avoiding alcohol with some options and on recurrence.
Reviewed by
Anand Sharma
MRPharmS, Independent Prescriber
Superintendent Pharmacist (designate)
Important information
This is a private healthcare service. Prescription medications are only supplied following a clinical assessment by a qualified prescriber. Treatment is not guaranteed and will only be provided where clinically appropriate. Alternative options may be discussed.