Bacterial vaginosis

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What Is Bacterial Vaginosis?

Bacterial vaginosis (BV) is a common vaginal condition caused by an imbalance of naturally occurring bacteria in the vagina. While it is not considered a sexually transmitted infection, it can cause uncomfortable symptoms and may increase the risk of other infections if left untreated.

BV occurs when the balance between healthy bacteria (lactobacilli) and other bacteria changes. This disruption can lead to symptoms such as unusual discharge, odour, or irritation.

If you are experiencing symptoms, speaking with a doctor can help determine the appropriate treatment and ensure there are no underlying health concerns.

Common Symptoms of Bacterial Vaginosis

Symptoms of bacterial vaginosis can vary from person to person. Some individuals may not experience symptoms at all, while others may notice noticeable changes.

Common symptoms include:

• Thin white or grey vaginal discharge
• A strong or “fishy” vaginal odour
• Vaginal irritation or discomfort
• Burning sensation during urination
• Increased discharge after sexual activity

If symptoms persist or worsen, medical assessment is recommended to confirm the diagnosis and discuss treatment options.

Causes and Risk Factors

The exact cause of bacterial vaginosis is not always clear, but several factors may increase the likelihood of developing the condition.

Potential risk factors include:

• Changes in vaginal bacterial balance
• New or multiple sexual partners
• Douching or use of vaginal cleansing products
• Hormonal changes
• Smoking

According to the Better Health, maintaining a healthy vaginal microbiome plays an important role in preventing infections and maintaining reproductive health.

Additional information is available from the Australian Sexual Health Alliance.

Real Doctors. Online Prescriptions. Australia-Wide.

No matter where you are in Australia, Docmate makes it easy to access
online prescriptions through secure telehealth consultations
with AHPRA-registered doctors. Our partner doctors are available from 8 AM to midnight, helping you obtain the medication you need without visiting a clinic.

Whether you need a new prescription or a repeat script, our doctors review your request carefully to ensure safe and responsible prescribing. All consultations follow Australian medical guidelines, and approved eScripts are sent directly to your phone for use at pharmacies across Australia. For more information about how telehealth works in Australia, see the Australian Digital Health Agency.
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Other Telehealth Services Available

Docmate provides a range of healthcare services through telehealth consultations. Patients can also access:

These services make it easier to access medical care online without unnecessary travel or waiting rooms.

Frequently Asked Questions

Can BV be diagnosed through telehealth?

No. A proper diagnosis usually requires a vaginal swab and examination, which must be done in person. Telehealth can help guide next steps but cannot confirm BV on its own.

Can I get treatment without testing if I’ve had BV before?

In some cases, yes. If symptoms are typical and you have a clear history of BV, treatment may be considered after clinical review, depending on individual circumstances.

Is BV the same as a yeast infection?

No. BV and thrush are different conditions with different causes and treatments. Correct identification is important to avoid ineffective or unnecessary medication.

Can BV come back after treatment?

Yes. Recurrence is common, which is why prevention strategies and follow-up advice are often discussed during consultations.

Can telehealth doctors arrange testing?

Yes. If testing is needed, our telehealth doctors can refer you to a clinic for swabs or further assessment.

When should I seek in-person care?

If symptoms persist, worsen, or don’t respond to treatment, an in-person review is recommended.