Bacterial vaginosis (BV) can be identified primarily by symptoms such as:
- A change or increase in vaginal discharge that is thin, watery, and may be white, gray, or greenish in color.
- A strong, unusual, or fishy smell from the vagina, often more noticeable after sex.
- Vaginal discomfort or itching, though itching is less common.
- Burning during urination in some cases.
Many people with BV have no symptoms at all. However, if these symptoms are present, it is advisable to see a healthcare professional for diagnosis. Diagnosis typically involves a medical exam, including checking the vaginal discharge and its pH level. Sometimes a swab sample may be taken for lab testing. If unsure, it is important to consult a doctor or visit a sexual health clinic to confirm if it is BV or another vaginal infection, such as thrush, which has different symptoms like itching and a thick white discharge without a fishy smell. Seeking medical advice is especially important if pregnant or if symptoms impact quality of life, as BV can have complications in pregnancy and may require treatment with antibiotics like metronidazole.
