It’s one of those topics that’s so taboo, you might be too
embarrassed to talk to your doctor or peers about it. But chances are, your
gynecologist can help!
So don’t put off mentioning any unusual vaginal odor that’s
got you feeling self-conscious or keeping you from enjoying intimate moments.
Your vagina, by nature, has a slight smell. But a strong
odor – one that many women describe as “fishy” – could be a sign of infection.
Bacteria Vaginosis often accompanies an active sex life, but
it’s not a sexually transmitted disease. Bacteria are a natural part of the
vagina, but with BV, something upsets the normal balance. There is an
overgrowth of “bad” bacteria, and “good” (protective) bacteria are overwhelmed
or can’t keep up.
BV affects nearly 30 percent of women in their child-bearing
years. But it can occur in women of any age.
Those who have multiple sex partners (or whose partners have
multiple partners) and those who don’t have sex for a while and then resume an
active sex life are more at risk
Causes
BV is caused by an
imbalance of naturally occurring bacterial flora, the usual bacteria found in a
woman's vagina. Why this happens is not clear.
It is different from candidiasis,
a yeast infection, or Trichomonas vaginalis (T. vaginalis), or trichomoniasis, also known as
trich. These are not caused by bacteria
Risk factors
Any woman
can develop BV, but some behaviors or activities can increase the risk.
These
include:
douching, or
using water or a medicated solution to clean the vagina
having a
bath with antiseptic liquids
having a new
sex partner
having
multiple sex partners
using
perfumed bubble baths, vaginal deodorants, and some scented soaps
smoking
washing
underwear with strong detergents
BV cannot be
caught from toilet seats, bedding, swimming pools, or touching objects.
Treatment
BV often clears up without
treatment, but women with signs and symptoms should seek treatment to avoid
complications.
Treatment may not be
needed if there are no symptoms. Sometimes BV can appear and disappear for no
apparent reason.
If there is an abnormal
vaginal discharge, it is important to see a doctor as soon as possible. A
doctor can diagnose BV and rule out other infections, such as gonorrhea or
trich.
Untreated BV can also lead
to complications, especially during pregnancy.
Some doctors recommend
giving BV treatment to all women who will be undergoing a hysterectomy or
termination, before the procedure, regardless of symptoms.
Male partners do not
usually need treatment, but they can spread BV between female sex partners.
Prevention tips
There is no certain way to
prevent BV, as the exact causes remain unclear. However, some tips can help
prevent it.
These include:
practicing
safe sex
not douching
The Centers for Disease
Control and Prevention (CDC) note that BV rarely affects women
who have never had sex.

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