Bacterial vaginosis: Why does it keep coming back?

Treating bacterial vaginosis – it might not be the chat you want to have with your partner on date night, but if you’re currently suffering from this common condition it’s important that you address it ASAP. That’s because new research indicates male partners may have a vital role to play when treating recurring bacterial vaginosis.

What is bacterial vaginosis?

Bacterial vaginosis (BV) is caused by a change in the natural balance of bacteria in a woman’s vagina, occurring when there is an overgrowth of harmful bacteria and a reduction in good bacteria. It is thought to affect an estimated 15-30% of UK women of reproductive age and up until recently, it was not thought to be sexually transmitted. That was until new research published in the New England Journal of Medicine highlighted what a significant difference it makes to the BV sufferer’s recurrance rate when their male partner is treated or not treated for the condition.

BV symptoms to look out for

BV sufferers may notice an unusual vaginal discharge which can have a strong fishy smell, particularly after sex. They may also notice a change to the colour and consistency of their discharge – becoming greyish-white, thin and watery, for example. However, it is important to remember that around half of women with BV do not have any symptoms at all.

Notice something different? Get it checked out

Left untreated, BV can lead to serious complications. For instance, it can increase the risk of contracting STIs, because the vagina is less acidic and therefore less able to defend against infection. It can also lead to pelvic inflammatory disease and infertility, and increase a woman’s risk of miscarriage, preterm labour and low birth weight.

Treating the problem

If you suspect you may have BV, it is important to book an appointment with your GP right away. They may wish to rule out the possibility of another STI by offering a sexual health screening. If BV is detected, this can be treated with antibiotic tablets or topical creams.

Recurrence rates of BV can be high, however the latest research shows that if the sufferer and male partner are treated simultaneously, recurrence rates can be dramatically reduced. That’s why it’s so important to have an open and honest conversation with your partner if you suspect something is not quite right.

Maintaining the balance

Once effectively treated, there are things you can do to help maintain a healthy bacterial balance to minimise the risk of the infection returning:

• Only ever use water and mild, unfragranced soap to wash your genital area
• Do not use vaginal deodorants, washes or douches
• Wear breathable, cotton underwear, as opposed to tight-fitting synthetic materials
• Do not use strong detergents to wash your underwear
• Limit your number of sexual partners
• Ensure your partner wears a condom

Whatever your worry, we’re here right when you need us

Whatever your sexual health concern, book an appointment with one of our friendly, trusted medical professionals and we’ll ensure you receive the best care, with full discretion guaranteed. You can contact us using our simple online booking system, email reception@your.gp, or call us on 0131 225 5656 and we’ll be happy to arrange an appointment at a time that suits you.