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Ask The Expert

Lots of women have questions about vaginal discharge and infections. Some of the most common are answered here by Dr Dawn Harper from TV’s Embarrassing Illnesses.

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Answered by Dr Dawn Harper from TV's Embarrassing IllnessesDr.Dawn Harper

  • Is BV caused by bad hygiene?

          BV is not caused by poor
          hygiene. In fact, 
          excessive washing of the
          vagina may alter the
          normal balance of 
          bacteria, which may make
          BV more likely to develop.

  • Is BV a sexually transmitted infection?

          BV is not a sexually transmitted infection – any
          male sexual partners you might have would not
          need any treatment. In addition, you do not need
          to be sexually active to get BV.

  • How is BV diagnosed?

          To help clarify a diagnosis, a sample (swab) of the
          discharge may be sent for testing. Other tests
          may be done to rule out the other causes of
          vaginal discharge. However, you may recognise
          the symptoms yourself.

  • What happens if left untreated?

          If you have untreated BV, you may be at an
          increased risk of contracting pelvic inflammatory
          disease and certain STIs such as HIV. The chance
          of developing an infection of the uterus is also
          higher after certain operations such as a
          pregnancy termination. If you have untreated BV
          during pregnancy you have an increased risk of
          developing complications such as early labour or
          miscarriage.

  • How can you treat BV?

          There are a variety of effective treatment options
          available to treat BV such as over the counter
          (OTC) vaginal gels that treat and prevent BV,
          antibiotics and alternative remedies. These will
          help to reduce the risk of experiencing any
          complications caused by the infection or
          recurrence. However, antibiotics do not normally
          prevent recurrence and may cause side effects, so
          a vaginal gel could be more suitable. Speak to 
          your pharmacist or GP for further information.

  • Is it possible to prevent BV?

          When the natural balance of bacteria in the 
          vagina is disrupted, certain bacteria can reach
          higher levels than normal. To prevent this from
          happening, try to take the following precautions:

               o Avoid excessive washing (or douching) of the
                  vagina: this may alter the normal balance of
                  bacteria and may make the symptoms more
                  likely to develop

               o Try to avoid using perfumed intimate 
                  products as use of these has been linked
                  with disrupting the natural vaginal balance

               o Use a condom if you notice sex promotes the
                  symptoms. Semen is quite alkaline and can 
                  alter the natural pH of the vagina
                  encouraging the overgrowth of unwanted 
                  bacteria