West Midlands
Bacterial Vaginosis (BV): What You Should Know
Bacterial vaginosis (BV) is not a sexually transmitted infection (STI), but it can increase your risk of getting one. It occurs when the natural balance of bacteria in the vagina is disrupted, which can lead to uncomfortable symptoms like unusual discharge or an unpleasant odor. BV can also make you more prone to infections like chlamydia or gonorrhoea.
The good news? BV is easily treatable with antibiotics. While it’s linked to sexual activity, it’s not passed from person to person like an STI. It’s more about an imbalance of bacteria—and it’s something we can help you manage with the right care and support.
If you’re worried about symptoms, we’re here to guide you back to feeling comfortable and confident again.

Home – Sexual Health – STI Tests – Bacterial vaginosis
Consultation cost
- Telephone Focused GP appt. (15min) £40
- Video Focused GP appt. (15min) £50
Bacterial vaginosis (BV) occurs when there is an imbalance in the natural bacteria found in the vagina. This happens when harmful bacteria overgrow and disrupt the normal balance of “good” and “bad” bacteria, leading to symptoms like unusual discharge and a fishy odor.
While the exact cause of BV remains unknown, it occurs more frequently in sexually active individuals. Douching, having new or multiple sexual partners, and not using condoms can upset the normal balance of bacteria in the vagina, increasing the risk of developing BV. However, BV is not considered a sexually transmitted disease and can also occur in women who have never had sex.
Although the exact method of BV prevention is not fully understood, following these steps may help lower your risk:
- Limiting your number of sexual partners.
- Avoiding douching.
- Using condoms during sexual activity.
- Maintaining good vaginal hygiene practices.
Anyone experiencing symptoms of bacterial vaginosis (BV) should consider getting tested. These symptoms include unusual vaginal discharge, a strong fishy odour, vaginal itching, or burning during urination. Even if you have no symptoms but are at increased risk—such as being sexually active, having new or multiple partners, or being pregnant—it’s advisable to get tested to avoid potential complications like other sexually transmitted infections (STIs) or pregnancy-related risks.
Additionally, if your sexual partner has been diagnosed with BV, or if you’re experiencing discomfort or changes in vaginal health, it’s best to consult with a healthcare provider for evaluation and testing. Pregnant individuals should especially seek testing, as BV can increase the risk of complications during pregnancy.
What are the steps?
1. Book an appointment
2. Get seen by a doctor
3. Do the test

BV Symptoms: What to Watch For
Many people with Bacterial Vaginosis (BV) don’t notice any symptoms. But if you do, they might include:
- A thin white or gray discharge
- Pain, itching, or burning in the vagina
- A fishy odor, especially after sex
- Burning when you pee
- Itching around the vagina
If these sound familiar, don’t worry—you’re not alone, and BV is easy to treat. We’re here to help you feel comfortable and confident again with the care and support you need.
How common is BV?
BV is the most common vaginal condition in women aged 15-44.
How Do We Diagnose BV?
If you’re experiencing symptoms, we’ll take the time to listen carefully to your concerns. To confirm a diagnosis of bacterial vaginosis (BV), we may need to examine you and take a small sample of vaginal fluid for testing.
What Causes BV?
BV is caused by an imbalance in the normal vaginal bacteria — specifically, a drop in protective lactobacilli and an overgrowth of anaerobic bacteria. The key organism associated with BV is:
Gardnerella vaginalis – the most commonly identified bacteria in BV
What Do We Test For?
We look for infections that commonly occur together, so we can treat the root cause effectively. Our test panel includes:
✔ PCR test for Gardnerella vaginalis
✔ PCR test for Trichomonas vaginalis
✔ Candida species culture
Why PCR Testing?
PCR (Polymerase Chain Reaction) testing is one of the most accurate ways to detect infections. It works by identifying the genetic material of bacteria or parasites — even in very small amounts.
✔ Highly sensitive and specific
✔ Fast and reliable results
✔ Helps guide the most effective treatment
Cost
✔ BV Test Panel: £40
This includes all three tests mentioned above.
BV and Pregnancy: Keeping You and Your Baby Safe
During pregnancy, BV can slightly raise the risk of complications like preterm birth or having a baby with a low birth weight. The good news is that treating BV can help reduce these risks and protect both you and your baby.
We’re here to provide gentle, supportive care and the right treatment to keep you feeling well throughout your pregnancy. Your health and your baby’s wellbeing are always our top priority
Is There a Cure for bacterial vaginosis (BV)?
Absolutely! BV is easily treatable with antibiotics. It’s important to take the full course of medication, even if you start feeling better, to make sure the infection clears completely and to help prevent it from coming back.
You’re not alone in this—we’ll be with you every step of the way to answer your questions and support you through your treatment. Our goal is to help you feel comfortable, healthy, and confident again.
Why Treating BV Matters
If BV isn’t treated, it can raise your risk of infections like HIV, chlamydia, and gonorrhoea. These infections can sometimes lead to pelvic inflammatory disease (PID), which may cause complications like infertility or ongoing pelvic pain.
The good news? BV is easy to treat, and getting care early helps protect your health and prevent these risks. We’re here to offer you gentle, effective treatment and support every step of the way—because your wellbeing always comes first.
Book your test now!
If you’re experiencing symptoms of bacterial vaginosis or have concerns about your vaginal health, don’t hesitate to get tested. Early detection and treatment can prevent complications and keep you healthy. Book a consultation with us today at OneMedicine to get the care and guidance you need for peace of mind and optimal health.