Hey guys, this is your online family doctor, Dr. Sam. Now in this video I’m gonna be talking all about BV. What causes it, how to treat it and how to keep it from coming back, so keep watching. Welcome to my channel SwiftMedNZ. If you have a question that you’d like me to do a video on, please post it in the comments below. Also if you enjoyed this video, please remember to subscribe and you can also hit the little notification bell next to the subscribe button, so that you don’t miss out on any of our latest videos. Firstly, what is BV? Well, it’s a very common condition which is also called bacterial vaginosis. It’s when there’s an imbalance of normal bacteria in a healthy vagina. This means that the acidity balance is upset, so that there’s more anaerobic bacteria there than there should be. Bacterial vaginosis is not an STD. So what causes BV? Bacterial vaginosis can be caused by anything that upsets the balance of the normal bacteria in the vagina. Such as new sex partners or increased sexual activity. However, it can occur in women who have never had sexual intercourse before. Excessive washing, particularly with scented soaps or perfume deodorants can cause BV. I’ll link the other causes in the description below. Can men get BV? No, men cannot get BV, it’s unique to the vagina. What are the symptoms of BV? The usual symptoms of BV are: greyish-white, smelly vaginal discharge. Often women describe a fishy odor. The smell is often worse after intercourse or around period time. When should you get treatment for BV? If the BV is causing you symptoms, or the smell is noticeable, if you’re pregnant, trying to get pregnant, or you’re about to undergo a gynecological procedure such as a termination of pregnancy, or vaginal hysterectomy. It’s recommended that you get treatment. What are the treatments for BV? Well oral antibiotics are a common treatment for bacterial vaginosis. I usually prescribe metronidazole one 400 milligram tablet, twice daily for a week. This is safe to be used while pregnant. Other people can use Ornidazole 500 milligrams, one tablet, twice daily for five days. This is not recommended to be used while pregnant. Some people swear by using live yogurt. This is where you apply a thin layer of live yogurt to the outside of the vagina. You can also apply a small amount to a tampon to be used internally at night. The medical evidence for this is mixed. Also there are vaginal acetic acid gels. This lowers the pH, the acidity, of the vagina which encourages normal healthy bacteria to grow. Again the medical evidence for this is mixed, but there’s no harm really in trying it. You can try probiotics for BV. This has been shown to be quite helpful but you need to take it once daily for at least two months. What about persistent BV? How can you stop it from coming back? Well, you can try a vaginal metronidazole 0.75% gel. You insert one applicator, twice weekly for at least six months and this has been shown to be helpful. The other option is, if you have a copper IUD, is to actually have it taken out. Because these can be colonized by gardnerella, which is a common cause of bacterial vaginosis. How do you prevent BV? Again, I’ll list my recommendations in the description below. Often times with BV it happens for no apparent reason and there’s nothing you could have done to prevent it. So don’t beat yourself up too much! I hope that you’ve found this video helpful and please remember to check out some of my other videos on women’s health, skin and infections.