That fishy, malodorous discharge is called Bacterial Vaginosis (BV) and is the most common cause of abnormal vaginal discharge.  Yes, it’s more common than yeast infections.  Up to about half of all women will be treated for BV at some point in their lives.

It is not technically considered a sexually transmitted disease but rather described as a shift in the vaginal flora. That doesn’t sound so bad.  BV is an overgrowth of certain bacteria that are normally found in the vagina.

Women who douche, even if it is only once a month, are more prone to BV.  Stress is also a huge factor.  And of course, multiple sexually partners can affect your vagina.  So if you practice ‘free love’, use a condom.  A new partner may also prove to be problematic–use a condom and give your vagina some time to get to know him.  A poor diet is also another culprit.  I say to patients all the time, slow down on the cigarettes and margaritas and eat an apple.  BV is also prevalent in women who have sex with women; wash the toys girls!  Lastly, some women have simply lost the protective bacteria, lactobacilli, and are therefore prone to recurring infections. 

Most women simply can’t take the odor which, by the way, gets really bad after sex!  Semen mixed with BV…hold your nose!  In addition, it’s important to know that BV is also associated with early miscarriage, infections after hysterectomies and infections that extend up into the uterus and fallopian tubes.

Many women mistakenly treat themselves for yeast infections when in fact they have BV.  BV usually does not cause itching.  So if you have tried an over-the-counter (OTC) cream without success, call your doctor.  There are two treatment categories that are typically used: pills or vaginal suppositories.  Women who can’t seem to rid themselves of BV are treated for longer periods.  Men are not treated for BV.

I also wanted to mention the OTC ‘test yourself kits’.  BV is diagnosed when three out of four criteria are met.  The screening kits only check for one criterion, but they are helpful.  Depending on the results of the kit and your symptoms, some doctors may feel comfortable treating you over the phone.  (There is also a quick in-office test that is available, but most doctors will simply look under the microscope; it’s just as accurate.)

There you have it, now spread the word!