Recurrent bacterial vaginosis (BV) is a common issue that many individuals experience, often leading to discomfort and concern when it keeps coming back. This ongoing cycle can be particularly challenging to manage, creating feelings of confusion and frustration.
However, gaining a better understanding of its causes and exploring effective treatments can really help. This article breaks down the ins and outs of BV—what causes it, how to recognize the symptoms, and the best ways to manage it so that life can feel a little more normal again!
What Exactly is Happening When I Have Bacterial Vaginosis?
According to WHO, Bacterial vaginosis (BV) occurs when Gardnerella Vaginalis and other bacteria cling strongly to the inner walls of the vagina.
It typically occurs when the vaginal microbiome is disrupted, allowing pathogenic microorganisms to gain dominance—a process known as dysbiosis.
In this situation, instead of being primarily dominated by Lactobacillus species, the vaginal environment shifts to favor Gardnerella species.
During the early stages of colonization, Gardnerella Vaginalis and Prevotella Bivia adhere to the vaginal wall and gradually eliminate the existing Lactobacilli. As this happens, Gardnerella Vaginalis starts to produce enzymes like sialidase and prolidase, which damage the protective mucus lining of the vaginal walls. When this barrier is compromised, it creates an opportunity for other bacteria to infiltrate, potentially leading to a chronic condition.
How Do I Know If I Have Bacterial Vaginosis?
Bacterial vaginosis (BV) is a common condition that can cause abnormal vaginal discharge, strong fishy odor as well as irritation and itch. If you are experiencing any of the following, you may have BV:
- Increased vaginal discharge: This may be thin, white, or gray in color, and may have a fishy odor.
- Vaginal odor: BV can cause a strong, fishy odor that may be more noticeable after sexual intercourse.
- Vaginal irritation and itch: You may experience itching or burning in the vaginal area.
- Pain during urination or sexual intercourse: BV may cause discomfort or pain during these activities.
Why Does Bacterial Vaginosis Keep Coming Back?
Understanding why recurrent bacterial vaginosis is coming back is the key to managing it effectively. Here are some common factors:
- Disruption of the Vaginal Microbiome: Antibiotics can wipe out both harmful and beneficial bacteria, making it tough for your body to restore balance.
- Hormonal Changes: Fluctuations from your menstrual cycle, pregnancy, or hormonal contraceptives can alter the vaginal environment, increasing the chances of BV returning.
- Sexual Activity: New or multiple sexual partners can introduce different bacteria, which may upset the natural balance.
- Douching and Scented Products: Using douches or scented soaps can irritate the vaginal lining and disrupt its natural state.
- Underlying Health Issues: Conditions like diabetes or immune system disorders can also impact your body’s ability to maintain a healthy bacterial balance.
For a deeper dive into this topic, check out our video featuring Dr. Radhika Kamat, a Canadian-trained naturopath in Singapore. We discuss why patients with recurrent bacterial vaginosis often struggle to recover and share effective strategies Dr. Kamat uses with her patients to help manage BV more permanently.
What is The Most Common Way to Treat Bacterial Vaginosis?
When it comes to recurrent bacterial vaginosis treatment, the usual approach involves antibiotics:
- Metronidazole is the most commonly used antibiotic for Bacterial Vaginosis. It can be taken orally or applied directly to the vagina as a cream or gel.
- Clindamycin is another antibiotic available as a cream that can be used topically.
- Tinidazole is like Metronidazole, but has a longer half-life and more favorable side effect profile.
Are Antibiotics The Only Way to Treat Bacterial Vaginosis?
Antibiotics are effective at treating Bacterial Vaginosis (BV) in most cases, but they may not be the best option for everyone.
In some people, BV may recur even after treatment with antibiotics. This can be frustrating for the person experiencing it. There are several reasons why this may happen:
- Antibiotics may not completely eliminate all of the harmful bacteria in the vagina: While antibiotics are effective at killing many types of bacteria, they may not be able to completely eradicate all of the harmful bacteria. What then happens is subsequent bacterial infection that is more drug resistant.
- Antibiotics can disrupt the balance of bacteria in the vagina: Antibiotics are designed to kill bacteria, but they can also affect the balance of good bacteria in the vagina. This can make it more difficult for the vagina to maintain a healthy bacterial environment and increase the risk of BV recurring. Antibiotics also create the perfect situation for Candida overgrowth or Thrush.
Try TCM to Treat Recurrent BV
If you’re looking for alternative approaches, Traditional Chinese Medicine (TCM) might just be worth exploring for tackling recurrent bacterial vaginosis. At our clinic, we use a potpourri of herbs which target difficult pathways and make it more difficult for the bacteria to develop resistance. We also work with Naturopaths in providing a holistic approach to this chronic condition.
Who Are We?
My name is Dr. Mark Chern and I am have been working in TCM for women’s health for more than a decade. My interest in recurrent candida began because of the patients coming seeking help.
Over time, I have developed an approach to treatment that takes the patient’s history and prior interventions into account. I also understand the other methods tried by women to manage this condition.
In Soma Clinic, I now work with Dr Radhika Kamat to help patients seeking a comprehensive solution to chronic infectious conditions in the pelvic area – this includes chronic BV and Candida infection.
Dr Radhika Kamat is an American certified and licensed Naturopathic physician. She graduated with a Doctoral degree in Naturopathic Medicine from the prestigious Bastyr University in the United States. She has rigorous training in both alternative and conventional medicine.
We see patients from all over the world, and it all starts with the first consultation! If you are interested, schedule an appointment now.
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FAQs
Why Do I Keep Getting BV from the Same Partner?
Recurrent bacterial vaginosis (BV) from the same partner can occur due to several factors, including the transfer of bacteria during sexual activity, changes in vaginal pH caused by semen, and incomplete treatment of previous infections. If your partner has bacteria that contribute to BV, it can be passed back and forth, leading to persistent issues. Using condoms may help reduce this risk and maintain a healthier vaginal environment.
How to Permanently Get Rid of BV?
While there is no permanent cure for bacterial vaginosis (BV), you can significantly reduce the likelihood of recurrence by following a comprehensive approach that includes completing prescribed antibiotic courses, using boric acid suppositories as directed, maintaining good vaginal hygiene, and incorporating probiotics to support a healthy microbiome. Additionally, practicing safe sex and avoiding douching can help keep BV at bay.
How Can You Prevent Recurrence of BV?
To prevent recurrent bacterial vaginosis (BV), focus on maintaining good vaginal health by avoiding douching and scented products, wearing breathable cotton underwear, urinating after sexual intercourse to flush out bacteria, and changing menstrual products frequently during your period. Additionally, consider using condoms during sex to minimize exposure to semen and bacteria that can disrupt your vaginal balance.
Why Does My Boyfriend's Sperm Give Me BV?
Your boyfriend’s sperm may contribute to bacterial vaginosis (BV) because it has a higher pH than the normal acidic environment of the vagina. This increase in pH can create an environment conducive to the overgrowth of harmful bacteria associated with BV. Using condoms during sexual activity can help maintain a healthier vaginal pH and reduce the risk of infection.
Can Other People Smell My BV?
The fishy odor commonly associated with bacterial vaginosis (BV) is caused by volatile amines produced by an overgrowth of bacteria. While this odor may be noticeable to you, it is generally not strong enough for others to detect unless they are very close to you. Maintaining proper hygiene and seeking treatment can help minimize any unpleasant odors.
Why Does My Boyfriend Keep Throwing Off My pH Balance?
Your boyfriend may be affecting your vaginal pH balance due to the alkaline nature of his semen, which raises the vaginal pH when introduced. Frequent exposure to semen can disrupt the natural acidic environment that helps prevent infections like bacterial vaginosis (BV). To mitigate this effect, consider using condoms during sexual activity to help maintain a balanced vaginal pH.
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