What is bacterial vaginosis?
When a group of bacteria called anaerobes (most commonly Gardnerella vaginalis) dominates the vagina rather than lactic acid bacteria, this can lead to bacterial vaginosis.
The most common symptom is increased discharge with a fish-like smell, especially just after bleeding or intercourse, when the vagina becomes less acidic. You may also experience a dull ache, some vaginal irritation, thin greyish or yellow-brown discharge, and bleeding disturbances.
Bacterial vaginosis can disappear on its own and is only treated when symptoms have been present for some time.
Treatment
It can be treated with Donaxyl vaginal tablets. This is a locally acting substance that destroys the surface of the bacteria so that they die. It is used in the vagina for 6 evenings in a row.
Your partner does not need treatment; this is not a sexually transmitted infection. It can also be treated with other types of antibiotics.
Recurrent symptoms and prevention
Some people have frequent, recurrent symptoms. Studies have shown that drinking a little kefir every evening can positively affect the composition of lactic acid bacteria in the vagina. It takes time before you notice an effect, and you cannot assess whether it helps until you have used it for at least 6 months.
Multigyn Actigel, available without a prescription at pharmacies, can also be tried.
In general, it is important to avoid unnecessary use of panty liners, and it may be wise to avoid washing the genital area with soap. Use only water, or water and oil instead (ACO Cleansing Oil from the pharmacy, almond oil, or wheat germ oil).