Bacterial Vaginosis (BV): Symptoms & UK Online Doctor Treatment
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- BV is an imbalance of vaginal bacteria, not a yeast or STI.
- Symptoms: thin grey-white discharge with a fishy smell, often worse after sex.
- Metronidazole tablets or vaginal gel clears most cases in a week.
- Recurrence is common — longer regimens may help.
- An online GP can assess and prescribe.
Symptoms
- Thin, grey or white discharge
- Fishy smell, especially after sex
- Usually no itching or soreness (unlike thrush)
Treatment
- Metronidazole 400 mg twice daily for 5–7 days.
- Metronidazole 0.75% vaginal gel daily for 5 nights.
- Clindamycin 2% cream as alternative.
- Recurrent BV: longer maintenance courses or vaginal probiotics.
Frequently asked questions
Common questions UK patients ask about bacterial vaginosis.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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