Bacterial vaginosis (BV) treatment from an online doctor or nurse practitioner. Request a prescription for BV medication like metronidazole to treat BV symptoms. Upfront pricing. No appointment or insurance needed.
Bacterial vaginosis (BV) treatment from an online doctor or nurse practitioner. Request a prescription for BV medication like metronidazole to treat BV symptoms. Upfront pricing. No appointment or insurance needed. 4.9 408
Women, ages 18-64
This is right for you if
You’re experiencing bacterial vaginosis symptoms like abnormal discharge and/or a fishy odor
You’ve had fewer than 4 yeast infections in the past year

Did you know?

• Up to 95% of the bacteria in a healthy vagina is a species of Lactobacillus
• Bacterial vaginosis (BV) is associated with a decrease in these protective bacteria and an increase in pathological bacteria like Gardnerella vaginalis
• The vaginal flora of someone with BV contains up to 17 times more species of bacteria than the flora of someone without BV
• If you have BV, specialized antibiotics can help restore a healthy vaginal microbiome

What's included

Personalized bacterial vaginosis (BV) treatment plans may include a prescription for a BV medication. Your online doctor or nurse practitioner may also recommend over-the-counter BV treatments and BV self-care practices. You can message your clinician with follow-up questions for 14 days after you get your treatment plan.
Concerned about more than vaginitis?
Commonly prescribed BV medications
  • Metronidazole gel (Metrogel)
  • Clindamycin cream (Cleocin)
Compare clinics
This chart is for informational purposes only. Your clinician will determine treatment plans, prescriptions, and number of refills (if any) based on your symptoms and health history.
Bacterial vaginosis (BV) treatment isn’t available at Curai Health, SteadyMD, or Wheel at this time. Alpha has licensed clinicians (like MDs, DOs, and NPs). At Alpha, the typical prescription is a 5- to 7-day supply and 0 refills.

What you’ll need

A photo ID, like a driver's license or passport, if we need additional identity verification
5 to 10 minutes to answer questions about your symptoms and health history

How it works

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Choose an online clinic
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Fill out an intake form
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Connect with a clinician, no appointment needed
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Get a personalized treatment plan
You can message your clinician with follow-up questions for 14 days after you get your treatment plan.
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You should know
Based on your health information, your clinician may recommend that you see a healthcare provider in person. If that happens, you won’t be charged for your visit. Amazon Clinic doesn’t accept insurance at this time, and isn’t intended for beneficiaries of government payor programs, including Medicare and Medicaid.

Frequently asked questions

What are the symptoms of bacterial vaginosis (BV)?
BV symptoms commonly include a "fishy" vaginal odor that may be more noticeable after vaginal penetration or during your period. This fishy vaginal smell is caused by the release of a chemical called trimethylamine in the vaginal fluid.

Another common sign of BV is a thin, gray (or whitish-gray) vaginal discharge.

Although 29% of American women of childbearing age have bacterial vaginosis, only about half of them have BV symptoms.
What vaginitis medications can I get through Amazon Clinic?
Your clinician may prescribe one of the following BV antibiotics:
• Metronidazole, which can come in vaginal gel or oral (tablet) form
• Clindamycin, which can come in cream, oral (tablet), or vaginal suppository (ovule) form
• Tinidazole, which comes in oral (tablet) form
Depending on the BV medication and the form, you'll need to use the treatment for 2 to 7 days for your vaginal bacterial infection. At this time, clinicians won't prescribe single-dose BV medication through Amazon Clinic. Research shows that these drugs are less effective than multiday treatments.

If your clinician determines that you have a mixed vaginitis infection, they may also prescribe a vaginal yeast infection medication like fluconazole (Diflucan).

Please note: This information is for general reference only. Your clinician will review your symptoms and health history to determine which (if any) BV treatments are medically appropriate.
What causes bacterial vaginosis and how can I prevent it?
Bacterial vaginosis is caused by vaginal dysbiosis, which in this case means too much bacterial diversity in the vaginal microbiome.

A healthy vaginal environment contains mostly Lactobacillus bacteria—and sometimes just these bacteria. Lactobacilli produce enough lactic acid to keep vaginal pH levels to under 4.5. When more bacteria species colonize the vagina, lactic acid production goes down and pH levels go up. The vaginal microbiome also loses some of its antimicrobial, antiviral, and anti-inflammatory properties.

BV often spreads through sexual contact, though it's not generally defined as a sexually transmitted infection (STI). The pathogenic bacteria that characterize BV can be introduced through a variety of sexual activities, including sex without a condom or a recent change in sexual partners.

BV can also spread through poor genital hygiene practices. To lower the risk of spreading bacteria, clinicians recommend the following BV prevention methods:
• Don't use vaginal douches
• Wipe front to back after using the bathroom
• Change your underwear frequently
• Urinate after having sex
Finally, smoking cigarettes, being overweight or obese, and high-fat diets have also been associated with BV risk.
Are there any natural remedies for BV?
Some research has shown that probiotics can help prevent BV from recurring after initial treatment. While antibiotics act directly on "bad" bacteria, Lactobacillus probiotics may help your body reestablish a healthy vaginal microbiome. You can consume probiotics naturally through foods like yogurt, or you can take probiotic supplements.
Can bacterial vaginosis go away on its own?
BV goes away on its own in about 30% of cases, but oral or vaginal antibiotics can relieve BV symptoms within days as opposed to weeks or months.
What's the difference between bacterial vaginosis and a yeast infection?
BV and vaginal yeast infections are both types of vulvovaginitis, which is the general name for inflammation of the vagina or vulva. BV is the most common type of vaginitis, followed by vaginal yeast infections, then trichomoniasis (also known as trich).

BV and vaginal yeast infections may have some overlapping symptoms, like itchiness and discomfort. But BV is associated with a fishy odor, while yeast discharge is odorless. BV discharge also tends to be thin, grayish, or foamy, while yeast infection discharge tends to be thick, white, or like cottage cheese.

You're in the right place to get bacterial vaginosis treatment or treatment for a mixed infection of BV and vaginal yeast infection. If you think you have a yeast infection alone, you can start a visit from Amazon Clinic's Vaginal yeast infection treatment page. If you think you have trich, you'll need to see a trusted healthcare provider for lab testing.
What are the risks of having BV?
Vaginal bacterial infections often cause quality-of-life issues, but BV can also increase certain health risks. Less "good" bacteria in the vaginal microbiome can make a person more vulnerable to other infections of the genital tract. For example, someone with bacterial vaginosis is more likely to contract an STI like herpes, human papillomavirus (HPV), or HIV. They may also be more vulnerable to urinary tract infections (UTIs) and pelvic inflammatory disease (PID).

BV in pregnancy can increase the risk of preterm labor and other pregnancy complications. If you're pregnant and you're experiencing BV symptoms, you're eligible for treatment through Amazon Clinic.

If you're pregnant without symptoms of BV and want to lower your risk, you'll need to discuss your options with a trusted healthcare provider like an obstetrician-gynecologist (OB-GYN).
What types of visit can I have?
Video visits are available in all 50 states and D.C. Message-only visits are available in 34 states. To see your visit options, first choose your state.
How does Amazon Clinic protect my health information?
Amazon Clinic protects your health information by strictly following the requirements of the Health Insurance Portability and Accountability Act (HIPAA). HIPAA governs what Amazon Clinic and your healthcare providers can do with your medical information, as well as your contact and payment information. Amazon Clinic doesn’t and will never sell your personal information. Learn more on our privacy page.
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  2. Coudray, M. S., & Madhivanan, P. (2020). Bacterial vaginosis-A brief synopsis of the literature. European journal of obstetrics, gynecology, and reproductive biology, 245, 143–148. Retrieved from
  3. Fredricks, D. N., Fiedler, T. L., & Marrazzo, J. M. (2005). Molecular identification of bacteria associated with bacterial vaginosis. The New England journal of medicine, 353(18), 1899–1911. Retrieved from
  4. Muñoz-Barreno, A., Cabezas-Mera, F., Tejera, E., & Machado, A. (2021). Comparative Effectiveness of Treatments for Bacterial Vaginosis: A Network Meta-Analysis. Antibiotics (Basel, Switzerland), 10(8), 978. Retrieved from
  5. Webb L. (2021). Probiotics for preventing recurrent bacterial vaginosis. JAAPA : official journal of the American Academy of Physician Assistants, 34(2), 19–22. Retrieved from