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Bacterial vaginosis (BV) treatment - Online visit

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Virtual visit
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*Prices vary by location
Get virtual care from a licensed clinician quickly—no appointment necessary.
Answer some health questions and connect with a clinician
Pick up any prescribed medication at a pharmacy of your choice or have it delivered
Pay a flat visit fee without surprise bills (insurance not accepted)
Your health data is secure and protected by our practices and by law
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What is bacterial vaginosis (BV)?

BV is a type of vaginitis caused by an overgrowth of unwanted bacteria in the vagina. These bacteria can throw off the natural balance of the vaginal microbiome, leading to uncomfortable symptoms. If you have BV, specialized antibiotics can help restore your protective vaginal flora.

What are BV symptoms?

• Abnormal vaginal discharge
• Itchiness
• “Fishy” odor that’s worse after sex or during your period

Common BV medications

Your clinician will determine which (if any) BV treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed medication, pick it up at a pharmacy of your choice. The cost of your prescribed medication may be covered by health insurance.
Icon of a prescription bottle and pills
(pills or gel)
Icon of a prescription bottle and pills
(pills or cream)
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How it works
Treatment for women, ages 18-64
No appointment needed
Start an online visit with U.S.-licensed clinicians quickly and discreetly, whenever works best for you.
Pick your online provider
All participating providers offer affordable prices and care at your convenience.
Answer some questions and connect with a clinician
We'll ask some questions about your symptoms and health history and what you're looking for, then connect you with a clinician within hours.
Personalized treatment
Your clinician will review your health history and symptoms, then help you find the best treatment.
Pick up your medication at a pharmacy of your choice or get free, discreet shipping from Amazon Pharmacy. The cost of medication isn't included in your visit. You'll need to pay for it separately at the pharmacy.
Follow-up care
Unlimited messaging with your clinician for 14 days after you receive your treatment plan. Ask questions about your treatment, or change or adjust your medication.
Frequently asked questions
Is this visit right for me?
This visit may be 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
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 yeast. If you think you have a vaginal yeast infection alone, you can start a visit from Amazon Clinic's Vaginal yeast infection treatment page. If you think you have trich, a sexually transmitted infection (STI), you'll need to see a trusted healthcare provider for lab testing.
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.
How long do I need to treat a vaginal bacterial infection?
Depending on the medication and the form, you'll need to use the prescription BV treatment for 2 to 7 days.

At this time, clinicians won't prescribe single-dose BV medication through Amazon Clinic. Research shows that these drugs are less effective than multiday BV treatments.
What causes bacterial vaginosis?
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.
How can I prevent another BV infection?
BV can 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.
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.
Can I use my health insurance to pay for a visit and/or medication?
Amazon Clinic doesn't accept health insurance for visits at this time. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through Amazon Clinic. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
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.
1. Abou Chacra, L., Fenollar, F., & Diop, K. (2022). Bacterial Vaginosis: What Do We Currently Know?. Frontiers in cellular and infection microbiology, 11, 672429. Retrieved from
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