Bacterial Vaginosis (BV)

TeenThreads Real‑Talk Guide to a Common Vaginal Imbalance

Why TeenThreads is talking about Bacterial Vaginosis

Bacterial Vaginosis (BV) is one of the most common vaginal conditions in teens and young adults — but also one of the least talked about. Because BV isn’t technically an STI, many teens don’t know what it is, how it happens, or why it keeps coming back.

TeenThreads mission:
👉 Make vaginal health normal. Replace confusion with clarity.

What Is Bacterial Vaginosis? (Simple + Real)

Bacterial Vaginosis happens when the natural balance of bacteria in the vagina gets disrupted. The vagina normally contains “good” bacteria (lactobacilli) that keep things healthy. When “bad” bacteria overgrow, BV develops.

BV is not an STI, but sexual activity can influence it.

Other Name(s)

• BV
• Vaginal bacterial imbalance
• Bacterial overgrowth

(No slang — accuracy matters.)

Difference Between BV and Similar Conditions

BV is often confused with:

• yeast infections
• STIs (chlamydia, gonorrhea, trichomoniasis)
• UTIs
• skin irritation

Key difference:
👉 BV usually causes a fishy odor and thin gray/white discharge, while yeast infections cause itching + thick discharge.

Difference Between Normal and Abnormal State

Normal Vaginal Health:

• Clear or white discharge
• Mild or no odor
• No itching or burning

Possible BV Signs:

• Strong “fishy” odor (especially after sex)
• Thin gray or white discharge
• Mild itching or irritation
• Burning when peeing (sometimes)

TeenThreads reminder:
BV symptoms can be mild — or even invisible.

Types of Bacterial Vaginosis

1️⃣ Mild BV

• Light odor
• Mild discharge changes
• Often goes unnoticed

2️⃣ Moderate BV

• Stronger odor
• Noticeable discharge changes
• May cause discomfort

3️⃣ Recurrent BV

• Comes back 3+ times per year
• Often linked to pH imbalance or lifestyle factors
• May require long‑term management

Causes (Why BV Happens)

BV happens when the vaginal pH becomes less acidic, allowing harmful bacteria to grow.

Common triggers:

• new or multiple sexual partners
• unprotected sex
• douching
• scented soaps or sprays
• tight clothing
• hormonal changes
• natural pH imbalance

Important truth:
👉 BV is not caused by poor hygiene.

Risk Factors

• Sexual activity (especially without condoms)
• Douching or scented products
• New or multiple partners
• Natural pH sensitivity
• Smoking

Risk ≠ blame.

Who Is Vulnerable / Susceptible?

• Teens and young adults
• Anyone with a vagina
• People with frequent pH changes
• People who use scented products

BV is extremely common — millions experience it yearly.

Complications (If Not Managed)

Untreated BV can cause:

• increased risk of STIs
• pelvic inflammatory disease (PID)
• pregnancy complications (in adults)
• recurrent infections

BV itself is not dangerous — but ignoring it can lead to problems.

Prevention (Teen‑Realistic)

• Use condoms
• Avoid douching
• Use unscented soaps
• Wear breathable underwear
• Change out of wet clothes quickly
• Limit scented pads or tampons

Prevention = comfort + confidence.

How BV Develops

Trigger → pH imbalance → harmful bacteria overgrow → odor + discharge changes.

Balance can be restored with treatment.

Common Symptoms

• Strong fishy odor
• Thin gray or white discharge
• Mild itching
• Burning when peeing (sometimes)

Some people have no symptoms at all.

What Other Problems Can Look Like BV?

• Yeast infections
• Chlamydia
• Gonorrhea
• Trichomoniasis
• Allergic reactions

Testing helps avoid confusion.

Diagnosis and Tests

Diagnosis may include:

• symptom review
• pelvic exam
• lab test of discharge

BV is usually easy to diagnose and treat.

Treatment and Therapies

Good news:
BV is very treatable.

Treatment options include:

• antibiotic pills
• antibiotic creams or gels

Key rules:

• finish all medication
• avoid douching
• avoid scented products
• use condoms to help prevent recurrence

Statistics & Reality

• BV is the most common vaginal condition in people ages 15–44
• Many teens experience BV without knowing what it is
• BV is not an STI — but sexual activity can influence it

Alternative / Complementary Treatment

Helpful (with professional guidance):

• probiotics
• stress reduction
• gentle hygiene routines

Not replacements for antibiotics.

New Treatment Approaches

• better understanding of vaginal microbiome
• new antibiotic options
• research on preventing recurrence

Cost of Treatment

• Many treatments are affordable
• Insurance often covers medication
• Clinics may offer low‑cost options

Insurance & Confidentiality

• Clinic visits may be confidential depending on location
• You can ask about privacy before testing
• Many treatments are available by prescription

Prognosis

• Excellent with proper treatment
• Symptoms usually improve within days
• Recurrence is common but manageable

What Happens If No Treatment?

• Worsening odor
• Increased discharge
• Higher risk of STIs
• Possible pelvic complications

BV won’t “fix itself” — treatment helps restore balance.

Living After BV (Teen Life Edition)

• Finish treatment fully
• Switch to unscented products
• Wear breathable underwear
• Use condoms to help prevent recurrence
• Don’t blame yourself — BV is common

Your body isn’t “dirty” — it’s just reacting to a pH imbalance.

Myths vs Facts (TeenThreads Reset)

❌ Myth: “BV means someone is unhygienic.”
✅ Fact: Hygiene has nothing to do with it.

❌ Myth: “BV is an STI.”
✅ Fact: BV is not sexually transmitted.

❌ Myth: “Only adults get BV.”
✅ Fact: Teens get BV too.

❌ Myth: “BV goes away on its own.”
✅ Fact: Many cases need treatment.

When to See a Doctor Now

Get checked if:

• you notice a strong odor
• discharge changes suddenly
• symptoms don’t improve
• you keep getting BV
• you’re unsure if it’s BV or something else

Clarity = comfort.

Trusted Resources (Learn More)

• CDC – Bacterial Vaginosishttps://www.cdc.gov/std/bv/default.htm
• Mayo Clinic – BVhttps://www.mayoclinic.org/diseases-conditions/bacterial-vaginosis
• Cleveland Clinic – BVhttps://my.clevelandclinic.org/health/diseases/3963-bacterial-vaginosis
• MedlinePlus – BVhttps://medlineplus.gov/bacterialvaginosis.html

TeenThreads Final Word

Bacterial Vaginosis is common, treatable, and nothing to be embarrassed about.

You can:

• get treated
• restore balance
• learn your body’s signals
• talk about vaginal health without shame

Your body deserves understanding, not judgment.