Bacterial vaginosis is a condition of the vagina which is characterized by disrupting the normal vaginal flora and the occurrence of symptoms characterized by: abundant vaginal odor (fetid), nearly constant itching, pain and local burning. In some cases this condition is asymptomatic or its manifestations may go unnoticed quite easily (especially for those whose disagreeable and pungent odor is not foreign, but on the contrary…).

Vagina hosts a large proportion of bacteria that are beneficial to the body, but also a small ”dose” of harmful bacteria. Therefore, once with the reversal of that proportion of the two sides, implicitly changes the pH of the vagina, which results in the occurrence of the disease.

The initial name of bacterial vaginosis was Vaginosis with Gardnerella due to the germ proliferated excessively, but subsequently was found that there are many more species that can perturb the equilibrium of the vaginal flora, so the name was changed.

The exact mechanism of developing bacterial vaginosis is not known, but it was found that there is produced a decrease in the normal number of lactobacilli (bacteria capable of converting sugars into lactic acid), respectively the overgrowth of anaerobic bacteria (organisms capable of living in an Oxygen free environment).

Oddly, we will never meet bacteria so resistant that by their action, for example, to remove wrinkles or stretch marks. Like weeds that can grow including in a crack in the asphalt, everything is bad it develops extraordinarily well, with minimum requirements, in conditions where any beneficial effect would be impossible.


Risk factors in the occurrence of bacterial vaginosis. Factors that cause bacterial vaginosis with Gardnerella vaginalis are all those that can alter vaginal pH: antibiotics, hormonal variations, decreased immunity, multiple partners or sex with a new partner (a woman's vaginal flora takes time and multiple sexual contacts to accommodate with the flora of a man).

Bacterial vaginosis is not considered a sexually transmitted disease, it can also occur in women who have not yet started their sexual life or who are inactive in this regard.

Generally, the men are not affected by this problem. And could we blame the bacteria that refuse the male “environment”?  


Diagnosis. Bacterial vaginosis is diagnosed based on the symptoms, on the genital examination and microscopic examination of samples taken from the vaginal discharge. When the microscope finds that there is a small number of lactobacilli and a greater number of other bacteria, the diagnosis is obvious.


Treatment. Vaginosis treatment is recommended by the doctor depending on a few factors specific to each woman. For example, if the infection is symptomatic, if it affects the vulva, if it has other associated infections, there can be used both local treatment, usually vaginal ovules (either prepared in pharmacy or pharmaceutical products already on the market) and orally administrable tablets. At the beginning of the treatment, it is recommended vaginal douche with special products or teas recommended by physicians. The partner treatment was not proven useful. Unfortunately, vaginosis with Gardnerella vaginalis recurs whenever vaginal flora is disturbed.


Warning: When using creams that contain mineral oil, you should know that they affect the integrity of latex and rubber products such as condoms and diaphragms which are made of these materials. Thus, there is a risk of an unwanted pregnancy or contacting other diseases (sexually transmitted). Using this cream does NOT mean that you have to forget about protection, but only to sex. If sexual abstinence is unacceptable (good for you), you can use polyurethane condoms without any problem.