Bacterial Vaginosis (BV) Treatment, Diagnosis & Prescriptions

Maple connects you to all the care you need to get bacterial vaginosis (BV) treatment in minutes. We have the largest network of Canadian doctors treating common medical conditions online, including BV.

Online medical diagnosis and treatment for BV is safe and effective, and is already helping millions of patients around the world. Although common, BV often goes untreated due to embarrassment, or failure to recognize warning signs that medical assessment is needed. Our doctors will confidentially review your symptoms in minutes and provide the help you need.

95% of patients using Maple rate their online medical experience as 5 out of 5.

Our doctors fully resolve 91% of all medical requests on Maple, helping you avoid an inconvenient trip to the clinic.

About Bacterial Vaginosis (BV) and common symptoms.

Vaginas contain a type of bacteria called lactobacilli, which keeps the vagina slightly acidic to keep bad types of bacteria from surviving. If lactobacilli levels drop inside the vagina, bad bacteria flourish which causes BV. This can happen to any woman. Factors that put a woman at higher risk are:

  • Sexual activity – having a new sex partner, or multiple sex partners, makes BV more likely; you can also get BV from oral and anal sex
  • Douching – this upsets the natural balance of bacteria in the vagina. Scented soaps, bubble baths, and vaginal deodorants have similar issues
  • Using an intrauterine device (IUD)
  • Smoking

BV is not caused by swimming pools or public toilet seats. Common symptoms of BV include:

  • A burning feeling with urination
  • A thin white, gray, or green vaginal discharge
  • A fishy odour that becomes stronger after sex
  • You’ve tried self-treatment for a yeast infection with an over-the-counter treatment and you’re not getting better

Why you should get your BV assessed.

Most of the time, BV doesn’t cause any other problems. But in some cases, it can lead to issues, like:

  • Surgical infections
  • Sexually transmitted infection (STI)
  • Less success with in vitro fertilization (IVF)
  • Increased rates of miscarriage during pregnancy

If you’re not having any symptoms and you’re not pregnant, you may not need treatment. Your BV may go away on its own. If you do have symptoms, your doctor can prescribe antibiotics. These include:

  • Metronidazole (flagyl) – taken as a pill by mouth (orally). Metronidazole is also available as a topical gel that you insert into your vagina. To reduce the risk of stomach upset, abdominal pain or nausea while using this medication, avoid alcohol during treatment and for at least one day after completing treatment.
  • Clindamycin (Cleocin, Clindesse, others) – available as a cream that you insert into your vagina. Clindamycin cream can weaken latex condoms during treatment and for at least three days after you stop using the cream.
  • Tinidazole (Tindamax) – taken orally. Tinidazole has the same potential for stomach upset and nausea as oral metronidazole does, so avoid alcohol during treatment and for at least one day after completing treatment.

It’s usually not necessary to treat an infected woman’s male sexual partner, but bacterial vaginosis can spread between female sexual partners. Female partners should seek medical assessment and testing.

Meet our doctors

How our doctors will treat your BV on Maple.

Once you log in to Maple, you can request to see a doctor with the click of a button. Our doctors are available 24/7. After you enter your symptoms, we guarantee that a physician will review your request in minutes.

The doctor will quickly determine whether your BV can be treated safely via Maple, or if you need a trip to the clinic for a more in depth assessment. If they can help you right away, your one-on-one consultation begins and typically lasts 15 minutes.

You can choose how you want to talk to the doctor, whether it’s by secure instant message or video. The doctor may ask you questions like “Have you had this issue before?”, “Do you have fever or abdominal pain?” or “Is there any chance you could be pregnant?”. If the doctor determines you would benefit from a prescription, we’ll automatically send it to your pharmacy of choice for pick up.

Our online medical consultations start at $49 and are covered under many existing private Healthcare Spending Accounts. View our FAQ to learn more.

Moving care into communities.

“Fantastic service. Got to speak to a doctor and get what I needed without having to leave my bed. Highly recommend!” – Ronit S.