How to Treat BV Safely Before or During Pregnancy

Bacterial Vaginosis (BV) is an infection that may increase the risk during pregnancy if neglected. The risk is the same for women trying to conceive. This infection should not be taken lightly, and receiving the correct treatment on time is crucial. This blog explains what BV is and how it may affect your pregnancy or its chances. It also discusses several tips and treatment options to manage it.

Pregatips
Your health is the most crucial aspect, whether you are trying to conceive or are already pregnant. You may be paying attention to your eating habits, medications, or supplements, as well as the slightest changes in your body. However, it is easy to overlook bacterial vaginosis (BV), an infection that can be harmful if left untreated.



It is always beneficial to be aware of such infections that may lower your chances of conceiving a baby or have severe effects on your pregnancy. Learning about BV will help you take preventive measures or treatment on time.


What is BV (Bacterial Vaginosis)?

Generally, your vagina contains both beneficial and harmful bacteria. BV is a vaginal infection which affects most women due to the overgrowth of bad bacteria in the vagina.

It is natural to consider the cause of BV to prevent it. Many think that poor hygiene is the main reason, but that is a misconception. It is possible to contract BV even with a proper hygiene routine.


Why Should You Be Concerned About BV During Pregnancy?

BV can be risky for your pregnancy if it is ignored or left untreated for a long time. Here are the common risks associated with BV.

  • Preterm labour (early delivery)
  • Low birth weight
  • Miscarriage (in severe cases)
  • Infections after delivery

BV can be equally harmful to you if you are not pregnant yet, as it can make it harder to conceive. It can also increase the risk of getting a sexually transmitted disease. Therefore, diagnosing and treating it as early as possible is critical for your reproductive health.


Signs You Might Have BV

You may not experience any symptoms, but the following symptoms are common in most cases.

  • A thin, greyish-white discharge.
  • A strong fishy smell, especially after sex.
  • Burning sensation during urination.
  • Itching around the outside of your vagina.

Consult your doctor immediately in case you experience any of these symptoms for a proper diagnosis.


How Can You Treat BV Safely Before or During Pregnancy?

BV can be treated safely using the following treatments and medications.

1. Antibiotics Prescribed by Your Doctor

Your doctor may prescribe pregnancy-safe medicines like metronidazole or clindamycin. These are either taken orally in the form of tablets or applied as vaginal creams or gels. Please avoid buying products from a pharmacy store without your doctor’s approval.

2. Do Not Self-Medicate

Self-treatment can do more harm than good, especially during pregnancy. The products may disturb the natural pH balance of your vagina or may not be safe for your baby’s growth. Always consult your doctor before using such products.

3. Practice Good Vaginal Hygiene

Following good hygiene practices for your vaginal health is important to prevent BV from recurring.

  • Scented products like soap or sprays are harmful to your vagina.
  • Wipe from front to back after using the toilet.
  • Wear cotton underwear and change it daily.
  • Use only water to keep your vagina clean.

4. Maintain a Healthy Diet

Your diet is a crucial factor in enhancing your body's immune system. Always eat a balanced diet rich in all the vital nutrients.

  • Yoghurt and probiotics help increase the number of beneficial bacteria necessary to balance your vaginal flora.
  • Fruits and vegetables are rich in vitamins and minerals that promote healing and immunity.

Food helps your body stay strong and recover better during the treatment of BV.

5. Follow Up With Your Doctor

Please complete the entire course of your antibiotics and schedule a follow-up even if your symptoms subside. BV may return, so regular check-ups help prevent complications.

Also, your doctor may suggest regular monitoring in the coming weeks if you have had BV once during pregnancy.


Can BV Be Prevented?

You cannot prevent BV, but you can lower your risk.

  • Wear breathable underwear.
  • Avoid multiple sexual partners.
  • Use condoms if you are not trying to conceive.
  • Do not use vaginal douches or harsh products on your intimate area.

These are essential tips to maintain the natural balance of bacteria in your vagina.


BV and Trying to Conceive: What Should You Do?

It is best to treat BV before you conceive because a healthy vaginal environment will make it easier to conceive.

Your doctor may suggest that you wait for a couple of weeks before trying to conceive again after the treatment.


When to See a Doctor Immediately

You must contact your doctor in case of the following conditions.

  • You notice smelly vaginal discharge.
  • You feel burning or irritation.
  • You are pregnant and feel any kind of lower abdominal pain or unusual discharge.
  • You had BV earlier, and the symptoms return.

Diagnosing and treating BV earlier is beneficial for both you and your baby.

BV is a treatable condition, but it requires prompt medical care. Please do not ignore any signs of BV and get treatment immediately if you are pregnant or are trying to conceive.
Always consult your doctor for advice on managing BV rather than treating it on your own. It will help avoid complications during pregnancy.


FAQs on How to Treat BV Safely Before or During Pregnancy


  1. Can I treat BV naturally during pregnancy?
    Although natural remedies, such as yoghurt and probiotics, are helpful, it is best to consult your doctor for treatments to completely cure BV. Treating it naturally can be difficult, especially when you are pregnant.
  2. Will BV go away on its own if I’m pregnant?
    Some cases of BV may not require treatment. However, you must not take chances when you are pregnant, as it can be too risky to wait for long.
  3. Is it safe to use vaginal creams during pregnancy?
    Your doctor's approval is necessary before using any type of vaginal creams or gels during pregnancy. Please avoid taking chances by using over-the-counter products, as they can have harmful side effects.
Disclaimer: Medically approved by Dr Prajakata Jadhav, gynaecologist, Saraswati Hospital, Ahmednagar, Maharashtra