Vaginosis refers to infections in the vagina caused by an imbalance of normal bacteria or by yeast (fungus).

• Bacterial Vaginosis (BV): Too much “bad” bacteria, not enough “good” bacteria.

• Fungal Vaginosis (Yeast Infection): Caused by overgrowth of Candida yeast.

• BV: Thin, gray/white discharge, strong fishy odor, mild irritation.

• Yeast: Thick white “cottage cheese” discharge, itching, redness, burning.

• Bacterial Vaginosis:

  • Prescription antibiotics (e.g., metronidazole pills/gel, clindamycin cream).

• Yeast Infection (Fungal Vaginosis):

  • Antifungal medications (e.g., fluconazole pill, or creams/suppositories like miconazole or clotrimazole).

• BV: Usually 5–7 days with pills or vaginal creams/gels.

• Yeast: Can be 1–7 days, depending on whether oral or topical medicine is used.

It’s best to avoid sex until treatment is complete and symptoms are gone. Treatment may weaken condoms or diaphragms if using creams.

Yes, both BV and yeast infections can return. Some women may need repeated or longer treatment if infections are frequent.

• BV: Usually partners do not need treatment.

• Yeast: Partners typically don’t need treatment unless they also have symptoms.