How to prepare for a video visit about Bacterial Vaginosis (BV)

Audience: adult

Bacterial Vaginosis (BV) is a common vaginal condition caused by an imbalance of bacteria. It often leads to symptoms like unusual discharge, odor, or mild irritation. Preparing for a video visit about BV can help you get the most from your appointment. During the visit, a healthcare provider will ask about your symptoms, medical history, and sexual activity to understand your situation. They may suggest tests or treatments based on this information. Telemedicine can provide convenient access to care, but some situations require in-person evaluation. Knowing what to expect and how to prepare can make your video visit more effective and comfortable.

Red flags — go in person / ER

• Severe pelvic or abdominal pain — seek emergency care immediately.
• High fever (above 38°C or 100.4°F) with vaginal symptoms — contact your healthcare provider promptly.
• Heavy vaginal bleeding or foul-smelling discharge accompanied by weakness or dizziness — get urgent medical attention.

What telemedicine can do

• Discussing symptoms and medical history related to BV.
• Providing guidance on symptom management and treatment options.
• Advising when in-person evaluation is necessary.

What telemedicine cannot do

• Performing a physical pelvic exam or collecting vaginal samples.
• Diagnosing other conditions that require laboratory tests or imaging.
• Managing severe or emergency symptoms that need immediate care.

What is Bacterial Vaginosis (BV)?

Bacterial Vaginosis is an imbalance of the natural bacteria in the vagina. It is not a sexually transmitted infection but can be linked to sexual activity. Common symptoms include a thin, grayish discharge, a fishy odor, and sometimes mild itching or burning. Some people may have no symptoms at all.

How to Prepare for Your Video Visit

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What to Expect During the Video Visit

Your healthcare provider will ask detailed questions about your symptoms and health history. They may guide you on how to collect a sample for testing if needed or advise you to visit a clinic for a physical exam. Treatment options, including antibiotics, may be discussed based on your symptoms and history.

When to Seek In-Person Care

If your symptoms are severe, such as intense pain, fever, or unusual bleeding, or if you have signs of other infections, an in-person visit is important. Also, if symptoms persist or worsen after treatment, follow-up care in person may be necessary.

Tips for After Your Video Visit

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How to prepare for your tele-visit

• Choose a private, quiet space for your video visit.
• Test your internet connection, camera, and microphone beforehand.
• Write down your symptoms, including onset and changes.
• List current medications and allergies.
• Prepare questions or concerns to discuss with your provider.
• Have a notepad or device ready to take notes during the visit.

After your tele-visit

• Follow the treatment instructions provided by your healthcare provider.
• Complete the full course of any prescribed medication.
• Watch for any side effects or worsening symptoms.
• Avoid vaginal irritants like douches or scented products during treatment.
• Schedule a follow-up appointment if symptoms persist or worsen.

FAQs

Can Bacterial Vaginosis go away on its own?

Sometimes, mild cases of BV may improve without treatment, but it often requires antibiotics to clear the infection fully. Untreated BV can increase the risk of other infections.

Is Bacterial Vaginosis contagious?

BV is not considered a sexually transmitted infection, but sexual activity can affect the balance of bacteria in the vagina and may contribute to BV.

Can I use home remedies to treat BV?

Home remedies are not proven to effectively treat BV. It is best to follow medical advice and use prescribed treatments to ensure proper care.

Will I need a physical exam during my video visit?

A physical exam cannot be done through video. Your provider may recommend an in-person visit if a physical exam or laboratory tests are needed.

What should I do if my symptoms return after treatment?

If symptoms come back, contact your healthcare provider for further evaluation and possible treatment adjustments.

Sources

1. Bacterial Vaginosis — Centers for Disease Control and Prevention (CDC).
2. Bacterial Vaginosis — MedlinePlus, U.S. National Library of Medicine.
3. Bacterial Vaginosis: Overview — Mayo Clinic.
4. Bacterial Vaginosis — Merck Manuals Consumer Version.

This information is for educational purposes only and is not a substitute for professional medical care. Telemedicine guidance cannot replace an in-person examination, diagnosis, or treatment by a qualified healthcare provider. If you experience severe symptoms or emergency signs, seek immediate in-person medical attention.