Bacterial Vaginosis Complications – When to See a Doctor
While Bacterial Vaginosis is generally not dangerous, it can lead to serious health complications if left untreated — especially for pregnant women and individuals at risk for sexually transmitted infections. Learn more about bacterial vaginosis complications below.
Possible complications of untreated or recurrent BV include:
- Increased risk of STIs
- BV makes the vaginal environment more vulnerable to infections such as HIV, herpes, gonorrhoea, and chlamydia.
- The imbalance of bacteria reduces natural protective mechanisms.
- Pregnancy complications
- BV has been linked to preterm birth, low birth weight, and infections after delivery.
- Pregnant women with BV are usually treated early to reduce risk.
- Pelvic Inflammatory Disease (PID)
- BV can increase susceptibility to PID if combined with another STI.
- PID can lead to infertility, chronic pelvic pain, or ectopic pregnancy.
- Post-surgical infections
- BV may raise the risk of infection following procedures such as a hysterectomy, abortion, or IUD insertion.
You should see a doctor if:
- You notice an unusual vaginal odour or discharge
- Symptoms persist after completing treatment
- You have recurring episodes of BV (more than 3 times in a year)
- You are pregnant and have any signs of infection
- You experience pelvic pain, fever, or bleeding — which may signal a more serious issue
BV is not a reflection of cleanliness, and no woman should feel ashamed for seeking care. In South Africa, reproductive health clinics and community-based services can provide confidential, judgement-free treatment.
Bacterial Vaginosis Complications
Doctors usually don’t treat partners unless the woman experiences repeated reinfections. However, practising safe sex and avoiding irritants can help break the cycle of recurrence.
Prompt treatment can clear BV quickly, but maintaining a healthy vaginal microbiome requires understanding and addressing the underlying risk factors.
👉 [Next: Living Well – Preventing BV and Promoting Vaginal Health]
