Can Bacterial Vaginosis (BV) Make You Dry?

Bacterial Vaginosis (BV) is a prevalent vaginal infection. While BV is recognized for characteristic symptoms, its potential link to vaginal dryness often leads to questions. This article explores BV, clarifying its typical presentation and addressing whether it can directly cause vaginal dryness.

What is Bacterial Vaginosis

Bacterial vaginosis is a common vaginal condition resulting from an imbalance in the naturally occurring bacteria within the vagina. BV occurs when certain “bad” bacteria, specifically anaerobes, overgrow and outnumber “good” bacteria like lactobacilli. This shift disrupts the vagina’s natural chemical balance.

Symptoms of bacterial vaginosis can vary, with up to 84% of individuals experiencing no symptoms at all. However, when symptoms are present, they commonly include an unusual vaginal discharge that is thin, off-white, gray, or greenish in color. A strong, “fishy” odor, which often becomes more noticeable after sexual intercourse or during menstruation, is another characteristic sign. Some individuals may also experience vaginal itching or irritation and a burning sensation during urination.

BV and Vaginal Dryness

Vaginal dryness is not a primary or typical symptom directly caused by bacterial vaginosis. However, some individuals with BV may report experiencing dryness or irritation. This can often be attributed to secondary factors associated with the infection, such as the inflammatory response triggered by the infection.

The altered pH balance within the vagina, a hallmark of BV, can also play a role in discomfort. Additionally, the characteristic thin, watery discharge associated with BV might lead to external irritation, which some may perceive as dryness. Certain antibiotic treatments prescribed for BV could temporarily contribute to dryness as a side effect. Therefore, if dryness occurs alongside BV, it is generally considered a secondary issue rather than a direct symptom of the bacterial overgrowth.

Addressing Dryness When You Have BV

Addressing vaginal dryness when BV is present begins with proper diagnosis and treatment of the infection. Treating the underlying infection with prescribed antibiotics, such as metronidazole or clindamycin, often alleviates associated discomforts, including secondary irritation or dryness. Resolving the bacterial imbalance can restore the vaginal environment, potentially mitigating dryness from the infection’s effects.

For persistent dryness, especially if it continues after BV treatment or is unrelated, over-the-counter vaginal moisturizers or lubricants can provide relief. Vaginal moisturizers are for regular use to maintain natural moisture, while lubricants are used as needed, particularly during sexual activity, to reduce friction.

Avoid irritants like harsh soaps, scented products, or douches, which can exacerbate vaginal dryness and disrupt the delicate vaginal environment. If dryness persists, is severe, or impacts daily life even after BV treatment, consult a healthcare provider, as there may be other underlying causes.