What Does BV Really Look Like? The Symptoms Women Don’t Talk About

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What does BV look like???

Ever noticed something “off” down there—but weren’t sure what it meant? You’re not alone. Around 1 in 3 women will experience bacterial vaginosis (BV) at some point, and many won’t even realize it.

Introduction:

Let’s be real—talking about vaginal health still feels taboo for a lot of us. Whether it’s confusion, embarrassment, or just not knowing what’s “normal,” many women are left wondering what’s actually going on with their bodies.

One condition that gets talked about far too little is bacterial vaginosis (BV). It’s incredibly common, yet often misunderstood. If you’ve ever Googled "weird smell after sex" or “grey discharge,” you’ve likely stumbled across the term. But what does BV really look like? And more importantly, what does it feel like?

In this blog, we’ll break it all down—from the obvious symptoms to the ones that sneak by unnoticed. You’ll also hear some real-life experiences (because honestly, textbook definitions don’t always match real life), and we’ll share ways to manage, prevent, and feel confident in your body again.

What Is Bacterial Vaginosis (BV)?

Bacterial vaginosis is an imbalance in the bacteria normally found in the vagina. The vagina is home to both “good” bacteria (mostly lactobacilli) and other microorganisms. When the good bacteria are outnumbered by anaerobic (bad) bacteria, BV can occur.

Causes of BV Can Include:

  • Douching

  • Having a new sexual partner or multiple partners

  • Not using protection during sex

  • Hormonal shifts

  • Certain soaps or perfumed products

Important Note: BV is not a sexually transmitted infection, but sexual activity can increase your risk.

What Does BV Actually Look and Feel Like?

1. Fishy Smell (Especially After Sex)

This is the most talked-about symptom—and for a reason. That classic “fishy” odour (sorry, we know it’s not cute) often becomes stronger after sex because semen changes the pH of your vagina.

2. Grey or Thin White Discharge

While most women expect discharge to look “cottage cheese-like” (thinking of thrush), BV is more watery. It can be grey, off-white, or even slightly greenish. It usually doesn’t come with itching, which can make it hard to detect.

3. Mild Discomfort or Itching

Unlike thrush, BV doesn’t typically cause intense itching. But some women do report light irritation, especially externally. It’s more of an annoyance than a sharp pain.

4. Burning When Peeing

This isn’t as common but can happen—especially if there’s irritation around the vaginal opening.

5. No Symptoms at All

That’s right. Up to 50% of women with BV don’t experience noticeable symptoms. They may only find out they have it during a pap smear or STI test.

Anecdotes: Real Women, Real Experiences

Jess, 34
I remember noticing a weird smell every time after sex and feeling embarrassed, like maybe it was poor hygiene on my part. It wasn’t until I talked to my doctor that I found out it was BV and nothing I was doing wrong.”

Mel, 26
For me, BV didn’t come with any smell at all—just a weird thin discharge that made me feel ‘off.’ I thought I had thrush, but it wasn’t itchy. I didn’t even realize it could be BV until I googled it and went to the clinic.”

Tania, 40
I kept getting BV every few months. It wasn’t until I changed my soap and started using pH-friendly products that it finally stopped recurring.”

Your Top Questions Answered

Can I Treat BV at Home?

Yes and no. There are over-the-counter products that claim to help restore pH balance, but it’s best to see your doctor if it’s your first time experiencing symptoms. Metronidazole (oral or gel) is the most common prescription.

Will It Go Away on Its Own?

Sometimes, yes—but not always. If left untreated, BV can increase your risk of STIs, pelvic inflammatory disease, and even complications during pregnancy. It’s worth treating properly.

Can Men Get BV?

Men can’t technically “get” BV, but unprotected sex with a new partner can contribute to the imbalance. It’s about the bacteria—not an infection being passed back and forth.

Is It My Fault?

Absolutely not. BV is about balance, not cleanliness or hygiene. You could shower daily, wear cotton underwear, avoid sex, and still get it. It’s just one of those things.

What Can I Do to Prevent It?

  • Avoid douching or using scented products

  • Use protection during sex

  • Don’t over-wash (yes, that’s a thing)

  • Use products that support your vaginal microbiome

Tip: Après is a great post-intimacy product that helps you feel clean and fresh without disrupting your natural pH.

Key Takeaways

  1. BV is a common vaginal condition caused by a bacterial imbalance.

  2. The main symptom is a fishy odor, especially after sex.

  3. Discharge may appear thin, grey, or watery—but symptoms can vary.

  4. Up to 50% of women with BV won’t notice any symptoms.

  5. BV is not an STI, but sex can trigger or worsen it.

  6. You can treat BV with antibiotics—either oral or gel-based.

  7. Over-the-counter pH-balanced products can help maintain vaginal health.

  8. Avoid douching, scented soaps, and tight synthetic clothing.

  9. Recurring BV may require a change in routine or lifestyle.

  10. You are not alone—and you are not unhygienic.

References & Citations

  • Centers for Disease Control and Prevention (CDC) – Bacterial Vaginosis Facts

  • Mayo Clinic – Bacterial Vaginosis Overview

  • NHS (UK) – BV Symptoms & Treatment

  • Australian Government Department of Health – Women’s Reproductive Health

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