Female hands hold white tube of BV cream; male healthcare provider takes a woman's blood pressure measurement with BP cuff; online doctor smiles at telehealth patient from mobile phone

Bacterial vaginosis (BV)

Experiencing abnormal vaginal discharge and a fishy odor? Antibiotic treatments can relieve BV symptoms within days.
Get care from Amazon One Medical with a one-time virtual visit or become a member to easily book an in-office appointment.
Explore ways to get care


Best for
• Booking same/next-day appointments* at offices near you with the app
• Booking primary care visits* for mental health, preventive care, chronic conditions, and more in states where we have offices
• 24/7 on-demand virtual care for quick treatment of common conditions, anywhere in the U.S. at no extra cost.
• Major insurance accepted for in-office and remote visits*


Best for
• Quick treatment of common conditions
• Care by message or video**
• Self-pay visits – no insurance accepted or needed
• FSA/HSA eligible
Common conditions
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Select Rx renewal
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How to access care
One Medical app
Schedule visits, in-office or remote*
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Message with your care team
On demand
24/7 on-demand virtual care via message** and video
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Membership fee
$9/mo or $99/yr for Prime members
$199/yr for non-Prime members
No membership fee
Prime membership required
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Cost for on-demand virtual care
Included in the membership
$29 or $49
Accepted for scheduled visits
Not accepted
FSA/HSA eligible
Accepted for scheduled visits
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*These appointments will be billed to you or your insurance
**Messaging via Pay-per-visit is only available in 34 states
Learn more details via our FAQs

Get help for BV and other health concerns




45% savings
with Prime
There’s no nearby One Medical office based on your address
But you can still access 24/7 on-demand care with the One Medical app
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Book same/next day in-office appointments via the app
Scheduled visits (in-office/remote) billed to your insurance separately (cost sharing applies). One Medical accepts most insurance.
For $9/month, you can
• Book same/next day appointments at offices near you with the One Medical app
• Get 24/7 on-demand virtual care via video or messaging
• Send and receive secure messages with your care team
• Easily request prescription refills and renewals

Quickly treat BV with 24/7 virtual care

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*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
3. You have 14 days to follow up with the provider on any questions you may have
Amazon Clinic is now Amazon One Medical
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What is bacterial vaginosis (BV)?

BV is a type of vaginitis caused by an overgrowth of unwanted bacteria in the vagina. These bacteria can throw off the natural balance of the vaginal microbiome, leading to uncomfortable symptoms. If you have BV, specialized antibiotics can help restore your protective vaginal flora.

What are BV symptoms?

• Abnormal vaginal discharge
• Itchiness
• “Fishy” odor that’s worse after sex or during your period

Is Pay-per-visit right for me?

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You're 18-64
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You've been diagnosed with bacterial vaginosis (BV) in the past
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You’re experiencing BV symptoms like abnormal discharge and/or a fishy odor
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This is the first time you've had BV within the past 30 days
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You’ve had BV fewer than 4 times this year
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You haven't given birth within the past month

Common BV medications

Your Amazon One Medical provider will determine which (if any) BV treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed medication, pick it up at a pharmacy of your choice. The cost of your prescribed medication may be covered by health insurance.
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Topical antibiotics
• Clindamycin cream (Cleocin)
• Metronidazole gel (Metrogel Vaginal)
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Oral antibiotics
• Metronidazole (Flagyl)
• Tinidazole (Tindamax)

More care for women's health

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Birth control

Amazon One Medical makes it easy to get your annual prescription.
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Period cramp relief

Specialized NSAIDs can target the root of period pain.
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Urinary tract infections cause painful and frequent urination.
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Not sure where to start?

For a one-time fee of $49, a One Medical provider can diagnose and treat common health complaints, renew prescriptions, and answer your questions in real time. Restrictions apply.

Frequently asked questions

About Amazon One Medical

What are my telehealth options for this condition?
Amazon One Medical offers multiple ways to get care from the comfort of your own home.

If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care with Treat Me Now or Urgent Video Chat via the One Medical app at no extra cost, no matter where you live in the United States.

If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers two types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available for $49 in all 50 states and D.C. Message-only visits are currently available for $29 in 34 states.

To see your Pay-per-visit options, first choose your state.
Can I use my health insurance for Pay-per-visit?
Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
What happens if my provider can't diagnose or treat my health issue through Amazon One Medical Pay-per-visit?
If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.
How does Amazon One Medical protect my health information?
Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.

We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.

Amazon does not sell customers’ personal information, including PHI.

About BV

What's the difference between bacterial vaginosis and a yeast infection?
BV and vaginal yeast infections are both types of vulvovaginitis, which is the general name for inflammation of the vagina or vulva. BV is the most common type of vaginitis, followed by vaginal yeast infections, then trichomoniasis (also known as trich).

BV and vaginal yeast infections may have some overlapping symptoms, like itchiness and discomfort. But BV is associated with a fishy odor, while yeast discharge is odorless. BV discharge also tends to be thin, grayish, or foamy, while yeast infection discharge tends to be thick, white, or like cottage cheese.

You're in the right place to get bacterial vaginosis treatment. If you think you have a vaginal yeast infection, we recommend that you start from Amazon One Medical's Vaginal yeast infection page.

If you think you have trich, a sexually transmitted infection (STI), you'll need to see a primary care provider for lab testing.
Can bacterial vaginosis go away on its own?
BV goes away on its own in about 30% of cases, but oral or vaginal antibiotics can relieve BV symptoms within days as opposed to weeks or months.
How long do I need to treat a vaginal bacterial infection?
Depending on the type of medication, you'll need to use the prescription BV treatment for 2 to 7 days.
What causes bacterial vaginosis?
Bacterial vaginosis is caused by vaginal dysbiosis, which in this case means too much bacterial diversity in the vaginal microbiome. A healthy vaginal environment contains mostly Lactobacillus bacteria—and sometimes just these bacteria.

Lactobacilli produce enough lactic acid to keep vaginal pH levels under 4.5. When more species of bacteria colonize the vagina, lactic acid production goes down and pH levels go up. The vaginal microbiome also loses some of its antimicrobial, antiviral, and anti-inflammatory properties.

Although BV isn't generally defined as a sexually transmitted infection (STI), it often spreads through sexual contact. The pathogenic bacteria that characterize BV can be introduced through a variety of sexual activities, including sex without a condom or a recent change in sexual partners.
How can I prevent another BV infection?
BV can spread through poor genital hygiene practices. To lower the risk of spreading bacteria, providers recommend the following BV prevention methods:
• Don't use vaginal douches
• Change your underwear frequently
• Urinate after having sex
Finally, smoking cigarettes, being overweight or obese, and high-fat diets have also been associated with BV risk.
Are there any natural remedies for BV?
Some research has shown that probiotics can help prevent BV from recurring after initial treatment. While antibiotics act directly on "bad" bacteria, Lactobacillus probiotics may help your body reestablish a healthy vaginal microbiome.

You can consume probiotics naturally through foods like yogurt, or you can take probiotic supplements.
What are the risks of having BV?
Vaginal bacterial infections often cause quality-of-life issues, but BV can also increase certain health risks. Less "good" bacteria in the vaginal microbiome can make a person more vulnerable to other infections of the genital tract.

For example, someone with bacterial vaginosis is more likely to contract an STI like herpes, human papillomavirus (HPV), or HIV. They may also be more vulnerable to urinary tract infections (UTIs) and pelvic inflammatory disease (PID).

BV in pregnancy can increase the risk of preterm labor and other pregnancy complications. If you're pregnant and you're experiencing BV symptoms, you're eligible for treatment through Amazon One Medical Pay-per-visit.

If you're pregnant without symptoms of BV and want to lower your risk, you'll need to discuss your options with a primary care provider.
Clinical sources
1. Abou Chacra, L., Fenollar, F., & Diop, K. (2022). Bacterial Vaginosis: What Do We Currently Know?. Frontiers in cellular and infection microbiology, 11, 672429. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8805710/
2. Coudray, M. S., & Madhivanan, P. (2020). Bacterial vaginosis-A brief synopsis of the literature. European journal of obstetrics, gynecology, and reproductive biology, 245, 143–148. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6989391/
3. Fredricks, D. N., Fiedler, T. L., & Marrazzo, J. M. (2005). Molecular identification of bacteria associated with bacterial vaginosis. The New England journal of medicine, 353(18), 1899–1911. Retrieved from https://pubmed.ncbi.nlm.nih.gov/16267321/
4. Muñoz-Barreno, A., Cabezas-Mera, F., Tejera, E., & Machado, A. (2021). Comparative Effectiveness of Treatments for Bacterial Vaginosis: A Network Meta-Analysis. Antibiotics (Basel, Switzerland), 10(8), 978. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8388924/
5. Webb L. (2021). Probiotics for preventing recurrent bacterial vaginosis. JAAPA : official journal of the American Academy of Physician Assistants, 34(2), 19–22. Retrieved from https://pubmed.ncbi.nlm.nih.gov/33448711/