If you've ever dealt with intense itching, unusual discharge, and a burning sensation when you pee, you've likely had either bacterial vaginosis or a yeast infection. While symptoms can be similar, understanding what sets them apart will help you get the right treatment faster. For prevention, a good first step is to establish a healthy foundation using products from our Daily Maintenance Collection.
In this article, we examine both of these uncomfortable yet common vaginal infections, including the causes, the symptoms, and how to find relief.
What is Bacterial Vaginosis (BV)?
Bacterial vaginosis is an infection caused by an imbalance of bacteria inside the vagina. A healthy vagina contains both "good" bacteria (mostly Lactobacillus) and "bad" bacteria, but when the bad outnumber the good, you can develop BV.
BV is common in women of reproductive age, affecting around one-third of the global female population at various times in their lives. While BV isn't officially classified as a sexually transmitted infection, sexual activity can cause bacterial imbalances.
Risk factors for BV
The following could increase your likelihood of developing bacterial vaginosis:
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Douching
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Using harsh or heavily scented soaps
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Having new or multiple sexual partners
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Smoking
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A history of STIs
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Using an intrauterine device (IUD)
Some women with BV don't have any noticeable symptoms, which is why the condition sometimes goes undiagnosed and untreated.
What is a Yeast Infection?
A yeast infection, which is also called vaginal candidiasis, happens when a fungus called Candida grows out of control. While small amounts of Candida fungus live in the vagina naturally, an overgrowth can happen due to a weakened immune system or other imbalances in the body.
Unlike BV, which is caused by bacteria, yeast infections are purely fungal.
Common triggers for yeast overgrowth
Some of the main yeast infection causes include:
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Antibiotic use
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Hormonal shifts (birth control, pregnancy, hormone therapy)
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High blood sugar levels
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Weakened immune system
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Wearing tight or non-breathable underwear
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Staying in damp clothes for long periods
Symptoms: Yeast vs BV Infection
The easiest way to determine what type of vaginal infection you're dealing with is to look at your symptoms.
Vaginal yeast infection symptoms typically include:
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Thick, white, clumpy vaginal discharge (appearance likened to cottage cheese)
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Intense itching around the vulva and vaginal opening
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Redness and swelling
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Pain during sex
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Burning sensation when urinating
BV symptoms typically include:
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Thin, gray, or white vaginal discharge
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A strong "fishy" odor, especially after sex
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Mild vaginal itching or irritation
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Burning sensation while peeing
Just remember that not all women experience symptoms when they have BV. If you suspect you have this infection, it's best to consult your doctor for a proper diagnosis.
Because symptoms can overlap with certain sexually transmitted infections, misdiagnosis is common. This is why it's always best to speak to a healthcare provider for their professional opinion.
Treatment Options for Yeast and BV
Another way in which BV and yeast infections differ is in their recommended treatments. Let's take a closer look.
How yeast infections are treated
Yeast infections are treated with antifungal medication (either topical vaginal products or oral pills). While there are plenty of over-the-counter treatments available, professional diagnosis is recommended if:
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It's your first infection
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Symptoms are severe
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Infections keep coming back
Many people also choose to support long-term vaginal balance with the doctor-developed products found in our Vaginal Health Collection. For targeted support, our Flora Power Suppositories can help restore your vaginal pH balance.
If you currently have a yeast infection, this blog offers further support: How to Fight Back Against Pesky Yeast Infections.
How BV is treated
BV is typically treated with prescription antibiotics, either in oral pill form or vaginal creams. It's important to finish the entire course of medication, even if your symptoms improve early.
Why Proper Diagnosis Matters
Treating vaginal infections incorrectly can make symptoms worse and delay relief. For example:
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Antibiotics (used to treat BV) can worsen yeast infections
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Antifungal treatments (used to treat yeast infections) won't cure BV
If your symptoms are severe, unfamiliar, or persistent, a healthcare provider can test your vaginal fluid to confirm the cause.
Key Differences at a Glance
While BV and yeast infections share a few similarities, they also have plenty of key differences. The table below provides a quick comparison.
|
Bacterial vaginosis |
Yeast infection |
|
|
Cause |
Bacterial imbalance |
Fungal overgrowth |
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Discharge |
Thin gray/white discharge |
Thick, white, and clumpy |
|
Odor |
Strong, fishy smell |
Usually mild or odorless |
|
Itching |
Mild to moderate |
Often intense |
|
Treatment |
Antibiotic medications |
Antifungal treatment |
For additional comparisons, you may find this blog useful: Yeast Infection vs UTI.
How to Prevent BV and Yeast Infections
While bacterial vaginosis and yeast infections are distinct conditions, similar preventative steps apply to both.
Gentle daily care
Avoid harsh soaps and heavily fragranced products that can easily upset your vaginal microbiome. Instead, use a gentle cleanser like our pH Balancing Cleanser to help maintain hygiene without disrupting your natural balance.
You can also explore other supportive options in our pH Balancing Collection.
Avoid douching
Yes, douching can remove harmful bacteria. But it can also remove beneficial bacteria. Without a healthy supply of Lactobacillus, you are at greater risk of developing yeast infections and bacterial vaginosis.
Practice safe sex
Using condoms and urinating after sex can help keep out harmful bacteria, lowering your chances of developing an infection.
Reduce prolonged moisture
Bacteria and fungi thrive in warm, damp environments. This is why it's so important to change out of wet swimsuits and sweaty workout gear as soon as possible.
Minimize stress levels
When you're very stressed, your immunity tends to drop, opening the door for infection. Reduce your stress levels through relaxation methods like walking, reading, aromatherapy, massages, yoga, and simply taking the time to breathe.
Stay hydrated
Proper hydration is essential for good vaginal and urinary tract health. Aim to drink between 6 and 8 glasses of water a day to keep tissues moisturized and balance your pH.
FAQs
Can I have bacterial vaginosis and a yeast infection at the same time?
Yes. It is possible to experience both conditions at once, especially if antibiotics have disrupted your vaginal microbiome.
Does a fishy odor always mean BV?
A strong fish-like smell is most commonly linked to BV, but proper testing is still the best way to know exactly what you're dealing with.
Can stress trigger vaginal infections?
High stress levels can weaken your immune system, making your body more susceptible to microbiome imbalances and infections.
When should I see a doctor?
If symptoms are severe, unusual, or not improving with basic at-home care, it would be in your best interests to make an appointment with your doctor.
Can boric acid suppositories help yeast infections?
Yes. Boric acid is known to help with yeast infections, especially recurrent ones. Some people also use these boric acid suppositories as a preventative measure, as they help balance vaginal pH levels. If you're looking for a reliable product, try Love Wellness's Suppository Bundle.
Closing Thoughts
Understanding the key differences between yeast infections and bacterial vaginosis empowers you to respond faster when symptoms show up. While these conditions can be incredibly uncomfortable, they are treatable once you have the right diagnosis.
If something feels "off" down there and you're confused by your symptoms, reach out to a healthcare provider for a proper diagnosis. You can also prioritize your intimate wellness with our doctor-developed products in our Vaginal Health Collection. Taking care of yourself proactively makes all the difference, and you deserve to feel comfortable and confident every day.
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