Bacterial Vaginosis in Gangnam

What Is Bacterial Vaginosis?

BV occurs when the normal lactobacilli (good bacteria) in the vagina are replaced by an overgrowth of anaerobic bacteria. This imbalance can result in symptoms like odor and irritation, but some women experience no symptoms at all.

BV is not dangerous, but if left untreated, it may increase the risk of:

• Pelvic inflammatory disease (PID)
• Preterm labor (in pregnant women)
• Contracting or transmitting STIs, including HIV

Symptoms of Bacterial Vaginosis

Many women with BV have no symptoms. When present, symptoms may include:

• Thin, grayish-white vaginal discharge
• Fishy or unpleasant vaginal odor, especially after sex
• Mild vaginal itching or burning
• Burning during urination (less common)

BV is often confused with a yeast infection, but the discharge and odor differ, and accurate diagnosis is essential for proper treatment.

Causes and Risk Factors

BV is caused by a disruption in the normal vaginal flora, not by a single pathogen. Risk factors include:

• Multiple or new sexual partners
• Douching or using scented vaginal products
• Smoking
• Use of IUDs or unprotected sex
• Hormonal fluctuations

BV is more common in women of reproductive age and may recur if triggers are not addressed.

How Is BV Diagnosed in Korea?

Diagnosis is simple and available at most Korean women’s health clinics and ob/gyn offices. Tests include:

• Pelvic examination to observe discharge
• Vaginal pH testing (BV causes elevated pH >4.5)
• Microscopic evaluation of discharge for “clue cells”
• Whiff test (amine odor test using potassium hydroxide)

Some clinics may offer PCR-based vaginal flora testing for recurrent or complex cases.

Treatment for Bacterial Vaginosis in Korea

BV is easily treated with antibiotics, either orally or topically.

1. First-line Medications

• Metronidazole (oral or gel): 5–7 day course
• Clindamycin cream: inserted vaginally for 7 days

2. Recurrent BV Treatment

• Extended antibiotic therapy
• Use of probiotics (vaginal or oral) to restore flora balance
• Vaginal microbiome analysis (available at some specialty clinics)

Patients are advised to avoid alcohol while taking metronidazole and refrain from sexual activity during treatment for best results.

Cost of BV Diagnosis and Treatment in Korea

General cost estimates in KRW (₩):

• Consultation + pelvic exam: ₩30,000–₩70,000
• pH and microscopic tests: ₩20,000–₩50,000
• Antibiotic treatment (oral or vaginal): ₩10,000–₩30,000
• Advanced microbiome testing (optional): ₩200,000–₩400,000

National Health Insurance may partially cover basic exams and medication. International patients receive transparent pricing and private service in Seoul’s women’s clinics.

FAQs About Bacterial Vaginosis

Is BV an STI?
No, but sexual activity can trigger it. BV is linked to sex but not classified as a sexually transmitted infection.

Can BV go away without treatment?
Mild cases might resolve, but treatment is recommended to avoid complications and reduce recurrence.

Can I treat BV with over-the-counter products?
No. Effective treatment requires prescription antibiotics, which must be obtained from a clinic in Korea.

What if it keeps coming back?
Your doctor may recommend longer treatment, probiotics, or lifestyle changes. Recurrence is common and manageable with proper care.

How to Prevent BV

• Avoid douching or using scented feminine products
• Practice safe sex (use condoms, avoid multiple partners)
• Maintain healthy vaginal pH with gentle, pH-balanced cleansers
• Avoid tight, non-breathable underwear
• Use probiotics to support vaginal flora, especially after antibiotics

How to Prepare for a BV Consultation in Korea

• Schedule the visit outside your period for clearer results
• Avoid using vaginal creams, douches, or sex 24 hours before your appointment
• Bring a list of past infections or symptoms
• Most women’s clinics in Seoul offer same-day diagnosis and treatment with female doctors and private care rooms