Bacterial vaginosis treatment service

Bacterial vaginosis is a common cause of vaginal discharge. It is not a sexually transmitted infection.

Bacterial vaginosis can sometimes be confused with vaginal candida/ thrush. Vaginal candida/ thrush usually causes a thick, white discharge with associated itch and irritation around the vagina/ vulva. The treatment for thrush is very different to bacterial vaginosis treatment. If you have been diagnosed with thrush in the past and you currently have similar symptoms, specific thrush treatment may be more appropriate.

Bacterial vaginosis happens because of an imbalance of the normal bacteria in the vagina. The usual environment of the vagina is acidic, but when it becomes alkaline, the bacteria of the vagina alter in ratio. The vagina has many different types of bacteria, including aerobic (Aerobic =use oxygen) lactobacilli and anaerobic (Anaerobic= live without oxygen)bacteria. They work in balance to regulate the acidity. In bacterial vaginosis, the balance changes and the anaerobic bacteria increase in number. The exact cause of this is not fully understood, but it is more likely to occur if something alters the acid level of the vagina, allowing the anaerobic bacteria to overgrow.

Some activities can upset the bacteria in the vagina and increase the risk of bacterial vaginosis including: multiple sexual partners, regular vaginal washing, bleeding, STI, smoking and oral sex. Bacterial vaginosis is not caught from toilet seats, swimming pools or jacuzzis. Many women who have bacterial vaginosis have no symptoms. When symptoms are present they include: White/ grey discharge with a fishy smell . The discharge is usually heavier after intercourse or a period, and the smell is often more noticeable during sex. It does not usually cause itching/ soreness around the vagina/ vulva, but can, if the discharge is very heavy.

In mild cases, this can settle spontaneously, or with the use of over the counter products such as Relactogel. In some cases, medication is necessary and it usually settles quickly with this. However, it can and does recur. Using Relactogel from the pharmacy, after completing your course of prescription medication, helps keep the balance in the vagina acidic and reduces the likelihood of bacterial vaginosis recurring. As a first line of treatment, we issue Metronidazole orally, but if you would prefer local treatment (vaginal cream), please send us a message with your application to advise of this.

Fill out the following questionnaire. It will be thoroughly reviewed by an Irish-registered GP who then may prescribe you medication to treat bacterial vaginosis, or advise you on the best next course of action for your particular case.

Who is this treatment for?

  • This treatment is for women who have had a diagnosis of bacterial vaginosis in the past by their doctor, and are currently experiencing symptoms of bacterial vaginosis

This service is not suitable for you if:

  • You have not had a diagnosis and treatment for bacterial vaginosis before.
  • You are pregnant or trying to conceive.
  • You have a diagnosis or symptoms of thrush.
  • You are under 17 years of age.
Request Treatment

This service allows you to request a treatment from our doctors. You will be asked a series of questions related to the treatment, after which you will be asked to pay a fee of €20. To proceed, select the required dosage and click on "Start Consultation".

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Let’s get started!

Before we prescribe you the required medication, we would like to check if this product is suitable for you. Once you fill in the questionnaire, one of our doctors will assess the answers. It will only take you up to 5 minutes to fill in the questionnaire. Once completed our doctors will assess the request and send the prescription directly to the pharmacy of your choice. Our prescriptions can be used in any Irish pharmacy. We offer a 100% refund if our doctors do not deem you suitable for this service.

We kindly ask you to be honest when you provide your answers. Contact your GP if you are unsure or need to verify any information.

If our doctors deem that we cannot prescribe the medication safely via online consultation, then you will receive a full refund and the assessing doctor will give your further advise.

Please confirm that you are 18 years or above and the prescription request is for yourself only.

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Informed Consent

If you're travelling (flying), be warned that taking this prescription increases your chance of getting blood clots in your legs or lungs, which can be deadly. Please wear flight stockings and try to do activities involving physical movements and exercises throughout the journey to lessen this risk. Do you agree that you are aware of the risks associated with flying?

  • I completely understand all of the questions and information presented. I shall contact Eirdoc if I am unsure about any part of the service before proceeding.
  • I am aware of the treatment's adverse effects, efficacy, and alternatives; and I am aware of the necessity of informing my GP about any drugs or advice I may obtain from this service so that they can continue to offer safe medical care.
  • I have answered honestly and supplied complete and correct information that matches my current medical history and information, allowing the doctor to assess and advise me securely.
  • I understand and am aware of the treatment's adverse effects, efficacy, and alternatives.
  • I understand that my GP needs to know about the any drug or advise obtained via this online platform to continue safe medical care.
  • I have read, understand, and agreed to the most recent terms and conditions, as well as the privacy policy.
Prescription Delivery
You will be contacted to arrange the home delivery. Orders usually take 1-2 working days to be delivered anywhere in the Republic of Ireland.
Delivery charges are as follows (to be paid when you are contacted to arrange the delivery):
Orders over €40: €2.95
Orders under €40: €4.95