See a clinician for diagnosis (BV is usually confirmed with a pelvic exam and lab testing)
Use prescribed antibiotics as directed:
Metronidazole (oral or vaginal)
Clindamycin (vaginal cream or oral)
Avoid sex or use condoms until treatment is completed and symptoms resolve
Avoid douching
Avoid scented vaginal products, washes, or sprays
Keep the genital area clean with water only; use mild, unscented soap externally if needed
Wear breathable underwear (e.g., cotton) and change out of damp clothing promptly
If symptoms return quickly or keep recurring, contact a clinician for a recurrence plan (may include different regimens or longer/maintenance therapy)
Seek urgent care if you have fever, pelvic/lower abdominal pain, pregnancy with significant symptoms, or foul-smelling discharge with bleeding or severe discomfort
Do not self-treat with leftover antibiotics or non-prescribed medications