Bacterial vaginosis is common and treatable. Get evaluated online by a licensed physician and, when appropriate, a same-day prescription sent to your pharmacy, for a flat $39. No appointment, no video visit.
LegitScript Certified
One-time fee. No subscription, no surprises.
$0 if treatment is not appropriate. Your visit is not charged.
No appointments, no waiting rooms. Your part takes less than 5 minutes, from your phone or laptop, wherever you are.
Complete our short, secure health assessment from your phone or computer. No video calls, no appointments, no waiting rooms.
A licensed physician reviews your intake and decides whether treatment is right for your situation, the same day.
Your prescription is sent electronically to your preferred pharmacy for same-day pickup in most cases. If treatment is not appropriate, your visit is not charged.
Common signs of bacterial vaginosis (BV). If several apply, Vyta.co can help you get treatment today.
Important: BV symptoms can overlap with yeast infections and sexually transmitted infections. This information is educational and is not medical advice. For an accurate diagnosis and treatment, consult one of our licensed physicians.
They overlap enough to confuse, and each is treated with a different medication. The usual pattern looks like this.
Symptoms that do not fit one pattern, or more than one at once, are better sorted out with an in-person exam and testing. Read BV vs. yeast infection
Same first-line treatment. A fraction of the cost. No appointment, no waiting room.
1 Cost range reflects typical self-pay and out-of-pocket estimates for an uncomplicated adult urgent care or office visit based on publicly available healthcare cost data published by FAIR Health Consumer and Healthcare Bluebook. 2 Urgent care wait-time range reflects average patient door-to-discharge times from Solv Health Urgent Care Index. Actual cost and wait time vary by location, insurance status, and visit complexity. Vyta.co's flat $39 fee covers the online consultation only; prescription medication is paid separately at your chosen pharmacy. Vyta.co is not a substitute for emergency care.
Online BV care is designed for likely uncomplicated bacterial vaginosis. Vyta.co screens for red flags, reviews your health history, and sends prescriptions only when a licensed physician determines treatment is appropriate.
Medically reviewed by Dr. John Venzor, licensed physician. Last reviewed May 31, 2026. This section is educational and does not replace individualized medical advice.
Bacterial vaginosis (BV) is the most common cause of vaginal symptoms in women of reproductive age. It happens when the normal balance of bacteria in the vagina shifts: the protective lactobacilli decline and other bacteria overgrow. Typical symptoms include a thin gray or white discharge, a fishy odor that is often stronger after sex, and sometimes itching or irritation. BV is not considered a sexually transmitted infection, but it is associated with sexual activity. Many women have no symptoms at all. Uncomplicated BV is usually treated with a short course of antibiotics, oral or intravaginal, typically lasting 5 to 7 days.
You complete a secure online assessment describing your symptoms, allergies, medications, pregnancy status, prior episodes of BV, and pharmacy preference. A licensed physician reviews the information and may follow up if more detail is needed. If your symptoms fit uncomplicated BV and there are no safety concerns, the clinician can send an electronic prescription to your selected pharmacy for same-day pickup in most cases.
Vyta.co does not automatically prescribe antibiotics. If your answers suggest pregnancy, fever or pelvic pain, a possible sexually transmitted infection, recurrent BV, an uncertain diagnosis, a medication allergy, or another complicating factor, the clinician may recommend in-person care or testing instead.
Telehealth may be appropriate for adult patients with typical BV symptoms, such as a thin gray or white discharge, a fishy vaginal odor, or mild itching and irritation, especially in someone who has had BV diagnosed before and recognizes the pattern.
Because BV symptoms can overlap with yeast infections and sexually transmitted infections, your clinician reviews the full intake before deciding whether antibiotics are clinically appropriate.
For uncomplicated BV, clinicians commonly consider oral metronidazole, metronidazole 0.75% vaginal gel, or clindamycin 2% vaginal cream, in line with CDC guidance. Oral metronidazole is typically taken twice daily for seven days. Metronidazole vaginal gel is usually applied once daily for five days, and clindamycin vaginal cream once daily for seven days. Intravaginal options can be a good fit for people who prefer to avoid oral antibiotics.
Common side effects can include a metallic taste, nausea, or stomach upset with oral metronidazole; alcohol should be avoided during and just after a metronidazole course. Clindamycin cream is oil-based and can weaken latex condoms and diaphragms. Your clinician chooses the medication and duration based on your symptoms, allergies, pregnancy status, and prior treatment.
BV develops when the vagina's normal, lactobacillus-dominant balance is disrupted and other bacteria overgrow. Douching, new or multiple sexual partners, and not using condoms are associated with a higher risk, while the exact trigger is often unclear. BV is not passed on like a classic STI, and it is not caused by poor hygiene. Avoiding douching may help reduce risk, but antibiotics are usually needed once symptomatic BV is established.
Recurrent BV usually means three or more episodes in a year, and it is common. Repeated episodes deserve a fuller evaluation because they may need testing to confirm the diagnosis, a longer or different regimen, or maintenance therapy. Vyta.co can help with appropriate simple episodes, but frequent recurrences may be better handled by an in-person primary care clinician or OB-GYN.
Clinical sources: CDC STI Treatment Guidelines: Bacterial Vaginosis, ACOG vaginitis FAQ, Mayo Clinic bacterial vaginosis, Merck Manual bacterial vaginosis.
Online care is not right for every vaginal symptom. Seek in-person care if any of these apply.
You will not pay for a visit we cannot help with. If your answers point to one of these, your physician tells you and your visit is not charged.
We treat patients in the state where they are physically located, and we add states as physician licensing completes. Availability is live.
Not in your state yet? Start your visit and select your state. If we are not yet live there, you can join the notification list and we will reach out the moment BV care opens.
Everything you need to know before getting started.
Last reviewed by a licensed physician on .
No appointment needed. Complete a short, secure online health assessment anytime. A licensed clinician reviews your case and responds, usually within a few hours. There is no scheduling, no waiting room, and no video call required.
Same day in most cases. Most requests are reviewed within a few hours. Once a prescription is approved, it is sent electronically to your preferred pharmacy for same-day pickup in most cases.
Guideline first-line therapies. Vyta.co clinicians commonly prescribe oral metronidazole, metronidazole 0.75% vaginal gel, or clindamycin vaginal cream, depending on your history, pregnancy status, and any drug allergies.
$39 covers the online consultation. If treatment is prescribed, that is all you pay for the visit, with no hidden fees and no subscription. Medication is paid separately at the pharmacy, typically $10–$25 for generics. If a clinician determines treatment is not appropriate, there is no charge.
Contact your clinician. If symptoms are not improving after finishing the course, or they return quickly, reach out. The clinician can review whether a different therapy or in-person evaluation is needed. Recurrent BV is common and may need a longer or different regimen.
Vyta.co treats patients in the state where they are physically located, and is licensed in a growing list of states. Start your visit and select your state to see current availability. If we are not yet live in your state, you can join the notification list.
Licensed physicians available around the clock. No appointment, no waiting room, no subscription. One flat $39 fee, or nothing if treatment isn't right for you.