Bacterial vaginosis is common and treatable. Wherever you are in Michigan, from Detroit to the Upper Peninsula, a Michigan-licensed physician can evaluate you online and, when appropriate, send a same-day prescription to your Michigan pharmacy, for a flat $39. No appointment, no video visit.
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A Michigan-licensed physician reviews your intake and decides whether treatment is right for your situation, the same day.
Your prescription is sent electronically to your Michigan pharmacy: Meijer, Kroger, CVS, or Walgreens. Same-day pickup in most cases. If treatment is not appropriate, your visit is not charged.
Bacterial vaginosis happens when the vagina's normal, lactobacillus-dominant balance is disrupted and other bacteria overgrow. It is the most common cause of vaginal symptoms in women of reproductive age, and several everyday things can tip the balance.
Note: BV is not a sexually transmitted infection and is not caused by poor hygiene. Lifestyle can raise the risk but does not change the treatment: guideline first-line antibiotics still apply. A Michigan-licensed physician reviews your symptoms and history before prescribing.
Common signs of bacterial vaginosis. If several apply, a Michigan-licensed physician 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 a Michigan-licensed physician.
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 of a Michigan urgent care or OB-GYN visit. 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. A Michigan-licensed physician screens for red flags, reviews your health history, and sends prescriptions only when treatment is appropriate.
Medically reviewed by Dr. John Venzor, Michigan-licensed physician. Last reviewed June 16, 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 your Michigan pharmacy preference. A Michigan-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 physician can send an electronic prescription to your Michigan 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 physician may recommend in-person care or testing instead.
Yes. Michigan's telehealth-services provision in the Public Health Code (Michigan Compiled Laws, MCL 333.16285) permits licensed clinicians to evaluate patients and prescribe non-controlled medications through telehealth, including establishing a provider-patient relationship online. The antibiotics used for BV, such as metronidazole and clindamycin, are non-controlled medications. A Michigan-licensed physician reviews your symptoms and history before any prescription, and recommends in-person care when your case calls for it.
Bacterial vaginosis and a yeast infection can feel similar, but they are different problems with different treatments. BV is caused by an imbalance of vaginal bacteria and typically brings a thin gray or white discharge with a fishy odor that is often stronger after sex; it is treated with antibiotics. A yeast infection is fungal, an overgrowth of Candida, and usually brings intense itching with a thick, white, cottage-cheese-like discharge and little odor; it is treated with antifungals. Because the symptoms overlap, a Michigan-licensed physician reviews your full intake before deciding which treatment, if any, is appropriate.
Telehealth may be appropriate for adult women with typical BV symptoms, such as a thin gray or white discharge, a fishy vaginal odor, or mild itching and irritation, especially someone who has had BV diagnosed before and recognizes the pattern. Because BV symptoms can overlap with yeast infections and sexually transmitted infections, a Michigan-licensed physician reviews the full intake before deciding whether antibiotics are clinically appropriate.
For uncomplicated BV, a Michigan-licensed physician commonly considers 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 physician 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.
Many parts of Michigan, including rural counties, the northern Lower Peninsula, and the Upper Peninsula, have few practicing OB-GYNs, so women often drive a long way for routine care. In fact, 65 of Michigan's 83 counties are primary-care Health Professional Shortage Areas (Center for Health and Research Transformation). If you are physically located in Michigan, a Michigan-licensed physician can evaluate you online and send treatment to a pharmacy near you: Meijer, Kroger, CVS, or Walgreens. The same applies to students, new residents, and visitors.
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, a Michigan-licensed physician tells you and your visit is not charged.
Vyta.co treats patients physically located in Michigan and sends prescriptions to the pharmacy you choose: Meijer, Kroger, CVS, Walgreens, or your local independent.
Statewide, same flat fee: a $39 online visit, Michigan-licensed physician review, and your prescription sent to a Michigan pharmacy when appropriate.
Vyta.co treats patients located anywhere in Michigan, including:
Everything you need to know before getting started.
Last reviewed by a Michigan-licensed physician on .
No. You need to be physically located in Michigan at the time of your visit. Students, visitors, and people who recently moved to Michigan can all use the service. A Michigan-licensed physician reviews your symptoms and sends any prescription to a Michigan pharmacy.
Any pharmacy in Michigan you choose: Meijer, Kroger, CVS, Walgreens, or your local independent pharmacy, including locations across the Upper Peninsula and rural northern Michigan. Your prescription is sent electronically for same-day pickup in most cases.
Yes. Michigan law allows licensed physicians to evaluate patients and prescribe non-controlled medications through telehealth under the Public Health Code, MCL 333.16285. The antibiotics used for BV are non-controlled. A Michigan-licensed physician reviews your case before any prescription.
Guideline first-line antibiotics: oral metronidazole, metronidazole 0.75% vaginal gel, or clindamycin 2% vaginal cream. A Michigan-licensed physician chooses the medication based on your symptoms, pregnancy status, allergies, and history.
BV is an imbalance of vaginal bacteria, usually with a thin gray discharge and a fishy odor, and it is treated with antibiotics. A yeast infection is fungal, usually with intense itching and a thick white discharge, and it is treated with antifungals. Because the symptoms overlap, a Michigan-licensed physician reviews your full intake before deciding which treatment is appropriate.
A flat $39 for the online consultation. If treatment is prescribed, that is all you pay for the visit, with no subscription and no hidden fees. Medication is paid separately at your Michigan pharmacy, typically $10–$25 for generics. If a physician determines treatment is not appropriate, there is no charge.
Michigan-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.