Bacterial vaginosis diagnosis is not a simple diagnosis. BV is a common cause of vaginitis. You may have a clue you have it because you have suspicious vaginal discharge or an itchy vagina, or you may not know at all. To read more about the symptoms and dangers, especially the dangers in pregnancy, go here.
BV needs to be diagnosed by a healthcare practitioner because it is only one of several causes of vaginitis, and without an accurate diagnosis, there's no way to know how to treat it or if you are having your condition treated correctly. If you self-medicate vaginitis without knowing exactly what you have, the results can be devastating.
This website is all about being healthy, especially with probiotics, but in order to be healthy, you have to know what is causing you to be unhealthy. No guess-timating!!!
So... please, don't try to self-diagnose.
Bacterial vaginosis diagnosis can be done in different ways. Some medical practices will do a preliminary screening for it under a microscope. They take a sample (or swab) of the vaginal fluid and look for 3 of the 4 following indicators:
The gold standard of diagnosis is to take a swab from the vagina and send it to a qualified laboratory for analysis and Nugent scoring. The swab is rolled on a glass slide, heat fixed, Gram stained, and then evaluated by a trained examiner under a microscope under oil immersion and one thousand-times magnification for: large Gram-positive rods indicating Lactobacillus-like bacteria, small Gram-variable rods indicating Gardnerella vaginalis-type bacteria, small Gram-negative rods indicating Bacteroides species, curved Gram-variable rods signifying Mobiluncus species and Gram-positive cocci (spheres).
A Nugent score of 0-3 is considered to be normal, 4-6 is considered to be intermediate, and 7-10 is a positive diagnosis of bacterial vaginosis. An intermediate score means that either the condition will correct itself (in about 30% of cases) or it will develop into BV ( in 32% of the cases).
If you are diagnosed with an intermediate case of BV, you and your doctor have to decide if you should be treated or not.
Bacterial vaginosis does not always have a 100% cure rate in studies, but to learn about treatment options, see Treatment of Bacterial Vaginosis, starting with conventional treatments. To go to the use of probiotics for BV, go here.
I research studies and share my clinical experience to write this free site to help you find solutions to your problems. As part of that, I recommend products and services that I genuinely believe will be of help to you. If you click on a link to a product/service, I may receive a small commission if you buy something. The item does not cost you more.
Thanks for visiting this site! If you've enjoyed reading this page or have found the information to be useful to you, please "like", tweet about it, or share it so others can benefit, too. You can leave comments below via Facebook or Disqus.
Comment with Disqus (including as a guest), Twitter or Google accounts:
If you are one of my many readers without a Facebook account, you can still comment.
Disclaimer: Please note: By law, I cannot provide any personalized recommendations for your specific health concern on this site. The information contained in this site is educational in nature and is not intended as diagnosis, treatment, prescription or cure for any physical or mental disease, nor is it intended as a substitute for regular medical care. Consult with your doctor regarding any health or medical concerns you may have.
Subscribe to my monthly newsletter and receive a free copy of "The Quickstart Guide to Probiotics."
To comply with the EU's GDPR data privacy regulation, please subscribe here:
Some competitors of SBI (Solo Build It) are posting fake negative reviews of SBI. If you are considering creating your own website business, or if you have a brick-and-mortar business but want an online presence, I highly recommend SBI!