What is the Difference Between Yeast Infection and BV?

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The main differences between yeast infections and bacterial vaginosis (BV) lie in their causes, symptoms, and treatments. Both conditions can cause vaginal inflammation, but they have distinct characteristics:

Causes:

  • BV results from an overgrowth of harmful bacteria in the vagina, specifically anaerobic bacteria disrupting the balance of vaginal flora.
  • Yeast infections are caused by an overgrowth of Candida fungus, which can disrupt the vagina's natural defense mechanisms and lead to inflammation.

Symptoms:

  • BV typically causes a thin, yellow or gray discharge with a strong, unpleasant odor, often described as "fishy".
  • Yeast infections typically cause a thick, white, odorless discharge.
  • Both conditions can cause vaginal itching, burning sensations, and discomfort.

Treatments:

  • BV is usually treated with antibiotic medications, either in the form of oral tablets or vaginal creams and gels.
  • Yeast infections are typically treated with antifungal medications, which can be obtained over-the-counter for mild to moderate cases.

It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment, as self-diagnosis can lead to incorrect treatment and potential complications.

Comparative Table: Yeast Infection vs BV

Here is a table comparing the differences between yeast infections and bacterial vaginosis (BV):

Factor Yeast Infection Bacterial Vaginosis (BV)
Cause Overgrowth of Candida fungus Overgrowth of bacteria, specifically Gardnerella vaginalis
Discharge White, thick, and odorless (like cottage cheese) or smells like yeast Thin, grey, or white with a distinctive fishy odor
Treatment Antifungal medications Prescription antibiotics
Prevention Avoiding douching, using gentle soap, wearing breathable clothing Limiting sex partners, using condoms, avoiding douching, and smoking cessation
Triggers Menstruation, pregnancy, antibiotic use, and weakened immune system Menstruation, pregnancy, hormonal changes, sexual activity, and use of perfumed products

Both yeast infections and BV are common causes of vaginitis, but they have different causes, symptoms, and treatments.