Understanding BV

Many different kinds of bacteria and other organisms exist naturally in your vagina. When certain bacteria grow more than they should, they may create a pH imbalance that can lead to BV.

What are the symptoms of BV?

Many women don't experience any symptoms, but those who do normally notice:

  • Thin, white or gray discharge
  • Burning while peeing
  • Vaginal pain, itching, or burning
  • A strong fish-like odor, especially after sex

Guess what? BV is very common.

Over 21 million women in the US have had BV.

Is XACIATO right for you?

Why is it important to treat BV?

Sometimes BV causes noticeable symptoms, like vaginal odor and discharge. While around 1/3 of cases go away on their own, it's still important to treat BV because it can lead to more serious complications, like:
  • Increased risk of getting other sexually transmitted infections
  • Early labor and delivery in pregnancy
  • Increased persistence of HPV (human papillomavirus) which can result in precancerous lesions

How is BV different from a yeast infection?

BVYeast Infection
DischargeThin, with a fishy odorThick and usually odorless
pHRise in your pHNo change in pH
TreatmentPrescription medicationPrescription or over-the-counter medication

WHAT CAN INCREASE YOUR RISK OF BV?

  • Sexual activity
    Having multiple or new partners as well as frequent and/or unprotected sex may increase risk for BV.
  • Cigarette smoking
    Smoking has been shown to put some women at higher risk for BV.
  • Douching
    Douching may disrupt the balance of healthy bacteria in your vagina, which can increase the amount of BV-causing bacteria present and can change your pH.

Frequently Asked Questions

Anyone with a vagina can get BV, including females 12 years of age and older, but it all depends on a change in your unique microbiome (vaginal environment).

Non-Hispanic Black and Mexican American women are more likely to get BV than Asian and White women. One in 4 pregnant women are also affected by it.

Sexual activity: Having multiple or new partners as well as frequent and/or unprotected sex may increase the risk for BV.

Cigarette smoking: Smoking has been shown to put some women at a higher risk for BV.

Douching: Douching may disrupt the balance of healthy bacteria in your vagina, which can increase the amount of BV-causing bacteria present and change your pH.

In a study among patients who had been treated for BV with a commonly prescribed medication,

58%
of patients had another BV infection within 12 months.

BV recurrence can be due to many factors, but mostly depends on the individual. Some factors include reinfection from an untreated partner and the presence of an antibiotic-resistant layer of bacteria in your vagina (a "biofilm") associated with BV. Remember to talk to your doctor about your treatment preferences and schedule so you can both find a plan that works for you.

Yes, 1/3 of BV cases normally go away on their own.

According to a 2017 survey of 304 women diagnosed with BV:

  • 68% of women felt self-conscious due to their condition
  • Women admitted that they avoided certain everyday activities, including 79% of women who avoided intimacy with their partner

Sometimes BV causes noticeable symptoms, like vaginal odor and discharge. While around 1/3 of cases go away on their own, it’s still important to treat BV because it can lead to more serious complications, like increased risk of getting other sexually transmitted infections, early labor and delivery in pregnancy, and/or increased persistence of HPV (human papillomavirus), which can result in precancerous lesions.

SAVE ON YOUR XACIATO PRESCRIPTION

You may be eligible for savings on XACIATO. Eligible commercially insured patients may be able to save money on their XACIATO prescription.

Get your savings card

INDICATION

XACIATO vaginal gel is a prescription medicine used to treat bacterial vaginal infections in females 12 years of age and older. It is not known if XACIATO is safe and effective in children under 12 years of age.

IMPORTANT SAFETY INFORMATION

XACIATO is for intravaginal use only. Do not use in the eyes, mouth, or on your skin.

Do not use XACIATO if you are allergic to clindamycin or lincomycin.

Before using XACIATO, tell your healthcare provider about all of your medical conditions, including if you have an inflammatory bowel disease, or if you are pregnant or plan to become pregnant. It is not known if XACIATO will harm your unborn baby. Tell your healthcare provider if you become pregnant during treatment with XACIATO. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

After you insert XACIATO, do not have vaginal sex or use vaginal products (such as tampons or douches) during treatment with XACIATO and for 3 days after using XACIATO. You should not use polyurethane condoms while taking XACIATO and for another 7 days after using it, since XACIATO may weaken the ability of polyurethane condoms and may not work well to prevent pregnancy or protect against Human Immunodeficiency Virus (HIV) and other sexually transmitted diseases (STDs). Latex or polyisoprene condoms should be used.

XACIATO may cause serious side effects, including diarrhea. If you have diarrhea after you use XACIATO, call your healthcare provider. One type of diarrhea is caused by a serious intestinal infection called Clostridioides difficile-associated diarrhea (CDAD), which may range from mild to colitis that can lead to death.

The most common side effects of XACIATO include yeast infection in your vagina that may require treatment with an antifungal medicine and vaginal discomfort, including itching, burning, redness, and dryness.

Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of XACIATO. For more information, ask your healthcare provider or pharmacist.