"Hi, I’m [Your Name], a medical student. I understand you were recently seen in clinic for a change in vaginal discharge. Before we go further, could I confirm your name and date of birth?"
"I’d like to explain the results and what it means going forward. Is that okay?"
"Have you heard of bacterial vaginosis before?"
"Do you have any concerns — for example, about it being a sexually transmitted infection or affecting fertility?"
"Bacterial vaginosis, or BV, is a common cause of vaginal discharge. It’s not a sexually transmitted infection, but is linked to changes in the balance of natural bacteria in the vagina."
"There’s usually a healthy balance of bacteria, but in BV one type overgrows — leading to symptoms like thin, greyish discharge and a fishy odour, especially after sex."
"It’s not dangerous and doesn’t usually cause serious problems. However, in pregnancy or before procedures it can be more relevant. It doesn’t cause infertility."
"We treat it with an antibiotic called metronidazole — either as a tablet or a gel you insert into the vagina. It usually clears up within a week."
"While being treated, it’s best to avoid alcohol if taking tablets, as it may cause nausea. Avoid using vaginal washes, douching, or perfumed products going forward — these upset the balance further."
"BV can come back, especially after your period or sex. It’s not harmful but if it recurs frequently we can discuss options like longer treatments or specialist referral."
"So to summarise — BV is a common bacterial imbalance. It’s easily treatable, not an STI, and doesn’t affect fertility. We recommend treatment, avoiding vaginal products, and seeing a doctor if symptoms persist or return."
"Do you have any questions or worries I can help with?"
"Here’s a leaflet with everything we discussed and advice on how to prevent recurrence. Thanks for your time."