Bacterial vaginosis (BV) is a common vaginal infection that affects millions of women worldwide. It’s estimated that about 21 million women in the U.S. experience bacterial vaginosis at some point, but that number could be higher because bacterial vaginosis infections often go misdiagnosed.

BV symptoms can overlap with other issues like yeast infections or sexually transmitted infections (STIs) like trichomoniasis. An incorrect diagnosis can lead to unnecessary treatments or continued discomfort, which is why testing is so important. 

If you’ve ever found yourself confused or uncertain about whether you have bacterial vaginosis, you’re not alone. Thankfully, there are simple ways to test for bacterial vaginosis at home. Below, we walk you through how to recognize the symptoms and take steps to monitor your health safely and effectively with Evvy.

What is bacterial vaginosis?

Bacterial vaginosis is a common vaginal infection that occurs when there's an imbalance in the vaginal microbiome — the community of bacteria and fungi that keeps your vagina healthy. Normally, the protective bacteria (like Lactobacillus) dominate and help maintain the right pH level. But when that normal balance is disrupted and bad bacteria overgrow, bacterial vaginosis can develop.

Common symptoms of bacterial vaginosis include: 

  • A strong, fishy odor (especially after sex)
  • Unusual vaginal discharge, which may be thin, grayish-white
  • Vaginal itching or irritation. 

If left untreated, BV can lead to more serious issues, including an increased risk of sexually transmitted infections, pelvic inflammatory disease (PID), and complications during pregnancy. By testing early and understanding your microbiome, you can address imbalances before they escalate.

How is bacterial vaginosis diagnosed?

Traditionally, diagnosing bacterial vaginosis involves visiting a doctor or gynecologist, who may:

  • Conduct a pelvic exam
  • Take a sample of your vaginal fluid to look for signs of imbalance
  • Check the vaginal pH level (bacterial vaginosis typically causes a pH higher than 4.5).

While these methods are a reliable way to diagnose BV, they require an office visit — and we all know that can be inconvenient or uncomfortable. That’s where an at-home BV test comes in. 

How to test for BV at home with Evvy

Evvy’s Vaginal Health Test allows you to skip the doctor’s office and test for BV-causing bacteria right from the comfort of your home. It’s quick, easy, and more accurate than most other tests out there. Here’s how it works:

  1. Order your kit: Order a Vaginal Health Test. It’ll arrive at your doorstep discreetly.
  2. Collect your sample: The kit includes everything you need to swab your vagina — don’t worry, doing a vaginal swab is easier than you'd think.
  3. Send it back: Pop your sample in the pre-labeled mailer and send it to Evvy’s CLIA-certified lab for analysis.

Get your results: In just a few days, you’ll receive a detailed report that breaks down the bacteria and fungi in your vaginal microbiome, including whether BV-associated bacteria are present, and in what amounts.

Recurrent symptoms? Get Evvy's at-home vaginal microbiome test, designed by leading OB-GYNs.
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Why choose Evvy?

Here’s what sets Evvy apart from other at-home test kits:

1. Comprehensive insights

Unlike a traditional vaginal pH test (which won't tell you if you have bacterial vaginosis), Evvy’s test analyzes your entire vaginal microbiome. It can tell you which bacteria are thriving (good or bad), what’s missing, and how your microbiome health compares to an ideal balance. This holistic view helps you understand not just if you have BV-associated bacteria present, but in what amounts, too.

2. Personalized recommendations

Evvy doesn’t just stop at test results. We offer actionable insights and personalized recommendations to help you restore balance. 

Once a physician looks over your test results, you'll have a chance to access a personalized prescription treatment program if you’re eligible. In one study, 83% of participants who used Evvy treatments saw a positive change from dysbiosis to a healthier microbiome, and all reported an improvement in their bacterial vaginosis symptoms. Plus, the results showed that all participants felt they had the right support and resources with Evvy, making them feel empowered and in control of their vaginal health journey.

3. Advanced technology

Evvy uses metagenomics, a next-generation DNA sequencing (NGS) technology to detect even the smallest amounts of bacteria and fungi in your sample. This is far more precise than older methods like pH tests or basic bacterial cultures, which can sometimes miss key details.

4. Privacy and convenience

No need to schedule an appointment, sit in a waiting room, or feel embarrassed discussing symptoms face-to-face. Evvy’s test allows you to get the answers you need discreetly and on your own time.

So if you’re noticing symptoms or just want to keep tabs on your health, Evvy’s got your back (and your microbiome). 

FAQ

Can I test myself for BV at home?

Yes, you can test for bacterial vaginosis at home using a vaginal microbiome test, including Evvy’s Vaginal Health Test. Evvy's at-home test is designed to provide a comprehensive analysis of your vaginal microbiome, helping you better understand the balance of good and bad bacteria, including ones that can cause bacterial vaginosis. With Evvy, you’ll receive personalized insights into your vaginal microbiome, along with recommendations tailored to your specific results. While home tests can be convenient, it’s always a good idea to consult a healthcare provider if you have concerns or symptoms that persist.

How do you know if you have BV without going to the doctor?

While it's always a good idea to check in with a healthcare provider for a diagnosis, some vaginal symptoms could suggest bacterial vaginosis. You might notice a strong fishy odor and thin, gray vaginal discharge. Some women might also feel a bit of mild vaginal itching or discomfort. It’s important to keep in mind that these symptoms can be similar to other vaginal infections, so testing is always a good idea. You can test for BV-associated bacteria from the comfort of your own home using Evvy’s Vaginal Health Test, which gives you a comprehensive breakdown of your vaginal microbiome. While it can detect imbalances that may be associated with bacterial vaginosis, it’s important to note that it is not a diagnostic tool for bacterial vaginosis. For a confirmed diagnosis, it’s always best to consult a healthcare provider.