Online BV Treatment in Florida for Adults
Fast MD-only BV care by secure online video visit for adults in Florida, $49 flat-fee, no insurance required.
Bacterial vaginosis (BV) is a common vaginal condition caused by an imbalance of the normal bacteria in the vagina. It often leads to thin discharge and a noticeable odor, especially after intercourse. Many stable adults with typical BV symptoms can be safely evaluated and treated by telehealth. Our board-certified MDs use guideline-based criteria to distinguish BV from yeast infections and sexually transmitted infections, and prescribe appropriate evidence-based therapies when indicated.
- Board-certified MD every visit (no mid-levels)
- $49 flat-fee video visit, adults in Florida
- No insurance required; HSA/FSA friendly
- Available in 25+ states, including Florida
- Guideline-based BV evaluation and treatment
What Is Bacterial Vaginosis (BV)?
Bacterial vaginosis is a vaginal condition characterized by an overgrowth or imbalance of the normal bacteria that live in the vagina. It typically causes thin, gray or off-white discharge and a noticeable “fishy” odor, especially after intercourse. BV is not considered a classic sexually transmitted infection, but sexual activity and new or multiple partners can increase risk.
TeleDirectMD focuses on BV care for adults with stable symptoms and no red flags. During a secure video visit, the MD reviews your history, symptom pattern, recent antibiotic or vaginal product use, pregnancy status, and risk factors for sexually transmitted infections. When BV is likely, we can prescribe guideline-consistent oral or intravaginal antibiotic regimens and counsel you on recurrence prevention and when to seek in-person gynecologic care in Florida.
Symptoms and Red Flags for Bacterial Vaginosis
The table below summarizes common BV symptoms, what they might indicate, and when they are appropriate for telehealth versus when in-person or emergency evaluation is needed.
| Symptom | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person or ER care |
|---|---|---|---|
| Thin gray or off-white vaginal discharge | Classic feature of BV, especially if odor is present | Yes, if stable, without fever or severe pain | Profuse discharge with severe pain, bleeding, or systemic symptoms |
| “Fishy” vaginal odor, worse after intercourse | Very typical for BV due to bacterial imbalance | Yes, commonly managed by telehealth | Sudden severe odor with pelvic pain, fever, or concern for foreign body |
| Mild vaginal irritation or burning | Can occur with BV, yeast infection, or chemical irritation | Yes, if mild and without ulcerations or severe pain | Severe burning, visible ulcers, or vesicles concerning for HSV or other STIs |
| Itching | More typical of yeast but can overlap with BV | Yes, telehealth can help distinguish BV vs yeast vs other causes | Intense itching with skin breakdown, swelling, or signs of allergic reaction |
| Pelvic or lower abdominal pain | Mild cramping may be nonspecific; more concerning if moderate to severe | Telehealth may triage, but often requires in-person exam if significant | Moderate or severe pain, rebound, guarding, or concern for PID or surgical emergency |
| Fever ≥ 100.4°F (38°C) | Possible pelvic inflammatory disease (PID) or another infection | No. Fever with pelvic pain requires in-person evaluation | High fever, vomiting, or signs of sepsis |
| Abnormal vaginal bleeding | Can be due to hormonal changes, infections, or other gynecologic conditions | Needs in-person evaluation if recurrent or heavy | Heavy bleeding, passing large clots, dizziness, or suspected pregnancy-related complication |
| BV symptoms during pregnancy | Higher risk setting; BV in pregnancy needs closer monitoring | Telehealth may triage, but in-person OB care is usually recommended | Any bleeding, cramping, fluid leakage, fever, or decreased fetal movement |
Conditions That Can Mimic Bacterial Vaginosis
Several conditions can cause discharge, odor, or irritation and may look similar to BV. During your video visit, the MD will ask targeted questions to narrow the diagnosis and decide whether telehealth treatment is appropriate or whether you need in-person testing in Florida.
- Vulvovaginal candidiasis (yeast infection): Thick, white, “cottage cheese” discharge with marked itching and less odor.
- Trichomoniasis: Sexually transmitted infection that may cause frothy discharge, odor, and irritation.
- Chlamydia and gonorrhea: STIs that can cause discharge, pelvic discomfort, or bleeding.
- Contact or irritant vaginitis: Reaction to soaps, wipes, douches, or new products.
- Atrophic vaginitis: Thinning and dryness in low-estrogen states leading to irritation and discharge.
- Retained foreign body: Such as a forgotten tampon or contraceptive device causing significant odor and discharge.
If your history suggests an STI, retained foreign body, or other condition that cannot be diagnosed or treated safely by telehealth alone, we will recommend in-person evaluation and explain what to tell the clinic or urgent care to streamline your visit.
When a Florida Video Visit Is Appropriate for BV Symptoms
Many adults with BV-type symptoms can be managed safely through an MD-only video visit. The checklists below outline when TeleDirectMD is a good fit and when you should seek in-person or emergency care instead.
Video Visit Is Usually Appropriate When
- You are an adult located in Florida (age 18 or older).
- You have typical BV symptoms such as thin discharge and odor without severe pain.
- You do not have a fever ≥ 100.4°F (38°C).
- You are not pregnant, or if pregnant, you are seeking triage advice knowing in-person OB care may be required.
- You have no severe pelvic pain or heavy bleeding.
- You can review your medications, allergies, and sexual health history.
- You can access a local pharmacy in Florida for prescriptions.
Red Flags Requiring In-Person or ER Care
- Fever ≥ 100.4°F (38°C) or chills with pelvic or abdominal pain.
- Moderate or severe lower abdominal pain, rebound, or guarding.
- Heavy vaginal bleeding, large clots, or suspected pregnancy complications.
- Severe vulvar pain, ulcers, or blister-like lesions concerning for herpes or other STIs.
- Persistent vomiting, dizziness, or feeling very unwell.
- Possible retained tampon or foreign body that cannot be safely removed at home.
- BV symptoms in pregnancy plus cramping, fluid leakage, or decreased fetal movement.
How TeleDirectMD Treats BV in Florida
During your $49 MD-only video visit, the physician will confirm whether your symptoms are consistent with BV, review your medical and sexual history, assess for STI risk and pregnancy, and decide on the safest evidence-based treatment plan. We emphasize antimicrobial stewardship, using antibiotics only when clearly indicated and choosing regimens with strong guideline support.
Supportive and Preventive Measures
- Avoiding douching and scented vaginal products that disrupt the normal flora.
- Using mild, fragrance-free cleansers externally only.
- Using condoms consistently if new or multiple partners are involved.
- Reviewing timing of recurrences in relation to new partners, menses, or antibiotic use.
Evidence-Based Antibiotic Therapy
First-line treatments for BV include metronidazole or clindamycin in oral or intravaginal formulations. The MD will tailor therapy to your preferences, recurrence history, and any contraindications. You will receive counseling on alcohol avoidance with metronidazole, interaction checks, and guidance on sexual activity during treatment.
When In-Person Testing Is Recommended
If your symptoms are atypical, severe, or recurrent, or if there is high concern for STIs or pelvic inflammatory disease, we may recommend in-person testing with a pelvic exam, vaginal swabs, and lab work in Florida. In those cases, TeleDirectMD focuses on triage, education, and helping you choose appropriate in-person care rather than prescribing empiric therapy alone.
Common Medications for Bacterial Vaginosis
| Medication | Dose (adults) | Duration | When we may use it |
|---|---|---|---|
| Metronidazole oral | 500 mg by mouth BID | 7 days | First-line regimen for most nonpregnant adults with symptomatic BV who prefer oral therapy |
| Metronidazole 0.75% vaginal gel | 1 applicator intravaginal QHS | 5 days | First-line intravaginal option for adults who prefer local therapy or have GI intolerance to oral regimens |
| Clindamycin 2% vaginal cream | 1 applicator intravaginal QHS | 7 days | Alternative intravaginal regimen for BV when metronidazole is contraindicated or not tolerated |
| Metronidazole oral (single-dose regimen) | 2 g by mouth once | Single dose | Selected cases when a single-dose regimen is appropriate and no contraindications exist |
Final medication choice, dose, and duration are individualized based on your age, pregnancy status, other health conditions, medication list, and current guidelines at the time of your visit. TeleDirectMD does not prescribe controlled substances.
Home Care, Sexual Activity, and Return-to-Work Guidance
Most adults begin to notice improvement in BV symptoms within a few days of starting effective therapy. Your MD will review home-care steps and expectations during your Florida telehealth visit.
Home Care Tips
- Take your medication exactly as prescribed and complete the full course.
- Avoid douching and scented vaginal products during and after treatment.
- Avoid alcohol during and for at least 24 hours after metronidazole therapy, or longer if advised.
- Wear breathable cotton underwear and avoid prolonged use of tight, non-breathable clothing.
- Contact us or seek care if symptoms worsen, recur quickly, or new symptoms appear.
Sexual Activity and Partner Considerations
Your MD may recommend avoiding vaginal intercourse or using condoms consistently during treatment to reduce irritation and help prevent recurrence. Routine treatment of male partners is not generally recommended for BV, but partner evaluation may be appropriate in some circumstances, especially if STIs are suspected.
Return-to-Work
Most people with BV can continue normal work activities as they feel able. If symptoms cause significant discomfort or you need a short rest period, TeleDirectMD can typically provide a brief note confirming evaluation. We do not complete FMLA, disability, or long-term workplace accommodation forms.
About TeleDirectMD’s Online BV Care in Florida
TeleDirectMD is a physician-led virtual urgent care service providing MD-only video visits for adults in Florida and 25+ other states. Each visit is a $49 flat-fee with no insurance required. We focus on conditions that can be safely managed through telehealth, use guideline-based evaluation for BV and other vaginal conditions, and prescribe antibiotics only when clinically appropriate. Visits are conducted by secure video, and most prescriptions are sent electronically to your preferred pharmacy within minutes of the visit when indicated. TeleDirectMD is not a replacement for the emergency department; if you have red-flag symptoms or feel severely ill, call 911 or seek in-person care immediately.
Florida BV Telehealth: Frequently Asked Questions
Can TeleDirectMD treat BV in Florida by video visit?
Yes. TeleDirectMD provides MD-only online video visits for adults located in Florida who have symptoms suggesting bacterial vaginosis, such as thin discharge and odor without severe pain or fever. During the visit, the physician confirms that telehealth is appropriate and can send prescriptions electronically to a Florida pharmacy when indicated.
What symptoms suggest BV instead of a yeast infection?
BV typically causes thin gray or off-white discharge and a noticeable “fishy” odor, especially after intercourse, with mild irritation at most. Yeast infections usually cause thick, white, “cottage cheese” discharge with pronounced itching and less odor. Your MD will ask detailed questions to distinguish between the two and decide on the right treatment.
When is BV serious enough for urgent in-person or ER care?
You should seek urgent in-person or emergency care if you have fever 100.4°F (38°C) or higher, moderate or severe pelvic or abdominal pain, heavy bleeding, dizziness, vomiting, or signs of pregnancy complications. These features may indicate pelvic inflammatory disease or another serious condition that cannot be safely managed by video alone.
Can you prescribe BV medications during the Florida video visit?
Yes. If your TeleDirectMD physician determines that your symptoms and history are consistent with BV and telehealth management is safe, they can prescribe guideline-based oral or intravaginal metronidazole or clindamycin and send the prescription electronically to a Florida pharmacy of your choice. We do not prescribe medications when the diagnosis is uncertain or red-flag features are present.
What BV treatments do you commonly use?
Common BV treatments include metronidazole 500 mg by mouth twice daily for 7 days, metronidazole 0.75% vaginal gel at bedtime for 5 days, or clindamycin 2% vaginal cream at bedtime for 7 days. Your MD will choose a regimen based on your preferences, pregnancy status, medication history, and current clinical guidelines.
Do I need a pelvic exam or swabs for every episode of BV?
Not always. Many adults with classic recurrent BV symptoms can be treated based on history alone, especially when previous in-person evaluation confirmed the diagnosis. However, atypical symptoms, severe pain, frequent recurrences, or high STI risk may require in-person pelvic exam and testing in Florida. Your MD will advise you if in-person follow-up is recommended.
Is it safe to manage BV through telehealth if I might have an STI?
Telehealth can help assess your STI risk and symptoms, but it cannot fully replace lab-based STI testing. If your history suggests a possible sexually transmitted infection, we may recommend in-person evaluation and testing even if we treat BV symptoms. In some cases, we may defer prescribing until appropriate testing is arranged.
Can you treat BV during pregnancy?
BV in pregnancy requires careful in-person monitoring because of potential risks. TeleDirectMD can often provide triage advice if you are pregnant and have BV-type symptoms, but we generally recommend in-person evaluation with your obstetric provider, who can perform an exam, confirm the diagnosis, and follow you closely.
How quickly can I be seen and get treatment in Florida?
Same-day and often near-immediate visit slots are usually available. Most BV visits take about 10 to 15 minutes. When treatment is appropriate, prescriptions are typically sent electronically to your chosen Florida pharmacy within minutes after the video visit is completed.
How much does an online BV visit cost with TeleDirectMD?
Each adult BV visit with TeleDirectMD is a $49 flat-fee MD-only video visit. We do not bill insurance, but you may be able to use HSA or FSA funds when permitted. Medication costs are separate and depend on the pharmacy and any coverage you may have.
What can I do to help prevent BV from coming back?
Strategies to reduce recurrence include avoiding douching and scented vaginal products, using mild cleansers externally only, considering condom use with new or multiple partners, and discussing timing of recurrences around menses or antibiotic use. If you continue to have frequent BV episodes, we may recommend in-person gynecologic evaluation in Florida for additional workup and long-term management planning.