Should My Boyfriend Be Treated for BV? What You Really Need to Know

First things first: What exactly is BV?

Bacterial vaginosis (BV) is not an STD. That’s important to get out of the way right away. It’s a super common vaginal condition caused by an imbalance in the normal bacteria in the vagina. Basically, the "good" bacteria (lactobacilli) drop, and the "bad" bacteria (anaerobes) multiply.

You might notice symptoms like a fishy odor (ugh, yeah, annoying), grayish discharge, or even mild irritation. But sometimes? No symptoms at all.

Now comes the tricky part: what role does your partner play in this whole thing?

Can men get BV?

Technically — no, they can't. BV is a vaginal condition, and guys don't have vaginas. But (and it’s a big but), that doesn't mean your boyfriend is off the hook entirely.

Can a guy carry the bacteria that causes BV?

Yes. While he might not show symptoms or even know anything’s up, studies suggest that men can harbor BV-related bacteria on the skin of their penis — especially uncircumcised men. So even if your boyfriend isn’t sick, he might be reintroducing the bacteria after you've been treated. That’s where things get messy.

Should your boyfriend be treated if you keep getting BV?

One infection? Probably not.

If it’s your first time dealing with BV, most experts agree that your partner doesn’t need treatment. You get the meds, symptoms clear up, case closed.

Recurring BV? Then yeah… it might be worth it.

This is where things get frustrating. If you’ve been treated multiple times and the BV keeps coming back like an unwanted ex, your boyfriend might be part of the cycle — even unintentionally.

A few small studies (and let’s be real, we need more solid research here) have tested giving male partners antibiotics like metronidazole. Some results showed lower recurrence rates for women. But this isn’t standard practice yet, which can be… kinda maddening.

Honestly? Some doctors will say, “No need to treat him.” Others might say, “Let’s try treating both of you.” It really depends on your doc and your situation.

Is BV sexually transmitted or not?

Here’s where things get fuzzy. BV is not classified as an STI, but it can be influenced by sexual activity. In fact, new sexual partners and unprotected sex are known risk factors. (Yep, not super fair, we know.)

And if you’re wondering — yes, women who have sex with women can also "pass" BV between partners. So there is some element of transmission happening.

Basically: it’s not technically an STD, but sex can play a big role.

What should you and your boyfriend actually do?

1. Open the conversation

Might be awkward, but telling your boyfriend what’s going on is honestly step one. Chances are he’s gonna be supportive — and if not, well… maybe that’s a red flag?

2. Condoms help. A lot.

Using condoms consistently may reduce the chance of BV recurring. Sperm and semen mess with vaginal pH, which can trigger BV in some women. So, yeah, barrier methods might give your body a break.

3. Consider treating both if BV keeps coming back

If you’ve been treated multiple times and keep getting BV after sex with him, talk to your doctor about the possibility of him taking antibiotics, even if it’s not officially recommended for men.

In one case, a friend of mine had BV come back four times in six months. After convincing her doc to prescribe antibiotics for her partner too, she hasn’t had a single recurrence in over a year. Coincidence? Maybe. But it worked for her.

4. Focus on your vaginal health too

Probiotics (especially vaginal ones), gentle soaps, breathable underwear, and just avoiding douching (seriously, don’t do it) can help your vagina stay balanced. BV isn’t about being “dirty” — it’s about chemistry.

Final thoughts: treat him or not?

So… should your boyfriend be treated for BV?

If it’s a one-off, probably not.
If it keeps coming back, maybe yes — especially if all other factors are ruled out.
If you’re not using condoms? That could be playing a role too.

And hey — this isn’t just about medication. It’s about understanding how your bodies affect each other. Communication, patience, and maybe a little experimentation with what works for you.

Because let’s face it — BV is a pain. But you don’t have to deal with it alone.

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