02/12/2025
After our recent microbiome series on BV-associated bacteria, we had a very common question:
Should male partners be treated for BV?
For a long time, the answer was assumed to be “no.”
But guidelines and understanding have evolved and the conversation is now far more nuanced.
BV is not just a vaginal phenomenon, it can be shared microbially
We don’t just exchange affection, we exchange microbes.
Research shows that male partners can carry BV-associated bacteria on the:
• pe**le skin
• under fo****in
• in the urethra
• and even in the semen microbiome
This means reinfection or recolonisation can occur even after successful treatment of the vaginal microbiome.
That’s why BV often comes back after s*x, not always because the original treatment failed (although thats also possible), but because the source wasn’t addressed.
Newer guidance acknowledges that treatment or microbiome modulation in male partners can reduce overall BV recurrence.
This includes:
• oral antimicrobial treatment
• topical antibiotics for pe**le microbiome
• temporary abstinence or condom use during treatment phase
Antibiotic treatment is not the end of support.
The recovery phase should include:
• pre- and probiotics
• gut and ge***al microbiome support
• reduction of pro-inflammatory microbial species
• mucosal repair and pH restoration
For both partners.
Hygiene considerations
• wash with water daily, avoid harsh soaps
• fo****in hygiene if applicable
• ensure bathrooms, razors and shared textiles aren’t acting as microbe transfer stations
BV recurrence is often a shared ecosystem issue
• v&ginal microbiome
• p3nile microbiome
• s3men microbiome
• gut microbiomes of both partners
If BV keeps returning, a Vee For Me recommended practitioner can guide partner-inclusive treatment and true restoration of microbiome balance, not just symptom suppression.
*xualhealth
