Get evaluated and prescribed by an Iowa-licensed provider — without the waiting room or insurance headache. Bidwell Health treats bacterial vaginosis for a flat $45, with same-day prescriptions available to Iowa residents across the state.
We treat Iowa residents in every ZIP code — urban, suburban, and rural. Your prescription goes to any licensed pharmacy in the state, so you fill it wherever is most convenient.
Our BV intake is designed for Iowa patients experiencing:
If your symptoms suggest something other than BV — or if our intake identifies a contraindication — we'll let you know and refund your visit, no questions asked.
Your Iowa provider will prescribe one of two first-line CDC-recommended treatments based on your history, preferences, and any medication interactions:
Both options have similar cure rates (approximately 80–90%). Your provider will help you choose.
Bacterial vaginosis is the most common vaginal infection — and one of the most straightforward to treat via telehealth. Here's the process:
Pay the $45 flat fee via Stripe — no insurance, no surprise bills. Most prescriptions are sent the same day.
Bidwell Health's providers hold active Iowa licensure with full practice authority, verifiable through the Iowa Board of Nursing. All patient information is encrypted end-to-end and handled under HIPAA-compliant infrastructure (Supabase + Resend + Twilio, all with signed Business Associate Agreements). Your medical record is never sold, shared, or used for advertising.
We send prescriptions to any licensed pharmacy in Iowa, including Hy-Vee, Walgreens, CVS, Walmart, and Costco, plus Amazon Pharmacy for delivery in most ZIP codes. Pick whichever is most convenient — we don't steer you to a particular one.
Between primary care providers? We also offer 90-day bridge refills for chronic medications in Iowa — SSRIs, blood pressure meds, thyroid, inhalers, and more. Same $45 flat fee, one medication per visit. No controlled substances.
$45 flat for the visit. That includes the provider's clinical review, your prescription, and any follow-up messaging. No subscriptions, no insurance, no co-pays, no hidden fees. If we're not able to treat your case, you're refunded automatically.
Bacterial vaginosis (BV) is the most common vaginal infection in women ages 15–44. It occurs when the normal balance of bacteria in the vagina is disrupted, leading to an overgrowth of certain bacteria. BV is not a sexually transmitted infection, though sexual activity can increase risk. Our Iowa providers treat BV regularly via telehealth.
BV is treated with antibiotics — most commonly metronidazole (Flagyl) 500 mg taken orally twice daily for 7 days, or metronidazole vaginal gel 0.75% applied once daily for 5 days. Both are first-line CDC-recommended treatments. Our Iowa-licensed providers prescribe whichever option best fits your history and preferences.
Both oral and topical metronidazole have similar cure rates (around 80–90%). Oral is more convenient — just a pill twice a day. Topical gel has fewer systemic side effects but requires vaginal application for 5 nights. Your Iowa provider will help you choose based on your lifestyle and medical history.
Sometimes mild BV resolves without treatment, but it's not recommended to wait. Untreated BV can increase risk of STIs, cause complications during pregnancy, and lead to persistent symptoms. Treatment with metronidazole is straightforward and effective — Iowa residents can get a prescription online through Bidwell Health for $45.
No — bacterial vaginosis is not classified as a sexually transmitted infection. However, BV is more common in sexually active women and can be triggered by new sexual partners. It's caused by an imbalance of naturally occurring vaginal bacteria, not by a specific pathogen. Our Iowa providers can help distinguish BV from STIs during your intake.
Yes — Iowa residents can complete Bidwell Health's online BV intake form in about 5 minutes. A licensed Iowa provider reviews your symptoms and history, and if bacterial vaginosis treatment is appropriate, sends a metronidazole prescription to your Iowa pharmacy the same day.
$45 flat for the Bidwell Health visit — that includes the provider's clinical review, your prescription, and any follow-up messaging. No insurance needed. Metronidazole itself typically costs $4–15 at Iowa pharmacies with GoodRx pricing. No subscription, no hidden fees.
The most common BV symptoms are thin white or grayish vaginal discharge, a noticeable fishy odor (especially after sex), mild vaginal irritation or itching, and sometimes burning during urination. Some women with BV have no symptoms at all. If you're experiencing these symptoms in Iowa, our online intake can help determine if BV treatment is right for you.
Yes — BV recurrence is common. About 50% of women who are treated for BV will have a recurrence within 12 months. Completing your full course of metronidazole (all 7 days of oral or 5 days of gel) reduces recurrence risk. If BV keeps coming back, your Iowa provider may recommend a longer treatment course or in-person evaluation.
BV and yeast infections are both common but have different causes and treatments. BV is caused by bacterial overgrowth and typically produces thin, fishy-smelling discharge. Yeast infections are caused by Candida fungus and usually cause thick, white, odorless discharge with intense itching. BV is treated with metronidazole; yeast is treated with fluconazole. Our Iowa intake form helps distinguish between the two.
Bidwell Health also handles these visits for Iowa residents: