Bacterial vaginosis is caused by an imbalance in the bacteria resident in the vagina. The vagina (an internal organ) is a little ecosystem made up of many different bacteria and fungi. In most of us, most of the time, they keep one another in check and we have a balanced ecosystem. Recurrent vaginosis indicates that there is some chemical or bacterial interaction knocking your system out of balance. We do not know the real cause of vaginosis. There are some risks that seem to be related. Douching is always a prime suspect because douching removes both good and bad bacteria and there is no real control on how they reestablish themselves. Regrettably, many women who notice the foul odor do exactly the wrong thing: they douche. Don't.
Radical changes in diet, new sex partners, many sex partners, homonal imbalance and inadequate hygiene are all related in some measure but we cannot pinpoint a specific cause. The doctor is in a difficult position because any treatment tried may have exactly the opposite effect after a short time.
If you have other infections (dental, frequent abcesses) these may be contributory. In the meantime, frequent external cleansing with mild soap is necessary. Three times a day and after each bowel movement. I recommend clear, liquid soap that is NOT anti-bacterial. Clear shampoo can be useful is not scented. This soap rinses easily and completely and lowers the risk of killing the bacteria you actually need.
Posted: 29 Sep 21:48