Brief Answer:
Predisposing Factors need to be eliminated.

Detailed Answer:
Hello,

Thanks for writing to us. I am trying to solve this problem.

Bacterial Vaginosis (BV) is caused by Gardnerella vaginalis and other species. It is mostly associated with malodorous or fishy smell vaginal discharge.

For recurrent BV, certain predisposing factors are to be eliminated like diabetes, OCP or IUD, STD, other foreign objects, concurrent practice of vaginal & anal sex, cervicitis or atrophic vaginitis, hormonal imbalance, poor genital hygiene etc.

It may be aggravated by using chemical substance like lubricant/ jelly with condom or soap/ detergent/ other bath products, causing repeated friction & irritation inside vagina.

TREATMENT: I treat my patient with metronidazole or same categorical drug (like Tinidazole/ secnidazole) for Bacterial Vaginosis. It can be taken as 2 gm single dose. Vaginal suppository at bed time can be given.

In mixed vaginal infection, AFS kit (combination of Azithromycin, Fluconazole & Secnidazole) is very much effective. Here, sexual partner also needs complete course of treatment. Kindly, consult with doctor for prscription.

Following life style changes are helpful to prevent Recurrent Bacterial Vaginosis:

1) Take healthy diet with anti oxidant (like Vit-E/ C, selenium, zinc, lycopene etc) supplements. Drink plenty of water/ juice for better systemic circulation.

2) Do not touch/ wipe out genital area too much. Also avoid inserting objects or douching inside vagina. Hormonal imbalance should be corrected.

3) Maintain genital hygiene with proper shaving & cleaning. Do regular physical exercise by means of jogging/ walking/ treadmill etc.

4) Wear only clean & cotton underwear. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation.

5) Avoid using chemical cosmetics or soap or scented bath products. Latex condom is preferred. Avoid sexual intercourse till the problem is completely resolved.

Hope, above said information is sufficient & very much helpful. Let me know, if you need any clarification.

Wish her good health and take care yourself.

Regards,
Dr Soumen

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