Brief Answer:
Details below.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Having treatment for vaginal discharge multiple times without being relieved of discharge is distressing. Bacterial vaginosis is usually associated with super added fungal infections and if not treated vigorously is notorious for recurrence. A common reason of recurrent infections is simultaneous improper treatment of the partner which keeps on reinfecting the female partner repeatedly.
A vaginal swab culture sensitivity will be helpful in determining the antibiotic which will be most suitable for your infection.
In recurrent case, you have to eliminate certain predisposing factors like:

1) Diabetes by doing one blood sugar (PPBS) test.
2) Recent change in sexual partner or having multiple partner, presence of any type STD.
3) Using any contraceptive pill/ Cu-T (IUD), douching or inserting any foreign object.
4) Concurrent practice of vaginal and anal intercourse in alternate way during same session.
5) Other co-existence factors- irregular diet habit, psychological factor, hormonal imbalance, non-maintenance of genital hygiene during period, cervicitis/ atrophic vaginitis 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.

In this scenario, you must consult with a gynecologist regarding this for proper guidance through pelvic examination (with or without speculum), relevant investigation (like STD profile, vaginal swab test, complete hormone assay etc). Take suggestive measures with supportive medication accordingly.

Following life style changes are helpful to prevent future recurrence of BV:

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.
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 any type of chemical cosmetics or soap or condoms. Try to avoid any type of sexual activity for at least 3 months.
6) Avoid stress/ tension/ mental upset by regular deep breathing (20-30 times)/ yoga. Take a sound sleep for complete relaxation.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

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