Hi, Welcome to HCM, I read your query carefully. At present, it seems to be that a combination of multiple bacteria must be present together for the problem to develop. Bacterial vaginosis typically features a reduction in the number of the normal hydrogen peroxide-producing lactobacilli in the vagina. Simultaneously, there is an increase in concentration of other types of bacteria, especially anaerobic bacteria (bacteria that grow in the absence of oxygen). Certain factors have been identified that increase the chances of developing bacterial vaginosis. These include: IUDs (intrauterine devices) for birth control, recent antibiotic use, vaginal douching, and cigarette smoking. I would advise you: Antibiotics are the recommended -metronidazole (Flagyl) taken by either oral (pill) form or vaginally metronidazole gel (Metrogel). The oral metronidazole can cause some minor but unpleasant side effects, but is believed to be the most effective treatment . The gels do not typically cause side effects. -vaginal clindamycin cream (Cleocin) tinidazole (Tindamax) is an antibiotic that appears to be effective in treating bacterial vaginosis. Hope so it will be helpful. You can write again in case of any query or follow up. Wish you Good health. Regards