If it happened and you weren’t prepared, it would be “a horrible day.”Īnd if the embarrassment and discomfort weren’t enough, BV has a far more menacing side. “When it’s going to come up on you and the smell is ridiculous, you just had to make sure you were always prepared with cleansing wipes, spray, and sanitary napkins,” she says. “I was getting it once or twice a month, which was too much for me as a PE teacher and coach,” she says. who have BV at any given time, her infection kept coming back. But, as happens to roughly half of the millions of women in the U.S. The woman’s doctor treated her with a week of antibiotics, the standard treatment, and her BV cleared up. Mostly, how a woman develops BV is still a big mystery. Sex with someone new, having multiple partners, and douching-rinsing out the vagina with a bag or bottle of liquid-can all contribute to getting BV, but it is not classified as a sexually transmitted disease. Her doctor explained that BV is a disturbance of the natural balance of bacteria that live inside the vagina. She thought she had a yeast infection and took over-the-counter medications, but when it didn’t clear up she headed back to her gynecologist’s office. After a few weeks, she noticed some worrisome symptoms: increased vaginal discharge and a fishy smell. Louis, Missouri, was recommended the device for birth control by her doctor after she had her first child. Like many women, this 37-year-old from a suburb of St. One woman’s BV started just a few weeks after she had her hormonal intrauterine device inserted. Normal intrusions to the vaginal environment, such as semen (which causes vaginal pH to rise) or menstruation, can reduce numbers of Lactobacillus and allow other microbes, including those associated with bacterial vaginosis (BV), to flourish. There, they found their perfect environment, a low-oxygen chamber that, during a woman’s reproductive years, has an abundant supply of the sugars Lactobacillus feed upon.įor the most part, we’ve been happily cohabitating ever since, but it’s a delicate balancing act.
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There are even hints that certain Lactobacillus species reinforce the mucus in the vagina that acts as a natural barrier to invaders.Īlthough no one knows for sure, researchers speculate that human vaginas gained their Lactobacillus protectors around 10,000 to 12,000 years ago when humans began fermenting milk and eating foods like yogurt and cheese, which are full of the bacteria.Ĭertain Lactobacillus may have expanded their territory to colonize the vagina-traveling the short distance from the anus to the vaginal opening.
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Lactobacillus bacteria pump out lactic acid, which keeps the vaginal environment at a low, acidic pH that kills or discourages other bacteria, yeast, and viruses from thriving. However, for many women, one or another species of Lactobacillus has become the dominant bacterial resident. As warm, moist canals exposed to all sorts of things including penises, babies, and dirt, most mammalian vaginas harbor a diverse mix of bacteria. All of which is making researchers look anew at the most private part of a woman’s body, to understand what it means to have a healthy-some prefer “optimal”-vagina and why that is so important for wider health.Ĭompared with those of other mammals, the human vagina is unique. They will-in many cases-actually make it worse.īut while women try to mask embarrassing smells, a more sinister truth also remains under cover: The bacteria responsible are putting millions of women, and their unborn babies, at risk from serious health problems. The sad truth is that these sprays, soaps, and wipes will not fix the problem.
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women of reproductive age have it at any given time. The culprit is often bacterial vaginosis, the most common vaginal infection you’ve probably never heard of. The companies behind these products know that many women are looking for ways to counter embarrassing and debilitating symptoms such as vaginal odor and discharge. I’ve actually driven to the SuperTarget two towns away from where I live so as to not run into anyone I know while scrutinizing the various products that exist for cleansing, deodorizing, and re-balancing the pH of your vagina (I still bumped into another PTA mom in a neighboring aisle). Vaginal odor might be the last taboo for the modern woman.