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Louis, Missouri, was recommended the device for birth control by her doctor after she had her first child.After a few weeks, she noticed some worrisome symptoms: increased vaginal discharge and a fishy smell.What’s more, BV rubs salt in the wounds of health inequality, affecting African American, Hispanic, and Mexican American women more than white women, poor women more than rich women, and uneducated women more than educated women in the U. She’s not worried, however,because she’s so familiar with BV now that she knows the first signs and gets treated immediately.But approximately half of women with BV have no symptoms and don’t even know they have a problem, let alone one that’s putting them in harm’s way. Douching of any kind disrupts the balance of good bacteria and is associated with increased risk of BV.At that time, the treatment was a vaginal cream that Holmes thought was “almost useless.” In 1978, he had a colleague, Terrence Pheifer, run a clinical trial to find out if oral antibiotics worked better.They didn’t, but serendipity struck during the trial.

Her doctor explained that BV is a disturbance of the natural balance of bacteria that live inside the vagina.The culprit is often bacterial vaginosis, the most common vaginal infection you’ve probably never heard of. The sad truth is that these sprays, soaps, and wipes will not fix the problem. But 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.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.The woman’s doctor treated her with a week of antibiotics, the standard treatment, and her BV cleared up.But, as happens to roughly half of the millions of women in the U. who have BV at any given time, her infection kept coming back.

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However, for many women, one or another species of may have expanded their territory to colonize the vagina—traveling the short distance from the anus to the vaginal opening.

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