A cute lil Gardnerella vaginalis stands in the bladder in a puddle of yellow pee looking cool wearing sunglasses - he's where he's not meant to be and feeling smug.
Aunt Vadge: Gardnerella UTI, but NP says it’s BV – help!

Gardnerella in your bladder but told it's just BV contamination? It's a recognised urinary pathogen - here's the evidence, and the perimenopause angle.

A Scottish woman is crying at the kitchen table over a cup of tea, pretty pregnant (more than 26 weeks!) and is sad because she can't get rid of her UTIs and BV, and the doctors say nothing is wrong. Ooph.
Aunt Vadge: I’m pregnant and struggling with BV and UTIs

Pregnant and battling constant BV, UTIs and yeast? Why severe pain needs urgent review, why to skip boric acid, and how to address the nutrient and gut drivers safely.

Three googly eyed happy cute bacteria ride a banana.
The microbiome of the penis, semen and male reproductive tract

The penile microbiome is being examined for its role in fertility, infections and interactions with the vaginal microbiome.

Three weird but sort of cute little monsters are looking disorientated and frankly uncomfortable. These are the Trio of Doom, BV, UTIs and Yeast infections.
Aunt Vadge: BV, yeast, UTIs – nothing is working! Help!

A year of recurrent BV, yeast and UTIs and nothing works? Why the antibiotic cycle keeps it going, and how your gut and hormones may be the real drivers.

This little cute bacteria is being drenched in vaginal discharge looking a little bit miserable.
Aunt Vadge: I have to change my undies 4 x day

Constant clear discharge but all tests are normal and your microbiome is 98% L. crispatus? That's healthy - so stop antimicrobials. The likely hormonal cause.

Three vaginal bacteria sit laughing on a couch.
Understanding Community State Types

Learn more about community state types of the vaginal microbiome.

A pink broom stands alone on a suburban pathway, ready to do a pathway clean up
My Vagina 2-Week Pathway Clean Up

If you're not quite sure what's wrong, try this 2-week pathway reset.

You asked: why or why not boric acid for BV?

A guy wrote to us with questions about his girlfriend's BV and how to solve it, regarding why we don't recommended boric acid.

41 year old woman holding glowing bacteria, which represents her healthy vaginal microbiome
Aunt Vadge: can I stop using Vagifem if my microbiome report was good?

Your microbiome test came back great - can you stop Vagifem? Maybe not: your result may be because of it. Why oestrogen feeds your lactobacilli, and what to ask.

A young black woman sits at a kitchen table or bench with jugs of milk around, looking sort of happy, but it's not clear.
Aunt Vadge: I’m breastfeeding and my BV won’t go away

BV that won't clear while breastfeeding? It's not your probiotic - it's low oestrogen starving your lactobacilli. The real fix, including the oestrogen lever.

Young woman standing looking indecisive near her boyfriend as she contemplates whether to disclose that she had BV or not
Aunt Vadge: Do I need to tell my partner?

Had BV and got a new partner - do you have to tell them? No, BV isn't an STI. But sex does affect it - so here's the genuinely useful thing to know instead.

A South Asian 22 year old woman sits wrapped in a blanket on the couch after having the flu and her first bout of bacterial vaginosis. She's a little miserable.
Aunt Vadge: which BV treatment is right for me?

BV every month and metronidazole isn't working? Your end-of-period and immune clues explain why - and point to what actually breaks the recurrent cycle.

A bacteria reads in the big comfy chair in the library, learning all about BV
Killing BV – the definitive guide

Here are two of the most important unique guides ever written about understanding and treating bacterial vaginosis in vaginas and penises.

What is FUT2 and how does it affect my vagina?

FUT2 mutations disrupt microbiome health, increasing vulnerability to infections, gut issues, and nutrient deficiencies.

Ozempic, Wegovy (semaglutide) and the vagina

Semaglutide (Ozempic, Wegovy) is a diabetic drug that can result in some unwanted vaginal and hormonal side effects in some people.

What an L. iners vaginal microbiome may mean

We discuss why L. iners can be the dominant lactobacilli species in the vaginal microbiome and what to do about it.

A very cute little fox sniffs a giant flower
Vaginal smells – what’s normal?

Our guide to vaginal odours takes you through the different smells, and what they could mean.

An angry little girl sprays a bacteria with fly spray.
Aunt Vadge: how do I treat vaginal Prevotella?

How to treat Prevotella BV? It causes an ammonia odour and resists antibiotics - and some antibiotics make it worse. What actually works, and what to avoid.

An iron and a hammer sit in a pile of iron shavings. The hammer is leaning on the iron.
Iron levels and vaginal symptoms

Here is a quick guide to checking in on your iron levels to see if it has anything to do with your vaginal symptoms.

Aunt Vadge’s Treatment Chooser

Not sure which direction to go in? Our treatment chooser can help!

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