If you suspect you may have bacterial vaginosis (BV), aerobic vaginitis (AV), or cytolytic vaginosis (CV), Dr. Chang recommends taking a vaginal microbiome test:
There are four companies that offer vaginal microbiome tests:
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Common feminine discomforts include itching, burning, dryness, odor, and/or excessive discharge. All maybe caused by imbalance of the vaginal microbiome.
Lactobacillus overgrowth causes over production of lactic acid, which breaks down vaginal epithelial cells, causing burning and discharge
AV is characterized by a decrease in vaginal lactobacillus along with inflammation, atrophy, and the presence of predominantly aerobic bacteria. The aerobic bacteria are from fecal contamination, such as the E. coli bacteria.
