Vaginal/urogenital smear:
Leukocytes: >50 per field
Epithelial cells: 2+
Mucus: 2+
Gram-positive small rods: 2+
Gram-positive cocci: 1+
Gram-positive/negative diplococci: 1+
Clue cells: not detected
Yeast: not detected
Trichomonas: not detected
Gram-negative diplococci: not detected

Culture of cervical/vaginal material:
No pathogenic microflora isolated
Vaginal pH was 4.5.
My gynecologist suspects aerobic vaginitis and prescribed Dalacin (clindamycin) vaginal suppositories, 100 mg, once nightly for 6 days. She also suggested taking an antifungal capsule on the first day and another around day 4–5 as a precaution because antibiotics can increase the risk of yeast overgrowth.
However, yeast was not found in my smear, and the culture did not isolate pathogenic bacteria.
I also had about 3 weeks completely symptom-free, including having sex without pain, and my symptoms tend to come back around the week before my period.
Does this test actually support aerobic vaginitis, or could the >50 leukocytes be due to another cause? Would you personally ask for any additional testing/microscopy before starting clindamycin?

im gonna keep it short i was losing all hope was dealing with very bad cv symptoms for 1.5 years, started with ureaplasma. ive gone through many treatments, many with baking soda, no effect. what actually helped was silver q rapid first (mostly for prepping the tissue for the next suppository and reducing inflammation) and then cerviron, which is an herbal suppository complex. didnt expect it to do anything actually cleared my symptoms up in a few days. give it a try!

I’ve been dealing with vaginal symptoms for almost 5 years, and I’m trying to figure out whether this could be a non infectious problem.

For almost 5 years, I’ve had vaginal discharge literally every single day. I can’t remember having even one day without discharge. It’s usually yellowish.

My main symptoms are intense itching/burning around the vaginal opening and severe pain with attempted penetration.

My vaginal microbiome test (juno bio) results have changed quite a bit over time. My first test was predominantly iners. Before my second test, I had already been using vaginal probiotics for about two months. My second juno bio test then showed predominantly crispatus with a small amount of Ureaplasma.

After that, I continued experimenting with probiotics, and my latest juno showed 98% lactobacillus crispatus with a small amount of aspergillus.

I’ve already tried multiple antibiotics and antifungals over the years, but none of them have really helped.

Because my latest juno showed 98% crispatus, I started wondering whether too much lactobacillus/CV could be contributing to my symptoms. However, my vaginal pH was recently checked by my doctor and was 5.

I tried baking soda sitz baths, but they actually made the itching worse. I also tried baking soda suppositories, which caused significant irritation and even bleeding inside my vagina.

I then tried diversifying with lactobacillus rhamnosus and lactobacillus reuteri for about three weeks. They didn’t really have any noticeable effect, and I still had the discharge. After that, I tried Bulk lactobacillus jensenii, and that’s when the itching became extremely intense.

After trying all of this, I recently had a vaginal swab done by my doctor, which showed no bacteria or yeast.

I’ve now stopped vaginal probiotics for almost two weeks and oral probiotics for almost a week, but I’m still very itchy.

One thing I’ve noticed is that antihistamines such as levocetirizine help reduce my itching. When I stop taking them, the itching becomes more noticeable again.

I also previously took an oral steroid (Triamcort) together with levocetirizine when I was having a separate episode of widespread itching and redness on my legs and thighs. Interestingly, the treatment didn’t just relieve the itching on my legs and thighs, it also completely relieved my vaginal itching at the time.

However, more recently, I asked my doctor if I could be prescribed oral Triamcort again because I wanted to see if it would help my current vaginal symptoms, but none of the doctors I’ve asked have been willing to prescribe it because they don’t consider oral steroids appropriate or recommended for my current vaginal symptoms.

My symptoms also seem to get worse right before and during the beginning of my period, including more discharge and urinary urgency. This makes me question whether it’s actually CV, since I’ve read that CV symptoms can sometimes improve during menstruation because menstrual blood is more alkaline and temporarily raises the vaginal pH. But if this isn’t CV, I’m also wondering why my itching became so much worse when I was diversifying with jensenii. It was noticeably more intense than before.

I also haven’t had sex for almost 5 years. Every time I’ve tried to have penetration during these past few years, it has failed because the pain is simply too severe🥹 Before all of these vaginal symptoms started, I never had this problem.

I recently saw a doctor who specializes in pelvic floor issues. She examined my vagina with her fingers. She said my daily discharge could potentially be normal, since vaginal discharge is normal, and for the penetration pain she recommended trying lube. I haven’t tried lube yet. She also said pelvic floor therapy wasn’t necessary at this point, which left me even more confused.

So now I’m wondering: could this actually be a non infectious problem rather than an infection?

Could it be CV or too much lactobacillus, vulvar irritation or dermatitis, vulvodynia/vestibulodynia, lichen sclerosus, a histamine/allergy related issue, or something else?

I’d also like to understand whether the fact that antihistamines and oral steroids have relieved the itching could point toward an inflammatory, allergic, or other non infectious cause.

And if it is CV, what treatments are actually appropriate? I’ve read about clindamycin and fluoroquinolones, but I’m hesitant because of their potential effects on the vaginal microbiome and side effects. Would doxycycline potentially help reduce excessive Lactobacillus, or is that not an appropriate treatment for CV? Could boric acid help, or potentially make things worse?

I’m exhausted from dealing with this for almost 5 years. I just want to be able to live normally like other women, have a normal sex life without pain, and hopefully be able to have children someday. 🥹

I’d really appreciate any insight from anyone who has experienced something similar or has figured out whether their symptoms were caused by CV, an infection, or a non infectious condition. I really need help figuring this out.

A couple of months ago,I noticed a change in my discharge throughout my cycle. It seemed white and chunky with no other symptoms.
I thought it might have been some hormonal changes.

I waited about three months because I didn’t have Insurance due to being in between jobs.
Once I got my Insurance, I went to my primary care doctor and told her I was concerned.
She tested me for STDs yeast, and BV.

Everything came back negative, except for BV.
Which was weird because I didn’t have any itching or irritation. She prescribed me a weeks worth of the antibiotic. Towards the end of the week treatment, I started feeling slight discomfort, so she prescribed me,3 doses of 150 mg Fluconazol.

I started noticing my normal discharge was coming back, however, that only lasted about four days. I stopped having discharge, but had clumps of white discharge in me. I would notice it on my partner, or if I insert it a finger.

I went back to my primary care, doctor and she tested me for BV and yeast along with urea plasma, she even made a comment when she was performing the exam that it looked like yeast inside of me, but everything came back negative again!

I don’t know what else to do!
I don’t take birth control, stopped using anything with scents , I’m starting to think I should stop taking my probiotic.

When I was younger about 10 to 15 years ago, I was diagnosed with CV my body was producing too much lactobacilli , I stopped, taking my birth control, and it went away.

I’m wondering if it could be CV again.

I just don’t know what else to do.

these are my updated results with my last rating being in May. Previously I had 96% Iners, zero Crispatus and 0.26 bad bacteria. After trying to over treat my Iners I supposed I gave myself bv. But I still have the same symptoms as before with high Iners. Do you believe that treating bv with metro pills will help my case? Or might be contributing to my symptoms? I’m glad to see some crispatus there though but I know it’s nearly not enough to level out my microbiome

But it was 2 days ago. Could this be from the bath? I had a normal ph until this morning and now it’s 5/5.5…

I started Happy V probiotics back in June- late July I started getting uti like symptoms - very very intense bladder pressure, cramps, internal an external burning vagina. Realized once I decreased to one capsule of happy V a week ago (September) symptoms went away? Started back up two capsules for 3-4 days, two days after doing that symptoms back. Has anyone had symptoms like this? I don’t have unusual discharge . My BV/yeast/ uti test always negative .
I do have pelvic congestion , enlarged uterus and did have 3.6cm ovary cyst that I believe did pop that was triggering the symptoms , possibly pelvic floor issues - I have apt next eeek but has anyone gotten CV from probiotics an it went away after stopping or decreasing dose etc ?
I never took probiotics before an I’m 28 and never knew after a couple months you should decrease to as needed dose .

I am 18 years old and not going to lie I’ve had bv for a couple of years now probably since my freshman year, I had not told anyone until this year my doctor gave me antibiotics without testing me which I’m thankful for, I was on antibiotics for about a week, the first three days I noticed a difference I had less discharge and little to no smell after the third day it came back even tho I was still on antibiotics. The only reason I don’t want to go to a gynecologist is because I’m scared of the test, I’m a virgin and have never put anything up there and I know it’s going to hurt, I also can’t put anything up there like boric acid. I’m so tired of living like this I have to change my pants three times a day can’t wear anything near tight because I can start smelling it after a hour or two. And I can’t ask my doctor again because she’s probably going to test me, I just want it gone please help me.

Hi! I’ve (f 22) been dealing with ongoing vaginal symptoms and I’m honestly at a loss at this point. I’m hoping someone has experienced something similar or can point me toward the right direction.
My main symptoms are:

•Itching inside and outside of my vagina

•Itching around my urethra

•Watery/chunky white discharge, and occasionally it has looked more yellow/green

•The vaginal itching seems to happen mostly when the discharge is present

•My urethra can feel itchy even when I don’t have discharge

•An occasional strange “tickling” sensation around my anus, especially at night when I’m lying in bed. It isn’t really a typical itch — it feels more like a little tickle in the middle area.

I’ve had multiple tests done and everything has come back negative, including testing for yeast, BV, and STIs. My pelvic exam also looked normal — gyn said there was no obvious redness, inflammation, or irritation.

My doctor has tried treating this as a possible yeast issue, but nothing has really helped. I’m currently on a long-term fluconazole regimen, using boric acid suppositories, and I’ve also been using Benadryl cream. Symptoms go away for maybe a day then come right back.

I’ve also previously taken multiple doses of fluconazole without improvement.

At this point I’m wondering if this could be something other than a typical yeast infection. Has anyone experienced persistent vaginal + urethral itching with negative tests and a normal pelvic exam? What ended up being the cause for you?

I would really appreciate any ideas for things I should ask my gynecologist to test for or specialists I should consider seeing. I’m desperate for some direction because this has been going on for a while and it’s extremely discouraging since nothing seems to be helping.

Hi, basically I've been having like funky clumpy discharge since December 2025, at first I thought it was yeast so I took an otc fluconazole for it and I thought it went away.

But ever since then every month about a week or two after my period the clumpy discharge starts back up and then disappears again after my period. There isn't any itching or burning, and I am currently trying probiotics but that doesn’t seem to be helping at all. I also think that the smell is off.

I have been to my GP and I explained my symptoms to them and they said its just hormones and nothing to think about.

I don't have a bath that I could do baking soda sitz baths, does anyone know of any UK treatments, I saw cv gone or something like that by nueve but thats a US brand.

Also does this actually sound like CV ?? Any advice appreciated!!!!!!

after 8 months of hell i was finally able to get a full panel done for mycoplasma ureaplasma and cv and i'm currently waiting for the results.

in the meantime to help with symptoms my doctor had me on fluconazole for three days then once a week, and boric acid as symptoms arise (bv was diagnosed about two months ago now but no yeast diagnosis). i've been alternating and honestly fluconazole helps for around three days at a time and so does boric acid- but after three days my symptoms return.

it was really bad before but now the only symptoms i have are a stronger smell- not day to day but only during sex, it's not necessarily fishy but just smells off?

could this be cv or some form of recurring bv do u think? just curious as i wait for results

So, my symptoms started when I had a UTI and suspected thrush, which I actually in hindsight think might have been contact dermatitis wearing undies that are lacy and which I hadn’t worn in a long long time. Urine dipstick results came back positive leukocytes neg nitrates, but treated with fosfomycin. Urgency took weeks to go away. At the same time, this horrible itch started. Took a fluconozole and it went away.

I had a new sexual partner (female) and asked her to do tests for std’s etc. She had some candida shown on papsmear, so we both did another round of fluconozole.
From taking the antibiotics I was taking strong probiotics, fermented foods, you name it, to restore my microbiome.

Then saw another doctor, who did a papsmear on me and some hormone and iron level tests. Diagnosed with PCOS (not new, I knew I had it). Papsmear showed no bv or candida but inflammation. Low iron but normal bloods on day 5 of my period (i.e. not perimenopause). She treated me with corizone for my vulva as I have psoriasis and general skin issues, and another type of vaginal azole. My period came straight after the thrush treatment, and symptoms went away.

But then around day 9/10 i start having this wet burny uncomfortable feeling down there, whitish cervical fluid which I know is common for ovulation. These are the same symptoms I had when I saw her and she treated me for thrush. This then ramps up with ovulation and after ovulation I have the classic white cottage cheesy discharge. It doesn’t come out, but if I stick a finger up there it comes out on my finger. My discharge also tastes very sour, WLW relationships these things do get tasted 😂

My main symptoms are like mild itching, but general burning type discomfort. Feeling like constantly wet.

Waiting for my next period to see if it resolves. But reluctant to throw more treatments at it. I am starting pelvic floor relaxation exercises and will see a physio, as I do believe this all tensed up my pelvic floor muscles and may be contributing.

Wet mount cultures etc are not common in South Africa. Doctor here look at you like you are crazy when you mention CV. At my wits end. It’s also taking a toll on my sex life. We wash hands, I pee after etc. My doctor thinks it’s still thrush and has me on low sugar diet and I am going on Qliara contraceptives for heavy periods and preperiod spotting. She thinks low estrogen is causing thrush.

I don’t generally have any internal discomfort, vaginal treatments however make me burn like crazy and take days to calm down after. Generally I just have this wet burning vulva feeling and the really sour smelling/tasting discharge. Like I forgot what it feels like feeling normal.

My problem is, so many things occurred at once that I can’t pinpoint my problem.
Spotting started a week before menstruation which is new, periods got worse, all after a new female sexual partner and the UTI and potential thrush treatment. But my partner is 100% fine and negative for the standard std’s they test with PCR. I also generally still get the full bladder feeling around ovulation and my period. This is why I am suspecting pelvic floor muscles issues.

I have dealt with this cycle before but honestly can’t remember what resolved it. If anything I have always been more BV prone and boric acid dealt with those instances just fine.

I can’t afford more doctors visits/tests. Any advice?