### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello... my name is Anne.  Can I ask you if the type of bacteria present in BV (bacterical vaginosis) can spread to the skin?  I have had recurrent BV for years.  As if that is not bad enough for the last few years my feet and legs have been producing a really stong offensive odor?  My feet only smell when my shoes are on.  As soon as I take them off there is no smell.   Anyone have any suggestions?  The doctors I am seeing now cant seem to cure me of this.  It is makng me very depressed.  Please help.

### output:

Hi Anne, Thanks for posting in Chat Doctor. I understand your concern. Symptoms what you are experiencing could be due to recurrence of yeast infection along with associated bacterial infection. This may be due to poor hygiene or due to transmission by asymptomatic partner during intercourse. If the infection recurs again and again, the following things need to be done: 1. Maintenance therapy like a regimen of oral fluconazole tablets once a week for six months or clotrimazole as a vaginal suppository used once a week for six months can be used. 2. Treating partner too if the partner has symptoms of a genital yeast infection (Atlantis). Along with this, you need to take a course of metronidazole to counter bacterial infection. Other measures which needs to be taken care are the following: 1. Wash the area with warm water and mild antiseptic twice daily until the symptoms subsides. 2. Abstain from sexual activity till your symptoms subside completely. 3. After using the toilet, wipe from front to back to avoid spreading yeast or bacteria from anus to the vagina or urinary tract. 4. Wear loose fitting cotton undergarments that helps keep your genital area Chat Doctor.  5. Change pads or tampons often during periods. 6. Use vaginal antifungal medicines which are available for 1-day, 3-day, and longer courses, depending on the strength of the medicine. 7. Along with it, you can use vaginal boric acid capsules, which are available over-the-counter. Do not use this medication if you are pregnant. Hope the information provided would be helpful. All the best.