<s>[INST] Hi, I am a 33 y/o female diagnosed with a bacterial vaginitis diagnosis from my obgyn. Antibiotic treatment in the form of flagyl and clindamycin tablets and creams do not work. They relieve the symptoms but as soon as the prescription runs out, returns. Just looking for another opinion. Any other things I can try? I am already taking a probiotic, wear cotton underwear and drink apple cider vinegar diluted with water. I ve also been told to douche 1x / month with vinegar and water, but I m waiting until the latest course of antibiotics runs out ( they are not working). [/INST] Hello, Welcome to Chat Doctor, Bacterial vaginosis is not caused by a single bacteria there will be overgrowth of various bacteria in the vagina. Normally, there are different types of harmless bacteria in the vagina. These bacteria help in the defense against harmful germs, whenever there is a change in the balance of the normal bacteria in the vagina, certain bacteria multiply produce the symptoms of bacterial vaginosis. Metronidazole vaginal cream placed inside the vagina can be used, and it has the same ability of oral metronidazole to clear Bacterial vaginosis. It should be used for 5-7 days for effective treatment. Thank you. </s>