04/13/2026
If you’ve ever finished a round of antibiotics for BV only to find yourself right back where you started — frustrated, confused, and wondering what you’re doing wrong — this episode is for you. Internal Medicine physician, Dr. Cara Quant, breaks down the science of your vaginal microbiome in a way that’s finally clear, honest, and shame-free. Unlike the gut, a healthy vaginal microbiome is actually low diversity, dominated by specific Lactobacillus species that keep your pH protective and your ecosystem stable. When that balance collapses — whether from BV, yeast, or the lesser-known aerobic vaginitis — it’s not a hygiene failure. It’s a microbiome problem, and understanding the difference changes everything. Along the way, she tackles the myths you’ve probably already tried: the yogurt, the douching, the idea that oral probiotics will somehow find their way to where you actually need them.
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