QUOTE(sassy @ Jun 18 2007, 12:47 PM)

Lori: Since you seem to be the expert, I thought I would ask you this. With all of these other infections you mention, some that can be caused by the antibiotics, and others that are sort of unexplained (ex-mycroplasa), how do we know if we really have BV? What should I ask for my doctor to do the next time I go to make sure I'm not suffering from one of these other infections? How are they supposed to be treated when some doctors aren't even aware of them? Ahh...I'm so confused!

Oh no, I'm not an expert. Sorry if I sound like a "know-it-all cunt" sometimes.

I'm just trying to share information that I learned, some of which is from members in this very thread! I'm just trying to piece it all together in a way that makes sense - to me, anyway. (Trust me, I'm confused, too!)
So to "regurgitate" from
The V Book:
- strep - is diagnosed by a microscope - where you can see "little round streptococci lined up in chains"
- mobiluncus - under the microcope, you can see "mobiliuncus tumbling across the slide"
- desquamative inflammatory vagintis (DIV) - this is basically when everything else has been ruled out
Dr. Stewart says that these are a "challenge" to diagnose. Isn't that great?
Strep and Mobiluncus are rare, but both are typically caused by the antibiotics we use for BV. They are considered "superinfection" - because you are not being attacked by an outside bacteria, you're just dealing with an overgrowth of something that is always there, and isn't harmful in small amounts (just like yeast and BV).
I don't mean to muddy the waters and introduce a lot of far-fetched ideas in here, taking everyone on some wild goose-chase. But since many of us have taken these antibiotics many times, and our symptoms recur so often - I think it's something that should at least be on our radars. Especially when the symptoms are unusual - as in Morphia's case, she has no odor. That's definitely unusual, because the one thing *everyone* complains about in here is the nasty stench.
There are other possibilities as well - e.g., vulvodynia. Or it could be just other skin conditions such as lichen or eczema. Those are apparently misdiagnosed all the time as a gyno problem when they really aren't.
As far as how to ask about it with your doctor - hopefully your doctor knows you've been dealing with this for a long time, and is receptive to discussions about these alternatives. Even Dr. Stewart (who wrote the V book) admits that she gets a lot of patients who complain that their gynos don't listen to them and treat them like idiots. Having experienced dumb doctors like that myself, I really know that feeling.
(I've even had one doctor snap at me, "Are you telling me how to do my job?" Seriously. And I just watched the movie
Knocked Up this weekend, and there was a doctor who said that and it made me so mad! Asshole. The movie was funny, though.)
So I don't know what you should do. I would recommend that you get The V Book and read it yourself - don't rely on my excerpts. And if you're concerned about any of these, you should ask your doctor. Bring the book with you, maybe? Hopefully you have a good doctor who at least listens to you, or insurance that lets you find a better doctor if you want to switch.