Recurring bacterial vaginosis can be frustrating, leaving many women wondering why it keeps returning despite treatment. In this guide, Registered Midwife Sarah Possié explores BV through both an evidence-based and integrative lens, looking beyond the infection itself to the vaginal microbiome, gut health, immune system, hormones and lifestyle. Learn why recurrence happens, what testing may be helpful, and practical steps to support long-term vaginal health while working alongside appropriate medical care.