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We know that bacterial vaginosis is linked to an imbalance in the bacteria that are normally found in a female's vagina - an imbalance in the vagina's naturally occurring bacterial flora. However, nobody fully understands why this imbalance occurs. The vagina usually contains mostly good bacteria and few harmful bacteria - bacterial vaginosis occurs when these harmful bacteria grow in numbers. We do not know what role these harmful bacteria play in causing BV.

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