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Although no one knows for sure, researchers speculate that human vaginas gained their Lactobacillus protectors around 10, to 12, years ago when humans began fermenting milk and eating foods like yogurt and cheese, which are full of the bacteria. She sees BV as a health inequality that piles onto the problems of an African American community that already faces higher rates of preterm birth and higher rates of certain STIs. These community differences may explain why black and Hispanic women have higher rates of BV. This bacterium may have even protected the clients of HIV-positive sex workers somewhat, because these women were also less likely to shed HIV in the vagina. Kendall Powell is a journalist based in Denver. But the vagina is remarkably adept at taking care of itself if left undisturbed. Amanda suspects that this degradation of antibodies and digestion of vaginal mucus leaves women with BV vulnerable to nastier infections.

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Amara. Age: 21.
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We are also learning from African women clues as to why BV is exacerbated by sex.

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Lindsey. Age: 29.
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Profiting From the Myths About Black Women's Bodies

Cone has good reason to feel so passionate. Folklore about the need to clean out the vagina—especially after sex or a period—is often handed down from older relatives to younger women. She got the standard hygiene lecture from her gynecologist, Denise Willers: External washing of the vulva should only include water, or a mild, non-foaming soap. No scents, perfumes or bubble baths.

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