Could it be combined with for example raw honey cleanse directly applied? that might assist in lowering incidence giving antibiotics a higher propensity to work, I read somewhere antibiotics taken with garlic increases their effects Fresh Garlic Extract Enhances the Antimicrobial Activities of Antibiotics on Resistant Strains in Vitro (nih.gov) so perhaps a multi system program , i would say avoiding sugar and things like guar would help as well,.

A wide range of antibiotics exist for treating bacterial vaginosis and STIs.

The first step is for a clinician to get a detailed medical history, do necessary examinations and request lab investigations. In most cases, a high vaginal swab MCS (Microscopy Culture and Sensitivity) and STD screening need to be conducted. After this, appropriate antibiotics can be prescribed guided by sensitivity results. We understand that antibiotic resistance is becoming a huge problem in infection treatment, and that is the more reason this process should be followed judiciously. However, most women especially in Low Middle Income Countries self medicate or get treatments from roadside patent medicine sellers and this mostly results in poor treatment, persistence of infections, infection complications and antimicrobial resistance.

There are several commensal bacteria harbouring the vagina. Any disturbance in that lead to untoward vaginal discharge. So avoid unnecessary use of oral or local antibiotics and prescribe a course of pre & probiotics.