The bv did go away with the Antibiotic but I don't think it really helped with the odor. I haven't been tested for recto vaginal fistula but I would look into it. The black teat didn't work for me the only thing that worked for me was changing my diet. I eat apple, pineapple, strawberries, peach, pears. I still don't eat red meat or pork. I do eat chicken sometimes. It's hard for me to know what works since I can't really smell myself.