At 51, you are at the peri- and early postmenopausal age.
Due to reduced estrogen level. the vaginal lining becomes atrophic and the resistance to infection reduces. Thus, AV is a common result.
Antibiotics or boric acid may not work because the cause is estrogen reduction. Without managing the cause, AV may come back as soon as you stop using the antibiotics.
To understand why vaginal atrophy may reduce resistance to infection, you may find this article helpful:
https://www.neueve.com/blogs/blog/how-to-relieve-stubborn-bacterial-vaginosis
Below are the suggested products for you to clear your AV:
Scenario 1: If you are postmenopausal (no longer have regular menstrua period), you can follow suggestions as follows:
For the first 12 days: 1 pack of NeuEve Silver (6 suppositories). Use 1 suppository every other day. https://www.neueve.com/collections/menopause/products/silver
Using Silver first helps you to reverse vaginal atrophy, restore the balance of vaginal microbiome, and adapt to the stronger formula Gold.
From days 13-24: 1 pack of NeuEve Gold (4 suppositories). Use 1 suppository every 3 days. https://www.neueve.com/collections/menopause/products/gold
If by day 25, your AV is cleared (~90% of chance), you can switch to the maintenance mode. Using 1 Gold suppository per week. One pack NeuEve Gold is good for a month of health maintenance. If you can do the maintenance for 3 months and do not see AV coming back, you may be AV free for a long time.
If by day 25, your AV is not cleared (~10% of chance), you can continue using NeuEve Gold once every 3 days for clearing AV. Your AV may be cleared after you use 2-3 packs of NeuEve Gold.
If after you use 3 pack of NeuEve Gold, your BV is not cleared (< 1% of chance), you can move up a phase to a stronger formula BV Clear and use it as detailed in this article (it is written for clearing BV, but the method is the same for clearing AV):
How do I use the BV Clear to clear BV?
In summary, if you have AV and are postmenopausal, the suggested products and application sequence are:
Silver -> Gold -> BV Clear
Scenario 2: If you are premenopausal (you have regular menstrua period), you can follow suggestions as follows:
For the first 12 days: 1 pack of NeuEve Gold (4 suppositories). Use 1 suppository every 3 day. https://www.neueve.com/products/gold
Using Gold first helps you to reverse vaginal atrophy, restore the balance of vaginal microbiome, and adapt to the stronger formula BV Clear.
From days 13-21: 1 pack of NeuEve BV Clear(3 suppositories). Use 1 suppository every 3 days. https://www.neueve.com/products/bv-clear
If by day 21, your AV is cleared (~90% of chance), you can switch to the maintenance mode. Using 1 BV Clear suppository per week, skipping the menstrual period week. One pack NeuEve BV Clear is good for a month of health maintenance. If you can do the maintenance for 3 months and do not see AV coming back, you may be AV free for a long time.
If by day 21, your AV is not cleared (~10% of chance), you can continue using NeuEve BV Clear once every 3 days for clearing AV. Your AV may be cleared after you use 2-3 packs of NeuEve BV Clear.
If after you use 3 pack of NeuEve BV Clear, your BV is not cleared (< 1% of chance), you can move up a phase to a stronger formula BV Clear Finisher if you do not feel burning when you use BV Clear.
In summary, if you have AV and are premenopausal, the suggested products and application sequence are:
Gold -> BV Clear -> BV Clear Finisher
If you have dryness, painful sex and odor, you can use NeuEve Gold for long term maintenance after your AV is cleared. You can subscribe to it for long-term self-care. Your atrophy and AV will be gone for good.
To understand how NeuEve can clear bad bacteria, you may find this article helpful:
How does NeuEve kill bad bacteria without using antibiotics?
About how to manage AV:
How to manage aerobic vaginitis or AV?
By the way, some customers request refund after using the product for 30 days by taking advantage of our 30-day satisfaction guarantee. As a result, these customers will lose the chance of a lifetime to find the ultimate relief. To help our customers to find an ultimate relief, we must tell our customer upfront that for treating a stubborn recurrent AV, you must commit to long-term use of the product to find relief. The 30-day trial period is often not a long enough time to see the ultimate relief. The 30-day money back guarantee does not apply for a stubborn case.
I hope that you will find relief soon.