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foul smelling menstration

I have been experiencing foul smelling periods for the last couple of months.  This is accompanied by  sharp pain in my lower left pelvic area.  I sometimes have this same pain during sex or right after sex.  
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it could also be an infection called bacterial vaginosis. It is NOT an std, but just an overgrowth of normal bacteria that lives in the vagina. However it does require a antibiotic.
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but what causes it and why does it happen.  Im a very clean person.
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my wife had the same thing for months
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