Is bacterial vaginosis an immune problem or a vaginal problem ?

BV: Although autoimmune conditions may alter the acidity levels within the vagina that would be a rare manner to develop this condition which is primarily a vaginal disorder with growth of unwanted organisms in the vaginal vault.

More vaginal but...: Great question! All infections are related to the balance between immune function and microbes. There is a longstanding debate about the importance of microbes vs. the terrain. But those with healthy immune systems can get BV, so I consider it more of a local vaginal problem rather than a systemic issue. See http://www.earthclinic.com/cures/bacterial_vaginosis.html for info on home remedies.