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Stress and lack of sleep can be linked to DIV.
Cortisone is a good treatment for outbreaks but prevention is key.
Some women will get it after infections, such as BV or yeast infections. It appears you get it after BV. To prevent BV make sure to stay away from antibiotics. Also animal products tend to have a lot of antibiotic residues.
Try to avoid too much sugar which can throw your vaginal Ph off.
Probiotics tend to help prevent BV, consider taking those.
Treatment for DIV is really just the steroids.
For women who get it every few days there are much more serious medications to take but they have considerable risks so we stick with the steroids.
Have you looked to see if any foods you eat could be cause of this? Some people react poorly to certain foods and get such outbreaks because of it.