What Is BV?

Bacterial vaginosis (BV) occurs when the balance of bacteria in the vagina changes, allowing certain bacteria to become more dominant than the beneficial bacteria that normally help maintain a healthy vaginal environment.

Common symptoms may include:

• Fishy vaginal odor
• Thin gray or white discharge
• Vaginal discomfort
• Symptoms that may be more noticeable after intercourse

If you're experiencing these symptoms, it's important to see your healthcare provider for an accurate diagnosis because other conditions can cause similar symptoms.

Why Does BV Keep Coming Back?

There isn't always one single reason. Often, several factors work together to disrupt the vaginal microbiome.

Here are nine common contributors.

1. Your Vaginal Microbiome May Not Be Fully Balanced

A healthy vagina contains billions of beneficial bacteria primarily Lactobacillus species that help maintain a naturally acidic environment.

When these beneficial bacteria are reduced, it can become easier for the bacterial balance to shift.

Supporting a healthy vaginal microbiome is an important part of overall feminine wellness.

2. Changes in Vaginal pH

One of the most important factors in vaginal health is vaginal pH.

A healthy vaginal pH is typically between 3.8 and 4.5.

Several things can influence this balance, including:

• Menstrual cycle
• Hormonal changes
• Certain personal care products
• Antibiotic use
• Sexual activity

3. Antibiotic Use

While antibiotics are sometimes necessary, they can also reduce beneficial bacteria throughout the body—including those that help maintain vaginal balance.

Many women choose to focus on supporting their microbiome after completing antibiotics as part of their overall wellness routine.

4. Hormonal Changes

Hormones influence many aspects of vaginal health.

Changes during:

• Pregnancy
• Breastfeeding
• Perimenopause
• Menopause
• Birth control use

can all affect the vaginal environment.

5. Intimate Products

The vagina is naturally self-cleaning.

Products such as:

• Douches
• Scented soaps
• Bubble baths
• Feminine sprays
• Fragranced wipes

may disrupt the natural environment in some women.

Choosing gentle, fragrance-free products may help support everyday vaginal wellness.

6. A Weakened Vaginal Microbiome

Your gut and vaginal microbiomes are connected.

Healthy lifestyle habits—including a balanced diet, adequate sleep, stress management, and proper hydration—can help support your body's natural bacterial balance.

7. Sexual Activity

For some women, sexual activity may temporarily influence vaginal pH and bacterial balance.

Good hygiene practices and open communication with your healthcare provider about recurring symptoms are important.

8. Stress and Poor Sleep

Chronic stress and inadequate sleep can affect immune function and overall health.

Prioritizing rest and stress management supports your body's natural ability to maintain balance.

9. Not Supporting Beneficial Bacteria

Beneficial bacteria play an important role in maintaining vaginal wellness.

Many women choose to incorporate a daily women's probiotic into their routine to support:

• Vaginal flora*
• Vaginal microbiome*
• Digestive health*
• Overall feminine wellness*

How to Support Vaginal Health Naturally

Daily habits can make a meaningful difference in supporting vaginal wellness.

Eat a Balanced Diet

Choose whole foods rich in fruits, vegetables, fiber, and fermented foods whenever possible.

Stay Hydrated

Proper hydration supports overall health and your body's normal functions.

Wear Breathable Cotton Underwear

Breathable fabrics may help reduce excess moisture and improve comfort.

Avoid Harsh Products

Skip scented washes, douches, and fragranced feminine products unless directed by your healthcare provider.

Prioritize Sleep

Aim for 7–9 hours of quality sleep each night to support overall wellness.

Manage Stress

Regular exercise, mindfulness, and relaxation techniques can support your overall health.

Support Your Microbiome

Many women include probiotics as part of their daily wellness routine to support a healthy balance of beneficial bacteria.*

Why Gut Health Matters

Did you know your gut contains trillions of beneficial bacteria?

Emerging research suggests the gut microbiome and vaginal microbiome are interconnected. Supporting digestive health through a balanced diet and healthy lifestyle may contribute to overall microbiome wellness.

Our Women's Probiotic + Prebiotic

At NutraHealth, we designed our Women's Probiotic + Prebiotic to support women's daily wellness.

Unlike many formulas that contain only probiotics, our formula includes:

• 4 targeted probiotic strains
• 2 prebiotics to nourish beneficial bacteria
• Gut and digestive health support*
• Vaginal flora support*
• Daily microbiome support*

It's a simple addition to your wellness routine that supports both gut and feminine health.*

When Should You See a Healthcare Provider?

If you experience:

• Symptoms that continue or return frequently
• Strong vaginal odor
• Pain
• Fever
• Abnormal bleeding
• New or worsening symptoms

it's important to seek medical evaluation. A healthcare provider can determine the underlying cause and recommend appropriate treatment if needed.

Frequently Asked Questions

Can BV keep coming back?

Yes. Some women experience recurrent BV. If symptoms return frequently, it's important to discuss this with your healthcare provider.

Can probiotics support vaginal health?

Some probiotic strains have been studied for their role in supporting a healthy vaginal microbiome. If you're considering a probiotic, speak with your healthcare provider about what may be right for you.

What affects vaginal pH?

Many factors can influence vaginal pH, including hormones, antibiotics, menstruation, sexual activity, certain personal care products, and overall health.

Does gut health affect vaginal health?

Research continues to explore the connection between the gut microbiome and vaginal microbiome. Supporting gut health through healthy lifestyle habits may contribute to overall wellness.

Final Thoughts

Recurring BV can be frustrating, but understanding the factors that influence your vaginal microbiome, vaginal pH, and overall feminine health is an important first step.

By focusing on healthy daily habits, supporting beneficial bacteria, and working with your healthcare provider when symptoms persist, you can take a proactive approach to your vaginal wellness.