If you’ve dealt with bacterial vaginosis (BV) more than once, you know how frustrating it can be. The itching, discharge, and that fishy smell show up, disappear, then return. Most people think it’s just a one‑time infection, but for many it’s a recurring problem. Below we break down the main reasons it keeps coming back and give you easy, everyday actions to finally break the cycle.
Stress tops the list. When your body is under pressure, hormone levels shift and the vaginal microbiome gets knocked off balance. This opens the door for the bad bacteria that cause BV to grow again. Other common culprits include douching, scented soaps, and tight synthetic underwear that trap moisture. Even a new partner or a change in birth control can stir things up because they alter the natural pH of the vagina.
First, finish the full course of any prescription you get—don’t stop when symptoms fade. Doctors often recommend a follow‑up dose a week later to make sure the infection is truly gone. Probiotic supplements or foods rich in Lactobacillus (think yogurt) can help repopulate good bacteria. Keep the area dry and breathable; cotton underwear and loose clothing let air circulate and reduce excess moisture.
If you notice stress spikes, try simple relaxation tricks: deep breathing, short walks, or a quick meditation app. These don’t cure BV directly, but they keep hormone swings in check, which supports a healthier vaginal environment. Also, avoid scented wipes, sprays, and vaginal douches—they strip away protective flora and make it easier for BV to return.
Sometimes, a single antibiotic isn’t enough. Talk to your doctor about a longer treatment plan or a maintenance dose if you’ve had three or more episodes in a year. Some providers also prescribe a probiotic rinse to use after showering, which can keep the pH steady.
Don’t forget about diet. High sugar and refined carbs can feed the harmful bacteria, so swapping sugary drinks for water or herbal tea can make a difference. Adding more fiber helps your gut, which in turn supports the vaginal microbiome.
When you’re sexually active, using condoms reduces the chance of swapping bacteria with a partner. If you or your partner start a new hormonal birth control method, keep an eye on any changes in symptoms and let your doctor know.
Finally, keep a simple symptom diary. Write down when you notice discharge, any new products you tried, stress levels, or changes in your routine. This quick log can help you and your doctor spot patterns and adjust treatment before a full flare‑up occurs.
Breaking the cycle of recurrent BV takes a mix of proper treatment, lifestyle tweaks, and a bit of self‑monitoring. By staying consistent with these steps, you’ll give your body the best chance to stay balanced and keep those annoying symptoms at bay.
Does stress cause BV? Clear, evidence-based look at the mind-body link, symptoms, treatment, prevention, and realistic steps to cut recurrences.