Are You at Risk for Recurrent Bacterial Vaginosis? Key Factors to Consider
Published: Jul 29, 2024
Bacterial vaginosis (BV) affects many women, but some are more prone to recurring infections. Let's explore the risk factors that might make you more susceptible to this persistent problem.
Contents
Sexual Activity and Partners
Sexual activity plays a significant role in BV risk. Having multiple or new sexual partners can increase your chances of recurrent BV. It's like introducing new plants to a garden - sometimes they can disrupt the existing balance. Using condoms and limiting partners may help reduce risk.
Hormonal Influences
Hormonal changes, whether from your menstrual cycle, pregnancy, or birth control, can affect your vaginal environment. Some studies suggest that certain hormonal contraceptives may actually help prevent BV. Think of hormones as the climate control for your vaginal ecosystem - small changes can have big effects.

Hygiene Habits
Certain hygiene practices can increase your risk of BV. Douching, for example, can disrupt the natural balance of bacteria in your vagina. It's like power-washing a delicate flower bed - you might end up doing more harm than good. Stick to gentle, external cleansing with water or mild soap.
Genetic and Immune Factors
Some research suggests that genetic factors, including variations in immune system genes, might make some women more susceptible to recurrent BV. It's like having a natural predisposition - some people are more likely to catch colds, while others might be more prone to BV.
Frequently Asked Questions
Yes, studies have shown a link between smoking and increased BV risk.
Stress can affect immune function, potentially increasing BV risk.
Some studies suggest a link, but more research is needed.
No, BV isn't typically spread through toilet seats or swimming pools.
Some studies suggest a possible link, but results are mixed.
Knowledge is Power
Understanding your personal risk factors for recurrent BV can help you take proactive steps to maintain vaginal health.
References
- Bradshaw CS, et al. High recurrence rates of bacterial vaginosis over the course of 12 months after oral metronidazole therapy and factors associated with recurrence. J Infect Dis 2006; 193:1478.
- Brooks JP, et al. Effects of combined oral contraceptives, depot medroxyprogesterone acetate and the levonorgestrel-releasing intrauterine system on the vaginal microbiome. Contraception 2017; 95:405.
- Dela Cruz EJ, et al. Genetic Variation in Toll-Like Receptor 5 and Colonization with Flagellated Bacterial Vaginosis-Associated Bacteria. Infect Immun 2021; 89.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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