Bacterial Vaginosis (BV): What It Is, Why It Happens, and How to Manage It

If you’ve ever noticed an unusual odor or discharge and thought, “Something’s not quite right,” it could be Bacterial Vaginosis (BV). BV is a common vaginal condition that happens when the balance of bacteria in the vagina gets thrown off, leading to an overgrowth of “bad” bacteria. It’s uncomfortable, and sometimes embarrassing, but totally manageable with the right knowledge and care. Let’s break down everything you need to know about BV and how to prevent it from coming back.

What Causes BV?

BV happens when the good bacteria in your vaginal microbiome—primarily Lactobacillus—are outnumbered by anaerobic bacteria, which thrive in environments with low oxygen. A healthy vagina is slightly acidic (with a pH of 3.8-4.5), which helps keep bad bacteria at bay. When this balance is disrupted, the pH rises, allowing harmful bacteria to flourish.

Some common factors that can trigger BV include:

• Sexual activity: Having new or multiple partners can affect the bacterial balance, even though BV is not considered an STI.
• Douching: Cleansing the vagina with scented products disrupts its natural flora.
• Hormonal changes: Menstruation, pregnancy, and menopause can alter vaginal pH levels.
• Scented soaps or wipes: Even well-meaning hygiene practices can cause irritation.

While BV isn’t dangerous, if left untreated, it can increase the risk of more serious issues, like pelvic inflammatory disease (PID) or complications during pregnancy.

Symptoms of BV

BV isn’t always symptomatic, but when it is, you might notice the following:

• A thin, gray or white discharge with a fishy odor
• A stronger odor after sex
• Vaginal itching or discomfort
• Burning sensation during urination

These symptoms can overlap with other conditions like yeast infections or STIs, so it’s essential to get the right diagnosis if anything feels off.

How to Treat and Prevent BV

Consult Your Healthcare Provider
If you suspect you have BV, it’s important to see a doctor for confirmation. Most cases are treated with antibiotics, like metronidazole or clindamycin. Make sure to complete the entire course of treatment to prevent the infection from returning.

Support Your Vaginal Microbiome
Incorporate probiotics with Lactobacillus strains to restore the natural balance of bacteria. Probiotics are available as oral supplements or vaginal suppositories.

Try Boric Acid Suppositories
If BV keeps coming back, talk to your healthcare provider about using boric acid suppositories. These are inserted vaginally to restore the natural pH and prevent further bacterial overgrowth. You can find boric acid suppositories at most pharmacies, health stores, or online—but it’s essential to follow professional advice before using them.

Use pH-Friendly Period Products
Mainstream pads and tampons can trap moisture and create an environment where bacteria thrive. Opt for breathable options like Aisle Period Underwear. Our Essentials underwear are perfect for managing daily discharge comfortably. On heavier days, Aisle Boost collection offers added protection without irritation.

Skip Scented Products
Your vagina is self-cleaning, so there’s no need for perfumes, douches, or scented wipes. Stick to warm water or gentle, unscented cleansers for external cleaning only.

Aisle Product Recommendations for BV Prevention

• Everyday Underwear: Breathable and comfortable for non period days.
• Reusable Liners: Perfect for discharge or spotting.
• Menstrual Cups: An eco-friendly alternative to tampons, reducing the risk of irritation.

BV is more common than people realize and can happen to anyone. The key to managing and preventing it lies in maintaining a healthy vaginal environment. Small changes—like using breathable period products, avoiding harsh soaps, and supporting your microbiome with probiotics—can make all the difference.

Your body deserves products that care as much as you do—because taking care of your vaginal health isn’t just important; it’s essential.