What Foods Cause BV and What Should You Eat Instead?

Bacterial Vaginosis (BV) is a common vaginal infection occurring when the natural balance of bacteria within the vagina is disrupted. This imbalance often involves a decrease in beneficial bacteria and an overgrowth of other types of bacteria. Symptoms can include an off-white, gray, or greenish vaginal discharge, often accompanied by a distinct “fishy” odor, particularly noticeable after sex. Some individuals may also experience burning during urination or mild vaginal itching, though many with BV have no symptoms at all.

Diet’s Role in Vaginal Health

The vagina maintains a complex ecosystem of microorganisms known as the vaginal microbiome. A healthy vaginal environment is typically dominated by specific types of beneficial bacteria, primarily Lactobacillus species. These bacteria produce lactic acid, which helps maintain an acidic vaginal pH, generally below 4.5. This acidic environment inhibits the growth of harmful microbes and supports overall vaginal health. Dietary choices influence the body’s internal environment, including blood sugar and inflammatory responses, indirectly impacting the vaginal microbiome. A balanced diet provides nutrients that support beneficial bacteria, protecting vaginal health.

Foods Associated with BV

Certain dietary patterns can contribute to an environment less favorable for a balanced vaginal microbiome. A high intake of sugar, particularly from refined sources like candies, pastries, and sweetened beverages, can rapidly elevate blood sugar levels. This increased sugar can potentially fuel the growth of harmful bacteria and yeasts, disrupting the vaginal pH balance.

Similarly, refined carbohydrates, found in many processed foods, are quickly converted to sugar in the body, leading to comparable effects on bacterial growth and vaginal pH. Highly processed foods often lack essential nutrients and contain chemical additives or preservatives, which may interfere with the body’s immune functions. Consuming these types of foods has been linked to an increased risk of BV.

Excessive alcohol consumption has also been associated with an increased risk of bacterial vaginosis. While the exact mechanisms are not fully understood, alcohol can contribute to dehydration and may affect the body’s immune system, potentially making the vaginal environment more susceptible to bacterial imbalances. Additionally, diets high in unhealthy fats, such as saturated and trans fats found in fried foods, can disrupt the balance of beneficial bacteria and potentially increase vaginal pH, further contributing to BV risk.

Dietary Support for Vaginal Well-being

Incorporating specific foods into the diet can help support a healthy vaginal microbiome and potentially aid in managing or preventing BV. Probiotic-rich foods introduce beneficial bacteria, particularly various Lactobacillus strains, directly into the digestive system, which can then influence the vaginal flora. Examples include fermented foods like unsweetened yogurt with live cultures, kefir, sauerkraut, kimchi, and tempeh.

Prebiotic-rich foods provide nourishment for the beneficial bacteria already present in the body. These are typically fiber-rich foods such as garlic, onions, asparagus, bananas, oats, and whole grains. By feeding the existing good bacteria, prebiotics support a robust and balanced microbiome.

Maintaining adequate hydration is important for vaginal health. Drinking enough water helps maintain moisture levels in vaginal tissues, preventing dryness and irritation, and supports natural lubrication.

A diet rich in nutrient-dense foods like fruits, vegetables, lean proteins, and whole grains provides essential vitamins and minerals that support the immune system and foster a healthy microbial environment.

Key Dietary Principles for BV

Adopting dietary changes for vaginal health is a gradual process. Consistency in these habits is important for fostering a stable, balanced vaginal microbiome over time.

Dietary approaches support, but do not replace, professional medical diagnosis or treatment for bacterial vaginosis. Individuals with BV symptoms should consult a healthcare provider for evaluation and prescribed treatment, often antibiotics. Dietary adjustments complement medical interventions and promote long-term vaginal well-being.