Things that can affect the vagina's natural balance include:
- Poor diet
- Antibiotic treatment
- Intense sexual activity (semen is alkaline and affects the vagina’s acidity)
- Inadequate feminine hygiene
- Synthetic underwear
- Tight clothes (eg: skinny jeans and some sports clothing)
- Daily use of panty liners
- Feminine hygiene sprays
- Excessive fragrance (perfumed or soap)
- Dyed and scented toilet paper
- Birth control pills
- Stress
- Harsh fabric softener used for underwear
- Fatigue