Why do I smell down there? Vaginal microbiome imbalances explained

Woman holding lower abdomen, representing vaginal microbiome health, balance, and natural vaginal care support

Many women feel concerned or embarrassed when they notice a strong or unusual vaginal odor. Changes in the vaginal microbiome, the balance of bacteria that naturally live in your vagina, are often the underlying cause.

Understanding what’s normal and what signals an imbalance can help you take effective steps to restore comfort, health, and confidence.

Common causes of vaginal odour

  1. Vaginal microbiome imbalances
    Healthy Lactobacillus bacteria keep the vagina acidic and balanced. When these good bacteria drop, other microbes can grow, producing odor.

  2. Hormonal changes
    Menopause, perimenopause, pregnancy, or hormonal contraception can shift vaginal pH.

  3. Diet and lifestyle factors
    High sugar intake, dehydration, or poor gut health can contribute.

  4. Infections
    Bacterial vaginosis or aerobic vaginitis can produce a noticeable smell. Yeast infections may sometimes contribute, though they are often odorless.

Signs to differentiate causes

A fishy smell may indicate bacterial vaginosis, often worse after sex. Redness or irritation may point to aerobic vaginitis and might require medical evaluation. Thick, clumpy discharge is usually associated with a yeast infection and is often accompanied by itching.

Natural naturopathic support

Microbiome and gut health
Oral and vaginal probiotics can restore healthy bacteria. Fermented foods and prebiotic-rich meals also support vaginal balance.

Herbal and nutritional medicine
Herbs such as calendula and chamomile reduce inflammation. Omega-3 rich oils like flaxseed or evening primrose support tissue health and reduce irritation.

Lifestyle adjustments
Wear breathable organic cotton underwear, avoid harsh soaps and douching, and maintain hydration and a balanced diet.

A smelly vagina is not something you just have to live with. With a better understanding of your vaginal microbiome, targeted natural support, and lifestyle adjustments, you can restore balance, confidence, and comfort.

Take the next step for your vaginal health
You don’t have to live with discomfort or worry about unusual vaginal odour. Book a personalised consultation with me, Marelie Koot, to decode your vaginal microbiome, restore balance naturally, and feel confident again. I provide tailored support using herbal medicine, nutritional guidance, and lifestyle strategies for long-term vaginal wellness.

BOOK A CONSULTATION HERE

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