Several factors can impact the levels of lactic acid in the vagina, including:
1. Antibiotic Use: Antibiotics can kill not only harmful bacteria but also beneficial Lactobacillus, leading to a decrease in lactic acid production. 2. Hormonal Changes: Fluctuations in hormones, especially estrogen, can affect glycogen levels and, consequently, lactic acid production. 3. Sexual Activity: Intercourse can introduce new bacteria and alter the vaginal pH. 4. Hygiene Practices: Overuse of douching or harsh soaps can disrupt the natural balance of bacteria and lactic acid.