Probiotics for Vaginal Health

Probiotics for Vaginal Health
Date: August 13, 2013      Publication: Daily Health News      Source: Laurie Cullen      Print:

You know how helpful probiotics are for your digestive health…but did you know that these beneficial bacteria also promote vaginal health?

Folk medicine has long recommended eating yogurt as a natural remedy for vaginal infections, and now studies are finding evidence that folk wisdom was on the right track. For instance, a recent study in Journal of Family Practice showed that the probiotics in yogurt and in certain vaginal suppositories may reduce the recurrence of bacterial vaginosis (BV), the most common type of vaginal infection among women of childbearing age.

Although we don’t yet have a large body of peer-reviewed research proving that probiotics prevent various types of recurrent vaginal infections, it just makes sense to use beneficial bacteria to battle harmful bacteria, said Laurie Cullen, ND, an associate professor of clinical medicine at Bastyr University, whose practice focuses on women’s health.


“The vaginal ecosystem is very sensitive,” Dr. Cullen explained. “The beneficial Lactobacilli strains of bacteria that live in the vagina keep the pH around 4.2. Certain factors can raise the vaginal pH, leading to an overgrowth of various bacteria and causing BV. Situations that lower the vaginal pH can lead to an overgrowth of fungal organisms, such as Candida albicans, and cause a yeast infection.”

Among the many factors that can affect vaginal pH are the use of antibiotics, oral steroid medications, spermicidal contraceptives or birth control pills…sexual intercourse, menstruation, tampon use, pregnancy or menopause… diabetes or obesity…cancer or cancer treatment…and conditions that compromise the immune system.


The following prevention strategies are appropriate for just about any woman who wants to keep her vagina as healthy as possible…and they’re particularly helpful for those who have a history of vaginal infections.

Note: Whatever type of probiotic you use—be it in the form of yogurt, an oral supplement or a topical vaginal product—avoid brands that contain only the species of Lactobacillus called acidophilus. “Acidophilus, which comes from cow’s milk, is really good at populating a cow’s vagina with cow-beneficial probiotics, but on its own it doesn’t do much to help repopulate the human vagina with the various Lactobacilli species normally found there,” Dr. Cullen explained. She recommends probiotics that contain a number of different Lactobacillus species in addition to acidophilus, such as Lactobacillus GG, rhamnosus, reuteri, plantarum and/or salvarius.

Dr. Cullen suggested trying one, two or all three of the types of products below for two to six months to see if they help your vagina stay infection-free. If so, you can continue to use them indefinitely.


Cultured yogurt. Eat at least one serving daily. For women who like dairy yogurt, Dr. Cullen recommended the plain-flavored, American-style Stonyfield brand. For people who prefer a cultured soymilk yogurt alternative, she suggested the Silk brand’s Fruity & Creamy line. Why does she like these brands? “Because we can verify the cultures, meaning that we can grow in a lab the bacteria that they say are in their product,” she explained.

Oral probiotics. For her patients, Dr. Cullen most often prescribes over-the-counter oral supplements such as Fem-Dophilus…FemEcology…or Pro-Flora Women’s Probiotic by Integrative Therapeutics. Usually these are taken daily, following the guidelines on the product label.

Vaginal moisturizers. Sex affects the vaginal pH because men’s semen has a pH of about 7.1 to 8.0. Spermicidal contraceptives also alter the pH of the vagina. A vaginal moisturizer helps keep the vaginal pH in balance, which is why it’s a good idea to use one before and immediately after having sex. Also use it daily whenever you are taking antibiotics. Dr. Cullen’s preferred brands include RepHresh Vaginal Gel…and Luvena Prebiotic Vaginal Moisturizer and Lubricant.


If you develop any symptoms of a vaginal infection, such as itching, discharge, odor and/or pain, it’s important to see a doctor who can diagnose the cause. “Women who try self-treatment without first getting a diagnosis may end up making the problem worse,” Dr. Cullen cautioned. Treatment depends on the type of infection your doctor ends up diagnosing. The most common types are…

Yeast vaginitis. For her patients with vaginal yeast infections, Dr. Cullen relies on vaginal suppositories of boric acid (also called borax). Although such suppositories are available without a prescription, before using them, you should make sure that your doctor confirms the yeast diagnosis. If you are prone to recurrent yeast infections and your doctor is satisfied that you can recognize the symptoms, however, he/she may give you the go-ahead to self-treat. In such cases, Dr. Cullen often prescribes a five-to-seven-day course of Yeast Arrest Suppositories, which contain several homeopathic anti-yeast ingredients in addition to boric acid.


After the boric acid treatment is done, Dr. Cullen said, it’s a good idea to help restore vaginal health by inserting a probiotic product directly into the vagina once daily for one to two weeks. For this, Dr. Cullen recommends capsules of Fem-Dophilus, FemEcology or Pro-Flora Women’s Probiotic—yes, the same oral probiotic supplements mentioned in the prevention section above also can be used as vaginal suppositories, she said.

Bacterial vaginosis. For her patients with BV, Dr. Cullen typically recommends using Fem-Dophilus, Fem-Ecology or Pro-Flora Women’s Probiotic both orally and vaginally—one oral and one vaginal capsule per day. Sometimes this strategy provides enough immune support to allow a woman’s body to fight off the infection. However, if this approach doesn’t work within three or four days, it may be necessary to use antibiotics to get rid of BV.

Source: Laurie Cullen, ND, associate professor of clinical medicine and chair of the department of clinical sciences, Bastyr University, Kenmore, Washington, and core clinical faculty member, Bastyr Center for Natural Health, Seattle.

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  • Glory

    Do yoy think Can i used the food supplements capsules to insert in my vagina instead of taking by oral?does is safe or whats the difference of oral and inserting please help me. They just have a similar ingredients lactobacillus acidophilus. Glory

    • D

      Don’t do it! I tried this and a day after weird black goo started coming out. It was like this for days and made everything worse than what I began with..

      • LovePeaceHealth

        If thats the case then you have something seriously wrong with your vagee gee! And you need to see a Gyn asap! Dont discourage everyone else because of your problem.

      • Yoa

        Maybe it was the capsule tha was desintegrated. Did it continue when you stoped?

      • La Bella Bre’

        That is NOT normal. You need to go to the OB-GYN immediately. You shouldn’t have black goo coming out unless there was dried blood or old blood from menstruation, and the capsule interacted with it (old blood in contact with certain chemicals can turn black and sticky like goo).

        This remedy is an effective and natural way to cure yeast and BV…if it wasn’t, the study would have been wrong about the effectiveness and the millions of women who do this aren’t complaining. I’d rather use boric acid and probiotics than use antibiotics and anti-fungals for weeks only to have the infection come right back. I’ve even used this remedy during my period and never had any issues…

        An ounce of prevention is worth a pound of the cure.

    • Meagan Webb

      According to the above article, “yes, the same oral probiotic supplements mentioned in the prevention section above also can be used as vaginal suppositories”.

    • La Bella Bre’

      Yes, you can use the gelatin capsules (whether made of vegetable gelatin or bovine/cow gelatin). I use them orally and vaginally and they dissolve with no issues. You may have additional discharge but that is normal.

  • Lisa olson

    The yeast infections used to be really active down there, but since I started following this natural remedy ,which boosted my immune system, I haven’t had outbreaks or symptoms!

  • Lisa olson

    The yeast infections used to be really active down there, but since I started following this natural remedy ,which boosted my immune system, I haven’t had outbreaks or symptoms!

  • Her

    Well i inserted a rephesh pro b in the vagina 2 in one day. I inserted the second pill that night before bed. I had a little discharge the next morning but nothing major and it was gon that night after i showered. Im great!!!!!! No smell no discharge …. Im still taking 1 pro b by mouth per day … Hope this helped someone

    • La Bella Bre’

      yep they do work! I use the Fem-Dophilus brand and also boric acid capsules. The boric acid capsules are extremely effective…there may be a little discharge but that is normal. Use pantiliners…its worth it not using antibiotics and anti-fungals which do not work the majority of the time. Boric acid and probiotics capsules are the best remedy I have found for both yeast and BV…and I have tried the antibiotics and anti-fungals for weeks with no success. I’d get a prescription and then the infection would still persist.

  • Nicole

    Can someone tell me if the plastic capsule dissolves in your vagina???? or do you have to find it and try to get it out???

    • Jenn

      Yes, the pill will dissolve.

    • La Bella Bre’

      It’s not made of plastic…the capsules are made of gelatin, which is a natural ingredient. There is bovine and vegetable gelatin. No pills meant to dissolve in the stomach or vagina are made of plastic.

  • Lacy

    A vaginal probiotic has been recommended to help eliminate UTI. Has anyone used the capsules and had success? Thanks for sharing.

    • La Bella Bre’

      I have used them with REMARKABLE success. I’m slightly immuno-compromised, and as I have gotten older, seems the slightest change in vaginal pH can cause me to have a BV or yeast infection. I haven’t had a UTI in a long time, and when I do get them (once every other year or two), I have to take antibiotics, a strong one because the infection can easily spread to my kidneys, which has happened before.

      I take the Fem-Dophilus brand by Jarrow Formulas, and the Swanson Health Dr. Stephen Langer’s Probiotic Supplement. The Fen-Dophilus brand is wonderful. It must be kept cold and shipped cold. Please see my other comments below for more info. I only use boric acid capsules and probiotics to fight and prevent these vaginal infections. Antibiotics for BV and anti-fungals for yeast have NOT worked effectively. I can typically cure a case of BV or yeast in 3-5 days using boric acid capsules and probiotics…and it does not come back unless I slip on taking my oral probiotics daily or unless I am under a lot of stress.

  • disqus_nzs3vUIRX3

    You can get the boric acid capsules on Etsy for very little money.

  • Jules

    How do you feel about Replens Vaginal Moisturizer? I’ve used the Luvena as recommended, and it’s worked wonders for my chronic condition, but it’s just so darn expensive. The Replens is cheaper, but the ingredients are very different than those in the Luvena. So far, you’re the only person who has come up with something to help with prevention rather than just curing it when they happen! I trust your opinion, so if you say no to the Replens, so be it, I will just continue on with the Luvena. Thank you!!!!!!