Can We Discuss the Vagina?

Let’s talk about our vaginas. Is it safe to say that women rarely talk about vaginal issues unless its within the privacy of their doctor’s office, a listening partner or a close girlfriend? That may or may not be true. Anyhow my point is, I’m going to talk about it in this blog post!

It is well known that in a female between the age of menstruation and menopause, the normal vagina provides an ecosystem for a variety of microorganisms. Bacteria are the predominant type of microorganism present in the vagina and most women harbor small amounts of bacteria in their vaginal fluid. In this regard, some of the more conventional treatment regimens for various vaginal infections have been described as follows:

  1. Candidiasis also generally referred to as an yeast Infection is treated with fluconazole oral tablets, or topically with miconazole 2% or clotrimazole 1% cream, vaginal tablets, or pharmaceutical suppositories for three to seven days.
  2. Trichomonas* is treated with metronidazole 250 mg or 500 mg orally for five days or 2 grams in a single daily dose.
  3. Gardnerella Vaginitis* or anaerobic (requiring an absence of free oxygen) infections are treated similarly to Trichomonas, with metronidazoleAbout 25% of patients have recurrences and require re-treatment in two to three months. This infection is caused by an overgrowth of the Gardnerella vaginitis bacteria, a bacterium that is also found in healthy virginial flora.
  4. Chlamydial/Gonorrhea* bacterial infections that are usually treated with doxycycline 100 mg bid or erythromycin 500 mg qid orally for seven days.
  5. Mycoplasma Gentialium* is a bacterial treated with azithromycin 500 mg on day one, then 250 mg on days 2–5 (oral) or doxycycline 100 mg bid orally for ten days.
  6. Bacterial Vaginosis is a depletion of specific Lactobacillus species (good bacteria) and increased quantities of numerous anaerobic species (bad bacteria) is treated with Metronidazole or clindamycin vaginal gel or oral tablets. This infection was formally called Gardnerella.

*For any of these infections, sexual partners should be treated simultaneously, if possible.

Great so, everyone is treated, infection cured! What’s the issue? Well conventional treatments have two important negative characteristics. The first is that some of the treatments described are systemic, such as oral metronidazole for trichomonas or bacterial vaginosis and tetracycline for chlamydia. Systemic treatment may have systemic/adverse side effects. The second difficulty is that none of these treatments or procedures attempt to normalize the vaginal flora growth habitat by either maintaining or enhancing acceptable microbial (bacteria) growth patterns.

Let’s discuss Candidiasis (yeast) and Bacterial Vaginosis more specifically since those are very common. There is limited data regarding the antifungal susceptibility of yeast causing candidiasis, since cultures are rarely performed. Recurrent episodes are more often caused by non-albicans species, for which “azoles” (fluconazole, itraconazole, econazole, clotrimazole, miconazole, and ketoconazole) agents are less likely to be effective. This means that the “azoles” are usually acceptable for therapy of uncomplicated candidiasis. Painting of the vulva and vagina with aqueous Gentian Violet 1%, as an adjunct to other therapies, may be helpful in some difficult cases. Usually this was done at the doctor’s office but doctors do not use this treatment anymore. However, Gentian Violet and the correct strains of probiotics can be purchased for home use from online vendors.

Bacterial vaginosis (BV) is the most common vaginitis, which is derived from a reduction in vaginal lactobacilli and an increased growth of other anaerobic species of bacteria. Vitamin C therapy and the correct strains of probiotics can be effective in treatment of BV through the production of lactic acid. Both of which can be purchased online or in stores for home use.

Although pharmaceutically active agents have been developed (conventional treatments above), it has been difficult to achieve optimal potential effectiveness from these agents. It has been found that conventional gels, foams, creams, pharmaceutical suppositories and tablets that are presently used as vaginal delivery systems break down almost immediately following insertion into the vaginal cavity and have minimal adherence to the vaginal walls. This is believed to be due to their water miscibility and/or their lack of physical stability at 37 degrees C (average normal body temperature by mouth). Thus, they exhibit limited effectiveness. The bigger picture is that these and other bacteria microorganisms are becoming more and more multidrug-resistant to pharmaceutical antibiotics. Which means we have to be more proactive about using effective alternative treatments.

Our Herbal Suppositories! Which be purchased here. That’s right, herbal suppositories synergistically comprise the therapeutic effectiveness of the individual herbal ingredients and sustains the natural vaginal flora. In addition, they relieve the symptoms of vaginal infections including inflammation, irritation, dryness, discharge, and unpleasant odor. Each herbal ingredient has properties that treat the symptoms of vaginal infections pointed out earlier. It is estimated that today, plant materials are present in, or have provided the model for 50% of Western drugs. Let’s remember that many commercially proven drugs used in modern medicine were initially used in crude form in traditional or folk healing practices, or for other purposes that suggested potentially useful biological activity. The primary benefits of using plant derived medicines are that they are relatively safer than synthetic alternatives, offering profound therapeutic benefits and are more affordable.

Be Well!

Until Next Time!

All content found on the, including: text, images, audio, or other formats were created for informational purposes only. Offerings for continuing education credits are clearly identified and the appropriate target audience is identified. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website.  If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately.

1 thought on “Can We Discuss the Vagina?”

Leave a Comment

Your email address will not be published. Required fields are marked *