Chinese Medicine for Recurrent Vaginal Infections - Traditional Chinese Medicine

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Questions about the use of traditional Chinese medicine for vaginitis?


Hello Doctor, since my first vaginal infection this year (without sexual intercourse), I have been experiencing frequent recurrences.
I have visited a gynecologist each time it relapses, and recently I have seen a traditional Chinese medicine practitioner twice.
However, I noticed that whenever I take the herbal medicine, my vulva becomes very red, and it returns to normal after I stop taking the medication.
Does this mean that the herbal medicine is not suitable for me? Below is the herbal prescription I received last week: Ban Zhi Lian, Long Dan Cao, Xie Gan Tang, Wen Qing Yin, Shen Tong Zhu Yu Tang, She Chuang Zi, Yan Hu Suo, Chuan Wu, Xiang Fu, and Ku Shen Gen.
Thank you.

linda, 20~29 year old female. Ask Date: 2024/05/10

Dr. Gao Peiyi reply Traditional Chinese Medicine


If symptoms improve after medication, it is possible to be allergic to a specific herbal medicine, and further adjustments may be necessary.
For recurrent vaginitis, in addition to intimate hygiene issues, it is important to consider factors that may contribute to a decrease in the body's immune response, such as diabetes, stress, and certain Western medications.
Correcting the underlying causes is the best approach.

Reply Date: 2024/05/10

More Info


Understanding recurrent vaginal infections can be quite complex, especially when considering the interplay between Western medicine and Traditional Chinese Medicine (TCM). Your experience with recurrent vaginal infections, particularly after your first episode earlier this year, highlights a common issue many women face. It's important to address both the physical symptoms and the underlying factors contributing to these infections.

Firstly, recurrent vaginal infections can be caused by a variety of factors, including hormonal changes, antibiotic use, and changes in the vaginal flora. The vagina has a delicate balance of bacteria, and disruptions can lead to infections. In your case, the fact that you have been experiencing these infections without sexual activity suggests that other factors, such as stress, diet, or even underlying health conditions, may be at play.

Regarding your experience with TCM, it’s not uncommon for individuals to have varying responses to herbal treatments. The redness you experience after taking the prescribed herbal formula may indicate an allergic reaction or sensitivity to one or more of the ingredients. TCM often focuses on balancing the body's internal environment, but it’s essential to ensure that the treatment aligns with your body's specific needs. The herbs you mentioned, such as Long Dan Cao (Gentiana), which is often used to clear heat and dampness, may not be suitable for everyone, especially if they are causing adverse reactions.

If you find that the herbal treatments are consistently causing discomfort, it might be wise to consult with your TCM practitioner about adjusting the formula or exploring alternative treatments. They may suggest a different combination of herbs that could be more compatible with your constitution. Additionally, it’s crucial to communicate any adverse reactions you experience, as this feedback can help tailor your treatment plan.

In terms of managing recurrent vaginal infections, consider the following strategies:
1. Diet and Lifestyle: A balanced diet rich in probiotics (like yogurt) can help maintain healthy vaginal flora. Staying hydrated and managing stress through relaxation techniques can also support your immune system.

2. Hygiene Practices: Avoiding irritants such as scented soaps or douches can help prevent irritation. Wearing breathable cotton underwear and avoiding tight-fitting clothing can also promote a healthier environment.

3. Regular Check-ups: Continue to follow up with your gynecologist to rule out any underlying conditions that may be contributing to recurrent infections. They may recommend specific tests to identify any imbalances or infections.

4. Integrative Approach: If you are open to it, consider combining TCM with Western medicine. Some women find that a holistic approach, which includes both herbal remedies and conventional treatments, can be effective in managing their symptoms.

5. Monitor Symptoms: Keep a journal of your symptoms, dietary habits, and any treatments you try. This can help you and your healthcare providers identify patterns and triggers for your infections.

In conclusion, while TCM can offer valuable insights and treatments for recurrent vaginal infections, it’s essential to find a balance that works for your body. If the current herbal regimen is causing discomfort, it may be time to reassess with your practitioner. Always prioritize open communication with your healthcare providers to ensure you receive the most appropriate and effective care for your situation.

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