Improving Vaginal Health: Probiotics and Hygiene Tips for Yeast Infections

Taking probiotics to improve vaginal health!

I have recurrent Candida infections.
Today, I bought a jar of "Shang Yu Shi Nu Qing" probiotics, and it is recommended to take them for three months.
Should I continue taking them? Can I use a douching product to irrigate the vagina? The pH of the "Shu Mo Er" product is around 3! Can I use "Shu Mo Er" with a pH of 4.9 to wash the external genital area?

Han, 20~29 year old female. Ask Date: 2011/10/31

Dr. Zhang Yongxuan reply Obstetrics and Gynecology

1.
It is recommended to continue treatment.
To completely eradicate this type of infection, treatment must be sustained for at least three months; otherwise, this stubborn Candida cannot be fully eliminated.

2.
Vaginal douching is not recommended because the normal vaginal environment is inherently acidic, and the vast majority of pathogenic bacteria cannot survive in such conditions.
Generally, after menarche, the vaginal pH ranges between 4.0 and 5.0, while during pregnancy, it ranges from 3.8 to 4.4 due to the maximum thickness of the vaginal epithelium, increased glycogen content, and consequently, increased lactic acid production.
In the postmenopausal period, the pH is around 6.0, as the thickness of the vaginal epithelium significantly decreases, glycogen content in the cells is minimal, and Lactobacillus species are sparse, making this period more susceptible to infections.
3.
Washing the external genitalia is permissible.

Reply Date: 2011/10/31

More Info

When it comes to improving vaginal health, particularly in the context of recurrent yeast infections, there are several important considerations regarding the use of probiotics, hygiene practices, and the use of specific products.

Probiotics and Vaginal Health
Probiotics, such as the one you mentioned, can be beneficial for maintaining a healthy balance of vaginal flora. The vaginal microbiome is primarily dominated by Lactobacillus species, which help to keep the pH level low and inhibit the growth of pathogenic organisms, including Candida, the yeast responsible for infections. Taking probiotics for an extended period, such as three months, can be a good strategy, especially if you have a history of recurrent infections. However, it’s essential to consult with your healthcare provider before starting any new supplement regimen to ensure it’s appropriate for your specific situation.

Vaginal Douching and pH Levels
Regarding the use of douching products, it’s generally not recommended to use any form of vaginal douching, including the product you mentioned with a pH of 3. The vagina is self-cleaning, and douching can disrupt the natural balance of bacteria and lead to further infections. A pH of 3 is quite acidic and could potentially irritate the vaginal mucosa, leading to discomfort or exacerbating existing issues. Instead, it’s advisable to maintain hygiene by gently washing the external genital area with mild soap and water.

pH Considerations
The pH of the vagina is typically between 3.8 and 4.5, which is slightly acidic. This acidity is crucial for preventing infections. Products with a pH closer to this range can be safer for external use. The product you mentioned with a pH of 4.9 may be more suitable for washing the external genital area, but again, it’s best to avoid any products that are not specifically designed for vaginal use. Always check with your healthcare provider if you are unsure about the safety of a product.

Hygiene Tips
1. Wear Breathable Fabrics: Opt for cotton underwear and avoid tight-fitting clothing to reduce moisture buildup, which can promote yeast growth.

2. Avoid Scented Products: Steer clear of scented soaps, sprays, and douches, as these can irritate the vaginal area and disrupt the natural flora.

3. Maintain a Healthy Diet: A balanced diet that includes probiotics (like yogurt) can support your overall health and may help prevent yeast infections.

4. Stay Hydrated: Drinking plenty of water can help flush out your system and maintain overall health.

5. Practice Safe Sex: If you are sexually active, using protection can help prevent the transmission of infections.

6. Regular Check-ups: Regular gynecological exams can help monitor your vaginal health and catch any issues early.

Conclusion
In summary, while probiotics can be a beneficial addition to your regimen for preventing yeast infections, it’s essential to avoid douching and to use products that are safe for vaginal health. Maintaining good hygiene practices, wearing breathable fabrics, and consulting with your healthcare provider for personalized advice are crucial steps in managing and improving vaginal health. If you continue to experience recurrent infections, it may be worth discussing further treatment options with your healthcare provider, including potential underlying causes that may need to be addressed.

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