Treatment & Prevention of Vaginal Infections

Since the common factor in all vaginal infections is the decrease in the number of lactobacillus bacteria, it would seem logical to treat vaginal infections by replacing those healthy bacteria and restoring normal pH. However, both oral and vaginal preparations of lactobacillus demonstrate no ability to effectively treat vaginal infections.3 Home remedies, including consuming yogurt with live lactobacillus cultures, are also ineffective. Effective therapies require treatment for the specific infecting organism, after which the body is able to restore its own natural balance.

  • Bacterial vaginosis – treatment typically involves a 7 day course of metronidazole (Flagyl) or clindamycin, either taken by mouth in pill form or placed in the vagina in cream or gel form
  • Candida vaginitis – treatment typically involves a 3-7 day course of antifungal creams or suppositories inserted in the vagina. These include butoconazole (Femstat) and miconazole (Monistat). Alternately, a 1 to 5 day course of oral antifungal agents including fluconazole (Diflucan) and itraconazole (Sporanox) is available by prescription.
  • Trichomonas vaginitis treatment typically involves a single high dose of oral (by mouth) metronidazole (Flagyl) or a lower dose given twice a day for 7 days. Sexual partners also need to be treated to prevent re-infection.5

Prevention of vaginal infections

  • Avoid the use of vaginal douches and other feminine hygiene products
  • Practice safe sexual practices with a long-term monogamous partner or the use of condoms
  • Limit your intake of sugar, particularly if you are a diabetic