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DESCRIPTION
Vaginitis means infection or inflammation of the vagina. Nonspecific vaginitis (bacterial vaginosis) implies that any of several infecting germs, including Gardnerella, Escherichia coli, Mycoplasma, streptococci, staphlyococci have caused the infection. These infections are contagious. Vaginitis can effect all ages, but most often occurs during reproductive years.
There are three types of vaginitis:
Hormone-related vaginitis includes the atrophic vaginitis generally found in post-menopausal or postpartum women, women who have had their ovaries surgically removed and prepubescent girls.
Irritant vaginitis is the result of poor hygiene, allergies or tight, non-porous clothing can also contribute to vaginitis.
Infectious vaginitis is most common in reproductive-age women and is generally caused by trichomonas, gonococci or other sexually transmitted organisms.
FREQUENT SIGNS AND SYMPTOMS
The symptoms of vaginitis vary depending on the cause. Vaginitis can be caused by bacterial or fungal infections, vitamin B deficiency, intestinal worms, or irritation from excessive douching or the use of such products as deodorant sprays. Infectious vaginitis is often caused by trichomonas, gonococci, or other sexually transmitted organisms. Other factors, such as poor hygiene and tight, non-porous clothing may contribute to the problem. Pregnancy, diabetes, and the use of antibiotics disturb the body's natural balance, creating an environment which infectious organisms can survive and thrive. Oral contraceptives also can produce vaginal inflammation.
Atrophic vaginitis is a condition primarily found in post-menopausal women and those whose ovaries have been surgically removed. This disorder can result in the formation of adhesions and high susceptibility to infection.
Severity of the following symptoms varies among women and from time to time in the same woman.
- Swelling, burning and itching around the genital area.
- Vaginal discharge that has an unpleasant odor. Vaginal discharge varies in color, consistency and odor depending on the infectious organism. Vaginal discharge may be thin and watery, occasionally tinged with blood.
- Vaginal discomfort.
- Change in vaginal color from pink to red.
- Discomfort during and/or after sexual intercourse. Discomfort may be worse after the menstrual period.
CAUSES
The germs normally present in the vagina can multiply and cause infection when the pH and hormone balance of the vagina and surrounding tissue are disturbed.
E. coli bacteria normally inhabit the rectum and can cause infection if spread to the vagina.
The following conditions increase the likelihood of infections.
General poor health.
Hot weather, non-ventilating clothing, especially underwear or any other condition that increases genital moisture, warmth and darkness. These foster the growth of germs.
Poor hygiene.
RISK INCREASES WITH
Diabetes mellitus.
Infrequent bathing or unsanitary living conditions.
Menopause.
Illness that has lowered resistance.
HIV infection.
PREVENTIVE MEASURES
Keep the genital area clean. Use plain unscented soap. Be sure sexual partner is clean. Avoid perfumed soaps, lubricants and spermicides if vaginitis is a problem.
Take showers rather than baths.
After urination or bowel movements, cleanse by wiping or washing from front to back (vagina to anus).
Don't sit around in wet clothing, especially a wet bathing suit.
Don't use vaginal douches, deodorants, dyed or perfumed toilet tissue, scented soap or bubble baths.
Wear cotton underpants or pantyhose with a cotton crotch.
Lose weight if obese.
If you have diabetes, adhere strictly to your treatment program.
Change tampons or pads frequently.
EXPECTED OUTCOME
Usually curable in 2 weeks with treatment.
POSSIBLE COMPLICATIONS
Discomfort and decreased sexual pleasure with sexual activity.
May indicate an underlying disorder, such as diabetes mellitus.
Nonspecific vaginitis has been associated with pre-term birth. The disorder should be carefully evaluated and treated when it occurs in pregnancy.
TREATMENT
GENERAL MEASURES
Diagnostic tests may include laboratory blood studies, examination of vagina, Pap smear and culture of the vaginal discharge.
Drug therapy will be directed to the specific organism. Your sexual partner may need treatment also. It is best not to do self-treatment for the disorder until the specific cause is determined.
Don't douche unless prescribed for you. If you must douche, avoid sweet smelling douches. If douching provides relief, you can douche with plain water, water with 2 acidophilus capsules added, or plain yogurt. You can also add 1 teaspoon of fresh garlic juice.
If urinating causes burning, urinate while bathing or urinate through a toilet paper roll or plastic cup with the bottom cut out or pour a cup of warm water over the genital area while urinating. This prevents urine from stinging inflamed skin.
Because cabbage leaves are used to treat sore nipples, mastitis, and many other kinds of "itis," Cabbage leaves can be placed on top of a maxi pad to treat vaginitis. You can experience complete relief from burning and itching within a couple of hours.
MEDICATION
Antibiotics or antifungals to treat infection. Metronidazole (Flagyl) is often used for treatment of bacterial vaginosis. Some health care providers prescribe the drug ketoconazole (Nizoral) for vaginitism with no apparent adverse side effects. Clotrimazole *Gyne-Lotrimin, Mycelex, and others), which is available without a prescription, is also used.
Soothing vaginal creams, topical ointments or lotions for nonspecific forms of vaginosis may be recommended.
Atrophic vaginitis is often treated with prescription estrogen ointments. The use of these products increases the body's need for vitamin B-6. Vaginal absorption of synthetic estrogen may be dangerous to some women and may produce side effects. Natural progesterone cream applied to the vagina is beneficial for atrophic vaginitis.
Do not use corticosteroids or oral contraceptives until your condition improves. Oral contraceptives can upset the balance of microorganisms in the body.
Avoid iron supplements until the inflammation subsides. Infectious bacteria require iron for growth. If a bacterial infection is present, the body naturally "hides" iron by storing it in the liver, spleen, and bone marrow to inhibit the growth of the bacteria.
ACTIVITY
Avoid overexertion, heat and excessive sweating. Delay sexual relations until after treatment. Keep clean and dry. Wear white cotton underwear which absorbs moisture and allows air to circulate. Avoid tight clothing and synthetic fabrics. Change into dry clothing as soon as possible after swimming. Do not spend prolonged periods of time in a wet bathing suit.
DIET
No special diet. However, you should watch your diet and the foods you consume. Some foods can influence organism growth and your body's ability to fight an infection.
- Eat plain yogurt that contains live yogurt cultures, or apply yogurt directly to the vagina. This can help fight infection and soothe inflammation. Also consume brown rice, millet, and acidophilus.
- Consume fiber daily. Oat bran is a good source.
- Eat a diet that is fruit-free, sugar-free, and yeast-free. Avoid aged cheeses, alcohol, chocolate, dried fruits, fermented foods, all grains containing gluten (wheat, oats, rye, and barley), ham, homey, nut butters, pickles, raw mushrooms, soy sauce, sprouts, sugar in any form, vinegar, and all yeast products. Also eliminate citrus and acidic fruits (oranges, grapefruits, lemons, tomatoes, pineapple, and limes) from you diet until the inflammation subsides. Then add them back slowly.
Nutrients Supplement Suggested Dosage Comments Very Important Acidophilus As directed on label. 3 times daily, with meals. To replenish normal healthy bacteria. Lactobacillus Acidophilus Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free Apple Banana flavor, 16 fl. oz., Acidophilus Powder, Non-Dairy, 4 oz. Bulk, Acidophilus 3 Billion, NOW Foods, 90 Tabs Biotin 300 mcg daily, 3 times daily. Inhibits yeast. Biotin Co-Enzyme, 100% Natural, Nature's Way, 1000 mcg, 100 Sublingual Lozenges Essential fatty acids As directed on label. Aids healing. Ultimate Oil, Essential Fatty Acids, Nature's Secret, 90 Softgels, Flax Seed Oil Super, Cold-Pressed, 100% Organic (20%) Lignan, Nature's Way, 16 fl. oz. Garlic Fresh: 1-2 cloves
with meals 3 times daily
Kyolic: 1 capsule
with meals 3 times daily.Acts as a natural antibiotic and has antifungal properties. Odorless Garlic Supplement, NOW Foods, 2500 mg, 250 Softgels Vitamin B complex 50-100 mg daily, 3 times daily with meals. Often deficient in people with vaginitis. Use a high potency formula. Regulates metabolism and promotes good health. Ultimate B (Vitamin B Complex Formula), Nature's Secret, 60 Tabs Yeast-Gard from Lake Consumer Products As directed on label. Excellent antifungal agent. Reduces pain. Yeast Cleanse, Candistroy & Probiotic Rebuilder, 2 Part Program, Includes 2 Free CDs, 2 Bottles, Nature's Secret, 90 Tabs Each Helpful Colloidal silver Take orally or apply topically as directed on label. Acts as a natural broad spectrum antibiotic that subdues inflammation and promotes healing. Destroys bacteria, viruses, fungi, and parasites. Colloidal Silver Liquid, SilvaSolution, 10 ppm, 16 fl. oz., Colloidal Silver Pump Spray, SilvaSolution, 2 fl. oz. Kyo-Dophilus from Wakunaga Open up 3 capsules and dissolve in 1 quart warm water with 6 drops tea tree oil added to use as a douche. Replenishes friendly bacteria. Gr8-Dophilus Probiotic, NOW Foods, 60 Vcaps L-Isoleucine
And
L-Leucine
And
L-LysineAs directed on label, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg vitamin B-6 and 100 mg vitamin C for better absorption. Good for fighting herpes and for tissue repair and healing of skin lesions. Branched Chain Amino Acids, Free Form, 120 Caps (L-valine, L-leucine, & L-isoleucine), L-Lysine, Pharmaceutical Grade, Stable Tartrate Form, NOW Foods, 500 mg, 100 Caps N-A-G from Source Naturals As directed on label. Amino acid compound. Forms the basis of complex molecular structures that are key parts of mucous membrane tissue. N-Acetyl Glucosamine (NAG), Allergy Research Group / Nutricology, 90 Caps Oxy C-2 Gel from American Biologics As directed on label. A useful antibacterial, antiviral, and antifungal. Oxy Boost Plus (Therapeutic Strength), Peter Gilliam's Natural Vitality, 2 oz., Cellfood Oxygen Gel Skin Treatment, 1.7 oz. (50 ml) Vitamin A 50,000 IU daily.
If you are pregnant, do not exceed 10,000 IU daily.Powerful antioxidants that aid in healing. Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 Softgels Vitamin E 400 IU daily.
Can also be applied directly to the affected area.Powerful antioxidants that aid in healing. Vitamin E Cream Skin Nourishment, NOW Foods, 28,000 IU, 4 oz., Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels Vitamin B-6 (Pyridoxine) 50 mg 3 times daily. Especially important is using estrogen cream for treatment of atrophic vaginitis. Vitamin B-6 (Pyridoxine), 100 mg, 100 Caps Vitamin C with bioflavinoids 2,000 - 5,000 mg daily, in divided doses. Important immune system stimulant. Necessary for tissue healing. Vitamin C Liquid, w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, 1000 mg, 16 fl. oz., Dynamic Health, Vitamin C 1000 with Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 Vcaps Vitamin D
With
Calcium
And
Magnesium1,000 mg daily.
1,500 mg daily.
1,000 mg daily.To relieve stress. Women need extra supplements of these nutrients at this time. Coral Calcium (Okinawa) Plus w/ Magnesium & Vitamin D, 100% Natural, NOW Foods, 500 mg, 100 VCaps Zinc 30 mg daily
Do not exceed a total of 100 mg daily from all supplements.To increase immunity and promote proper utilization of vitamin A. Also reduces severity of herpes outbreaks. Use zinc gluconate lozenges or OptiZinc for best absorption. Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps, Ionic Zinc, 50 mg, 2 fl. oz., Trace Minerals, Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.
Vaginitis Supplements
Information and supplements for vaginitis, inflammation of the vagina.
Tea Tree Oil Suppositories - 6 Count
Tea Tree oil suppositories for vaginal hygiene are recommended for the treatment of vaginal infections and puritis (itching).Lactobacillus Acidophilus Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free Apple Banana, flavor - 16 fl. oz.
Liquid Lactose Free Acidophilus Lactobacillus Plus Bifidu, Bulgaricus & Yucca Schidigera is also fortified with Organic Tahitian Noni Juice.Vitamin E, d-alpha tocopherol 400 IU - 100 Softgels
Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.Tea Tree Oil Antiseptic Solution (15% Water Soluble) - 2 fl. oz.
Tea Tree Oil Antiseptic Solution can be used for mixing with water for douching, athletes foot, facial problems and bathing.Goldenseal Root Tincture (Hydrastis canadensis), 100% Organic - 2 fl. oz.
Uses include Adrenal Glands; Eye Problems; Fainting; Gallbladder; Gallstones; Nephritis; Pancreatic Disorders; Peritonitis; Poison Ivy/Oak; Prostate Problems; Psoriasis; Pyorrhea; Quinsy,;Scarlet Fever; Spinal Meningitis (sometimes referred to simply as Meningitis); Spleen; Wounds.Echinacea Goldenseal Tincture, Nature's Way Alcohol Free - 1 fl. oz.
Echinacea promotes well being during cold and flu season, and supports the immune system, it is combined with other herbs traditionally used for the same purpose and to promote general well being.Barberry Tincture, 100% Organic - 2 fl. oz.
Barberry is used for treating gallbladder disease, heartburn and indigestion and diarrhea. This herb can also be used to treat infections, parasites, psoriasis, and vaginitis.Bhumy Amalaki Powder (Phyllanthus niruri), 100% Organic - 8 oz. Bulk
Bhumy Amalaki is employed for numerous conditions including blennorrhagia, colic, diabetes, dysentery, fever, flu, tumors, jaundice, vaginitis, and dyspepsia.Silver Biotics Liquid, Silver Supplement - 8 fl. oz.
Silver Biotics was tested by researchers and was found to kill every strain of bacteria that it was tested against and that these bacteria, many of which have become resistant to antibiotics, cause many human ailments.Very Private Intimate Moisture - 2 fl. oz. (FDA Safety Tested)
For the most pleasurable, lasting intimacy. Eliminates vaginal dryness instantly. So natural, feels like a woman's own moisture, really protects delicate vaginal tissue.Very Private pH Balanced Body Wash 6 oz., (FDA Safety Tested)
The ultimate in safe and sensuous body care. Best of all it contains a bacteria and fungal protection system so each time you wash it helps protect the sensitive intimate area against common vaginal irritations.Very Private Body Silk - 6 fl. oz. (FDA Safety Tested)
This systemic moisturizer is a serious dry skin treatment; rebalances and reconditions even seriously dry, patchy, flaky-skin. FDA tested for safety.
HOLISTIC & NUTRITIONAL RECOMMENDATIONS
To relieve itching, open a vitamin E capsule and apply the oil to the inflamed area. You can also use vitamin E cream.
Add 3 cups of pure apple cider vinegar to bath water to treat vaginitis. Soak in the tub for 20 minutes, allowing the water to flow into the vagina. This changes the pH of the vagina and surrounding tissues, thus inhibiting growth of micro-organisims.
Drink pure water, preferably steam distilled water.
Avoid yeast products and a diet rich in simple sugars. Both of these may contribute to micro-organism growth in the vagina and urinary tract. See recommendations under Nutrition/Diet.
HERBS
Douche with infusions made from antiseptic herbs such as calendula, echinacea, garlic, goldenseal, fresh plantain, St. Johnswort, or tea tree oil, along with herbs such as comfrey leaves, to soothe irritation. Echinacea and goldenseal can also be taken internally. Note: Comfrey is recommended to be used externally only. Do not take goldenseal internally on a daily basis for more than one week at a time, do not use it during pregnancy, and use it with caution if you are allergic to ragweed.
Calendula and vitamin A vaginal suppositories are soothing and healing to irritated tissues. Goldenseal suppositories are useful for all types of infection. Use as label directs. The extract may be used by adding to warm water and use it as a douche. Useful for all types of infections. Do not take goldenseal for longer than 2 weeks at a time. Do not use it if you are pregnant or have cardiovascular disease, gallbladder disease, or glaucoma. Do not take goldenseal with supplemental vitamin B-6 or with protein supplements containing the amino acid histidine.
Calendula cream may be applied to the vagina. It is an antibacterial and anti-inflammatory.
Meno-Fem from Prevail Corporation is a combination of traditional herbs and nutrients designed to combat the symptoms of menopause. It is helpful for vaginitis related to hormonal imbalance.
Aloe vera Gel. Apply to the vagina or add to warm water for use as a douche. Helpful for infections and itching.
Barberry, Coptis, or Oregon Grape root. Apply cream to vagina and/or take, internally, the herbal tincture, 20 drops in 1/4 cup water 3 times daily. These activate the immune system. Useful if there is blood in the urine. Do not use barberry, coptis, or Oregon grape root if you are pregnant or have gallbladder disease. Do not use these herbs daily for more than 2 weeks. Do not take these herbs with supplemental Vitamin B-6 or with protein supplements containing the amino acid histidine.
Garlic. Raw garlic taken 1-2 cloves with food daily. Antibacterial, also fights yeast infections. Consult your heath care provider before using garlic on a reglar basis if you are taking anticoagulant drugs such as warfarin sodium (Coumadin), or if you are taking Flagy,ll. Garlic will counteract the effects of bifidus and Lactobacillus cultures taken as digestive aids. Discuss the use of this herb with your health care provider before having any type of surgery. Raw garlic can cause heartburn and flatulence.
Pau d'Arco capsules. Take as directed on label or use as a tea. Prepare and use directed on label or use as an extract. Add to warm water to make a douche. Contains natural antibiotic agents and has a healing effect.
Sangre de drago Tincture. Place 1-1/2 tablespoons (15-20 ml) of tincture in 1 cup warm water. Use as a douche 1-2 times daily. Keeps bacteria from "rooting" in the lining of the vagina.
Tea tree oil is good for vaginitis. Place 1-1/2 tablespoons (15-20 ml) of oil in 1 cup warm water. Use as a douche 1-2 times daily. Topical tea tree oil cream is effective against fungal infection, herpes blisters, warts, and other types of infections. It kills gardnerella and other microbes that cause vaginal infection. Tea tree oil suppositories have been used successfully for vaginal yeast infections. People who are allergic to celery or thyme should not use tea tree oil products. Do not take tea tree oil internally.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You or a family member has symptoms of vaginitis.
Symptoms persist longer than 1 week or worsen, despite treatment.
Unusual vaginal bleeding or swelling develops.
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch
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