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DESCRIPTION
Post-menopausal Vaginitis (Atrophic Vaginitis, Urogenital Vaginitis) is an infection or inflammation of the vagina caused by lowered estrogen levels that upset the vagina's normal hormone and pH balance. Post-menopausal vaginitis is not contagious.
An estimated 10 to 40 percent of post-menopausal women have symptoms of atrophic vaginitis. Despite the prevalence of symptoms only 20 to 25 percent of women with symptoms seek medical care for their vaginitis, making this an often overlooked and under diagnosed condition.
ESTROGEN LEVELS & VAGINAL CHANGES
Throughout a woman's life cycle, the vaginal epithelium undergoes changes in response to the level of circulating estrogen. Stimulated by maternal estrogen, the vaginal epithelium is rugated and rich in glycogen in the newborn. During childhood, the epithelium remains thin until puberty, when it again thickens as a result of estrogen stimulation. Estrogen stimulation produces copious amounts of glycogen. Döderlein's lactobacilli depend on glycogen from sloughed vaginal cells. Lactic acid produced by these bacteria lowers vaginal pH levels to 3.5 to 4.5; this is essential for the body's natural defense against vaginal and urinary tract infections. Increased vaginal pH levels predispose the vagina to infection by streptococci, staphylococci, coliforms and diphtheroid. After menopause, circulating estrogen levels (mainly estradiol), are dramatically reduced from greater than 120 pg per mL to around 18 pg per mL. Numerous cytologic transformations follow estrogen reduction, including proliferation of connective tissue, fragmentation of elastin and hyalinization of collagen. These changes may result in granulation, fissures, ecchymoses, telangiectases and ulcerations. Postmenopausal changes in tissue composition are not limited to the genital tract but also include the urinary tract because of the shared common embryologic origin. Vaginal and urethral epithelia are estrogen dependent and adversely change in an estrogen-deprived environment.
FREQUENT SIGNS & SYMPTOMS
Severity of the following symptoms varies greatly among women and from time to time in the same woman:
Redness, pain and itching around the genital area.
MoonDragon's ObGyn Information: Vulvar Pruritus (Vulvar Itching)
Vaginal dryness. A lack of natural vaginal lubrication is an early sign of hormone insufficiency. Over time, the lack of vaginal lubrication often results in sexual dysfunction and associated emotional distress.
Vaginal discharge that is usually thin, whitish-yellowish and sometimes tinged with blood. It may have a strong odor. Burning Leucorrhea.
Feeling of pressure.
Discomfort during sexual intercourse.
Change in vaginal color from pale pink to red.
Urinary dysuria, hematuria, increased frequency of urination, urinary tract infection (UTI), stress incontinence.
All atrophic vaginal symptoms can be made worse (exacerbated) by a simultaneous infection of candida, trichomoniasis, or bacterial vaginosis.
CAUSES
Micro-organisms that inhabit the vagina cause infection when the normal physiology of the vagina is disturbed. After menopause, the estrogen level that helped maintain a normal vaginal environment decreases, leaving the vagina more vulnerable to infection. The following conditions increase the likelihood of post-menopausal vaginitis.
General poor health. A Weakened immune system.
Hot weather, non-ventilating clothing, especially underwear, or any other conditions that increases genital moisture, warmth and darkness. These foster the growth of germs.
Poor hygiene. Body cleanliness is very important, especially if you are overweight. Regular bathing with mild soap goes a long way towards fighting infections, controlling the growth of germs and preventing future infections.
RISK INCREASES WITH
Menopause is the leading cause of decreased levels of circulating estrogen, therefore it is the etiology of almost all cases of atrophic vaginitis. In pre-menopausal women, disruption of estrogen levels can cause atrophic vaginitis.
Natural estrogen deficiency before menopause.
Decreased Ovarian Functioning.
Cancer Therapy - Radiation / Chemotherapy.
Oophorectomy / Surgical removal of the ovaries.
Postpartum loss of placental estrogen.
Elevated prolactin level during lactation.
Illness that has lowered resistance.
HIV infection or other immune disorder. Medications containing anti-estrogen properties:
- Tamoxifen (Nolvadex)
- Danazol (Danocrine)
- Medroxyprogesterone (Provera)
- Leuprolide (Lupron)
- Nafarelin (Synarel)
Cigarette smoking.
Vaginal nulliparity (not given birth vaginally). Infrequent bathing or unsanitary living conditions.
Diabetes mellitus.
Complete cessation of sexual activity. Milder atrophy occurs in post-menopausal women who participate in sexual activity, have higher androgen levels and have not undergone vaginal surgery.
PREVENTIVE MEASURES
Keep the genital area clean. Use plain unscented soap.
Take showers rather than tub baths.
Wear cotton panties or pantyhose with a cotton crotch.
Do not sit around in wet clothing, especially a wet bathing suit.
After urination or bowel movements, cleanse by wiping or washing from front to back (vagina to anus).
Lose weight if obese.
Avoid douches, vaginal deodorants and bubble baths.
If you have diabetes, adhere strictly to your treatment program.
You may choose to seek medical advice about Replacement Estrogen Therapy. Be sure to do research about the pros and cons of replacement therapy before choosing this option.
EXPECTED OUTCOME
Usually curable in 10 days with treatment.
POSSIBLE COMPLICATIONS
Secondary bacterial infection in any pelvic organ.
TREATMENT
GENERAL MEASURES
DIAGNOSIS
Diagnostic tests may include laboratory blood studies, examination of vagina and culture of the vaginal discharge. Pap smear, pelvic examination and biopsy (to rule out cancer).
LABORATORY DIAGNOSIS OF ATROPHIC VAGINITIS
Laboratory Test Positive Indication Wet preparation/cytologic smear of cells from upper one third of vagina Atrophic cytologic changes including increase in proportion of parabasal cells. Ultrasonography of uterine lining Uterine lining demonstrating endometrial thinness between 4 and 5 mm. Serum hormone concentration Low level of circulating estrogen </= 4.5. Vaginal pH pH elevation above normal postmenopausal levels (pH exceeding 5). Microscopy Elimination of diagnosis of trichomoniasis, candidiasis and bacterial vaginosis.
A physical examination if performed and a health history is discussed by your health care provider. Discussion should include the use of any products that may aggravate existing symptoms, such as perfumes, powders, soaps, deodorants, panty liners, spermicides, and vaginal lubricants. These often contain irritant compounds. Tight fitting clothing and long term use of perineal pads or synthetic materials can worsen atrophic symptoms.
On examination, several signs of vaginal atrophy will be evident.
Genital:
- Atrophic vaginal epithelium appears pale, smooth and shiny.
- Often, inflammation with patchy erythema, petechiae and increased friability may be present.
- External genitalia should be examined for:
- Diminished or loss of skin/tissue elasticity.
- Loss of turgor of the skin.
- Sparsity of pubic hair.
- Dryness of labia.
- Vulvar dermatoses.
- Vulvar lesions.
- Fusion of the labia minora.
- Introital stenosis to a width less then two fingers and decreased vaginal depth will be apparent; if these conditions are not diagnosed before insertion of the speculum, the pelvic examination will cause considerable pain.
- Friable and poorly rugated vaginal epithelium is more prone to traumatic damage.
- Ecchymoses and minor lacerations at peri-introital and posterior fourchette may also recur after coitus or during a speculum examination.
- Vaginal examination or sexual activity can result in vaginal bleeding or spotting.
- Rectocele, pelvic organ prolapse.
Urethral:
- Vulvar signs of irritation caused by urinary incontinence may also be identified on pelvic examination.
- Cystocele.
- Urethral polyps.
- Urethral caruncle.
- Eversion of urethral mucosa.
- Ecchymoses.
- Minor lacerations of peri-introital and posterior fourchette.
CONVENTIONAL MEDICAL TREATMENT
ESTROGEN REPLACEMENT THERAPY
Estrogen replacement therapy is the most common choice of treatment for atrophic vaginitis due to the lack of circulating, natural estrogen. Estrogen replacement restores normal pH levels and thickens and revascularizes the vaginal epithelium. Adequate estrogen replacement therapy increases the number of superficial cells. Estrogen therapy may alleviate existing symptoms or even prevent development of urogenital symptoms if initiated at the time of menopause.
Contraindications to estrogen therapy include estrogen-sensitive tumors, end-stage liver failure and a past history of estrogen-related thromboembolization. Adverse effects of estrogen therapy include breast tenderness, vaginal bleeding and a slight increase in the risk of an estrogen-dependent neoplasm. An increased risk of developing endometrial carcinoma and hyperplasia is conclusively related to unopposed exogenous estrogen intake. Factors that determine the degree of increased risk include duration, dosage, and method of estrogen delivery. Routes of administration include, oral, transdermal and intravaginal. Dose frequency may be continuous, cyclic or symptomatic. The amount of estrogen and the duration of time required to eliminate symptoms depend greatly on the degree of vaginal atrophy and will vary from woman to woman.
Additional advantages of systemic administration of estrogen include a decrease in post-menopausal bone loss and alleviation of vasomotor dysfunction (hot flushes). Standard dosages of systemic estrogen, however, may not eliminate the symptoms of atrophic vaginitis in 10 to 25 percent of women. Systemic estrogen in higher dosages may be necessary to alleviate symptoms. Some women require co-administration of a vaginal estrogen product that is applied locally. Up to 24 months of therapy may be necessary to totally eradicate dryness; however, some patients do not fully respond even to this treatment regimen.
Transvaginal rings offer convenience, constancy of hormonal concentration in the blood stream and a therapeutic value equivalent to creams without the need for frequent application. Control of hormone dosage is manipulated by changing the surface area of the ring. Atrophic vaginitis symptoms are relieved (with a dosage of 5 to 10 µg per 24 hours) without stimulation of endometrial proliferation, thereby eliminating the need to add opposing progestogen to the regimen. Rings may be removed and reinserted by most patients with little difficulty and can be worn during sexual activity.
MOISTURIZERS & LUBRICANTS
Moisturizers and lubricants may be used in along with estrogen replacement therapy or as alternative treatments. Some women choose not to take hormone replacement, or they may have medical contraindications or experience hormonal side effects. Women who wish to avoid using estrogen should not use moisturizers that contain ginseng because they may have estrogenic properties. Moisturizers help maintain natural secretions and coital comfort. The length of effectiveness is generally less than 24 hours.
SEXUAL ACTIVITY
Sexual activity is a healthful prescription for post-menopausal women who have a substantially estrogenized vaginal epithelium. It has been shown to encourage vaginal elasticity and pliability, and the lubricative response to sexual stimulation. Women who participate in sexual activity report fewer symptoms of atrophic vaginitis and, on vaginal examination, have less evidence of stenosis and shrinkage in comparison with sexually inactive women. A negative relationship exists between coital activity, including masturbation, and symptoms of vaginal atrophy.
Because no positive relationship has been shown to exist between estrogen levels and sexual activity, coitus is not hypothesized to restore or maintain estrogen in post-menopausal women. The existence of a positive relationship between coital activities and both gonadotropins and androgens indicates the importance of these compounds to healthy vaginal epithelium when estrogen levels are decreased. All sexually active women should take appropriate precautions against sexually transmitted diseases, including the human immunodeficiency virus.
OTHER HELPFUL TREATMENT SUGGESTIONS
Drug therapy will be directed to the specific organism causing the infection. Your sexual partner may need treatment also. It is best not to do self-treatment for the disorder until the specific cause is determined.
Do not 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
Topical or oral estrogen or both may be prescribed. If you use a cream or suppository, use a small sanitary pad to protect clothing. Keep creams or suppositories in the refrigerator. After treatment, you may want to keep a refill of the medication so you can begin treatment quickly if the infection recurs. Follow the prescription directions carefully. 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.
Other creams, ointments or suppositories to suppress the organisms causing the infection may be prescribed.
ACTIVITY
Avoid overexertion, heat and excessive sweating. Delay sexual relations until you are well. 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.
Herbal Remedies: Oat Bran Extract, Standardized 54% Beta Glucan, Vegetarian, Nature's Way, 60 VCaps
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.
NUTRITIONAL SUPPLEMENTS
Unless otherwise specified, the dosages recommended are for adults.
VAGINITIS SUPPLEMENTS & PRODUCTS
Information and supplements for vaginitis, inflammation of the vagina.
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.Boiron Yeastaway Suppositories, Homeopathic Yeast Remedy, 7 Count
Boiron Yeastaway Suppositories are for use for vaginal yeast infections in females 12 and over.Candida Yeast, Nelson's Bach, Homeopathic, 84 Chewable Pills
Candida Yeast Nelson's Bach Homeopathic is for the temporary relief of symptoms of yeast infection or cystitis including white or yellowish vaginal discharge, itching and burning of genitalia not relieved by scratching, period arrives early.Dong Quai Root Powder (Angelica Sinensis), 4 oz. Bulk
Dong Quai root (Angelica sinensis), referred to as the 'female ginseng', is rich in vitamins and minerals and is one of the most widely used herbs in traditional Chinese medicine. It is effective for female disorders such as menstrual disturbances, PMS and hot flashes due to its anti-inflammatory, analgesic, antiseptic, bactericidal and vasodilative effects. The herb is also used to regulate menstrual cycles, relieve menstrual cramps and alleviate symptoms related to PMS.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.FemRelief Feminine Homeopathic Relief Bath Powder, 2 Packets Per Box
FemRelief Homeopathic yeast infection remedy is a powder that you dissolve in 3-4 inches of bath water and then soak in it.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.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.Samento Liquid Extract, 0.5% POA, 1 fl. oz.
Samento Uncaria Tomentosa is a Cat's Claw herb that may be beneficial in supporting the treatment of a wide range of immune system related conditions. Immune disorders may be the cause for various conditions such as cancer, arthritis, bursitis, rheumatism, allergies, ulcers, systemic candidiasis, all forms of herpes, diabetes, lupus, chronic fatigue syndrome, intestinal disorders and HIV infection.Samento Uncaria Tomentosa, Extra Strength, 0.5% POA, 600 mg, 30 Caps
Samento is beneficial in supporting the treatment of a wide range of immune system related conditions; these include but are not limited to cancer, arthritis, bursitis, rheumatism, allergies, ulcers, systemic candidiasis, all forms of herpes, diabetes, lupus, chronic fatigue syndrome, intestinal disorders and HIV infection.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.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.Tea Tree Oil Suppositories, 6 Count
Tea Tree oil suppositories for vaginal hygiene are recommended for the treatment of vaginal infections and itching.Very Private Body Silk, 6 fl. oz.
This systemic moisturizer is a serious dry skin treatment; rebalances and reconditions even seriously dry, patchy, flaky-skin. FDA tested for safety. (FDA Safety Tested)Very Private Intimate Moisture, 2 fl. oz.
For the most pleasurable, lasting intimacy. Eliminates vaginal dryness instantly. So natural, feels like a woman's own moisture, really protects delicate vaginal tissue. (FDA Safety Tested)Very Private pH Balanced Body Wash, 6 oz.
The ultimate in safe and sensuous bodycare. 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. (FDA Safety Tested)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.Witch Hazel Powder (Hamamelis Virginiana), 4 oz. Bulk
Witch Hazel can be taken internally for diarrhea and hemorrhage or externally as a rinse or gargle for sore throats.
Herbal Remedies: Vaginitis Information
Herbal Remedies: Vaginitis Supplements & Products
HOLISTIC & NUTRITIONAL RECOMMENDATIONS
AT-HOME TREATMENT OF VAGINITIS
THINGS YOU CAN DO
At the first sign of any abnormal discharge or symptoms of vaginitis, such as burning or itching, contact your health care provider. Although vaginitis can cause discomfort, it almost always can be treated once the cause has been found.
There are a number of things you can do to lower the risk of getting vaginitis:
- Do not use feminine hygiene sprays or scented deodorant tampons.
- Do not try to cover up a bad odor. It could be a sign of infection that should prompt you to see your health care provider.
- Do not douche. It is better to let the vagina cleanse itself.
- Thoroughly clean contraceptive diaphragms, cervical caps, and spermicide applicators after each use.
- Use condoms during sex.
- Check with your health care provider about preventing yeast infections if you are prescribed antibiotics for another type of infection.
HOME REMEDIES & RECOMMENDATIONS
You will need prescription medication to treat trichomoniasis, bacterial vaginosis and atrophic vaginitis. If you know you have a yeast infection, you may go ahead with treatment on your own, taking these steps:
- Intravaginal imidazoles can be purchased over the counter and have proven efficacy for vaginal candidiasis. Patients may purchase and utilize these medications without a health care provider's advice or prescription and the choice of treatment can be based on personal preference since they appear to be equally effective. Vaginal anti-itch creams provide only symptomatic relief. Homeopathic treatments for vaginitis (boric acid, tea tree oil, live acidophilus, garlic) have not been well studied but may have some efficacy.
- Use an over-the-counter medication specifically for yeast infections. Options include one-day, three-day or seven-day courses of cream or vaginal suppositories. The active ingredient varies depending on the product: clotrimazole (Gyne-Lotrimin), miconazole (Monistat) or tioconazole (Vagistat). Some products also come with an external cream to apply to the labia and opening of the vagina. Follow package directions and complete the entire course of treatment, even if you are feeling better right away.
- 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.
Apply a cold compress, such as a washcloth, to the labial area to ease discomfort until the antifungal medication takes full effect.
Soothing vaginal creams, topical ointments or lotions for non-specific 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.
Do not douche unless prescribed for you. If you must douche, avoid sweet smelling douches. If douching provides relief, you can douche with plain water. Try douching with 2 capsules of garlic or with 1 cup of fresh garlic juice added to a quart of warm water. Alternate this treatment with acidophilus douches. Open 2 acidophilus capsules and add them to either 1 quart of warm water or to 1 cup of plain yogurt. You can also add 1 teaspoon of fresh garlic juice. The garlic fights infection while the acidophilus helps to restore normal flora and acid balance. added, or plain yogurt.
Herbal Remedies: Acidophilus Supplement Powder, Non-Dairy, 3 oz. Bulk
Herbal Remedies: Acidophilus, 3 Billion, NOW Foods, 90 Tabs
Herbal Remedies: Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps
Herbal Remedies: Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.
Herbal Remedies: Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz.
Herbal Remedies: Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps
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.
To relieve itching, open a vitamin E capsule and apply the oil to the inflamed area. You can also use vitamin E cream.
Herbal Remedies: Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels
Herbal Remedies: Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels
Herbal Remedies: Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
Herbal Remedies: Vitamin E Skin Cream With Bee Pollen & Manuka Honey, 100 gm
Herbal Remedies: Vitamin E Oil, 80% Mixed Tocopherols, Vegetarian, NOW Foods, 4 fl. oz.
Herbal Remedies: Vitamin E Oil, D-Alpha, Vegetarian, 32,000 IU, NOW Foods, 1 oz.
Some self-care techniques include vinegar douches or sitz baths in a solution of 1 teaspoon of vinegar for every gallon of water, and eating yogurt containing live acidophilus cultures.
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.
Herbal Remedies: Apple Cider Vinegar, Mother, Organic, Dynamic Health, 16 fl. oz.
Drink pure, quality water, preferably steam distilled water.
Keep clean and dry. Wear cotton underwear, which absorbs moisture and allows air to circulate. Avoid tight clothing and synthetic fabrics. Do not spend prolonged periods of time in a wet bathing suit.
HERBS
Aloe Vera is helpful for infections and is known for its healing effects. Aloe Vera juice can be applied topically to relieve the itching. It can also be taken internally or used as a douche.
Herbal Remedies: Aloe Vera Skin Gel, Herbal Aloe Force, Organically Grown Unprocessed Whole Raw Aloe Vera, 4 fl. oz.
Herbal Remedies: Whole Leaf Aloe Vera Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter
Herbal Remedies: Aloe Vera Juice, Herbal Aloe Force, Organically Grown, Unprocessed Whole Raw Aloe Vera, 33.8 fl. oz.
Herbal Remedies: Aloe Vera Juice, Certified Organic, NOW Foods, 32 oz.
Herbal Remedies: Aloe Vera Juice, Pure Aloe Force, Organically Grown, Unprocessed Whole Raw Aloe Vera, 33.8 fl. oz.
Herbal Remedies: Aloe Vanilla Mineral Sunscreen SPF 18, Alba Botanica, 4 fl. oz.
Herbal Remedies: Aloe Vera Gel & Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter
Barberry has remarkable infection-fighting properties. Barberry should not be taken internally during pregnancy.
Herbal Remedies: Barberry Root Extract Herb Tincture, Herbal Remedies USA, 2 fl. oz.
Herbal Remedies: Barberry Microbial Defense, Nutra Medix, 1 fl. oz.
Herbal Remedies: Barberry Information
Herbal Remedies: Barberry Supplements & Products
Echinacea has antifungal properties and enhances the immune system. It can be taken internally or used as a douche.
Douche with infusions made from antiseptic herbs such as Calendula, Echinacea, Garlic, Goldenseal, fresh Plantain, St. Johns Wort, 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.
Herbal Remedies: Echinacea Immune Support Tea, Certified Organic, Yogi Tea, 16 Tea Bags
Herbal Remedies: Echinacea Tincture For Children, Orange Flavor, Alcohol Free, 100% Organic, 1 fl. oz.
Herbal Remedies: Echinacea Root Complex, Nature's Way, 180 Caps
Herbal Remedies: Echinacea & Goldenseal Supplement, Vegetarian, Herbal Remedies USA, 1000 mg, 60 Liquid VCaps
Herbal Remedies: Echinacea & Goldenseal Tincture, Nature's Way, Alcohol Free, 1 fl. oz.
Herbal Remedies: Echinacea & Goldenseal Supplement, Nature's way, 180 Caps
Herbal Remedies: Goldenseal Root Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Goldenseal Root, Nature's Way, 570 mg, 100 Caps
Herbal Remedies: Goldenseal Herb, Nature's Way, 400 mg, 180 Caps
Herbal Remedies: Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz.
Herbal Remedies: Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps
Herbal Remedies: Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels
Herbal Remedies: Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs
Herbal Remedies: Every Day Garlic Supplement, Kwai, 30 Tabs
Herbal Remedies: Garlic Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps
Herbal Remedies: Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz.
Herbal Remedies: Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps
Herbal Remedies: Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 Caps
Herbal Remedies: St. John's Wort Tea, Caffeine Free, Yogi Tea, 16 Bags
Herbal Remedies: St. John's Wort Herbal Tea, 20 Tea Bags
Herbal Remedies: Tea Tree Essential Oil, 100% Pure, NOW Foods, 1 fl. oz.
Herbal Remedies: Tea Tree Antiseptic Ointment, 2 oz.
Herbal Remedies: Tea Tree Antiseptic Cream, 4 oz.
Herbal Remedies: Tea Tree Oil Antiseptic Solution (15% Water Soluble), 2 fl. oz.
Herbal Remedies: Tea Tree Supplements & Products
Herbal Remedies: Calendula Cream (Marigold), Nature Works, 4 fl. oz.
Herbal Remedies: Calendula Cream, Nelson's Bach, Organic, 1 oz.
Herbal Remedies: Calendula Gel, Califlora, Relief For First Aid & Sunburn, Homeopathic, Boericke & Tafel, 2.75 oz.
Herbal Remedies: Honey & Calendula Moisturizer, Kiss My Face, 16 oz.
Calendula and vitamin A vaginal suppositories are soothing and healing to irritated tissues. Goldenseal suppositories are useful for all types of infection. Garlic suppositories can be used for treating yeast infections. You can make the suppositories using a clove of peeled garlic. Wrap gauze around the Garlic and insert inside the vaginal cavity. Every three to five hours, replace with a fresh suppository, and repeat for three to five days until the infection is gone. Garlic capsules can be used instead of the suppositories to treat yeast infections as well.
Tea Tree oil is good for vaginitis. Topical tea tree oil cream is effective against fungal infection, herpes blisters, warts, and other types of infections. Tea tree oil suppositories have been used successfully for vaginal yeast infections.
Herbal Remedies: Tea Tree Oil Suppositories, For Vaginitis, 6 Count
Herbal Remedies: Boiron Yeastaway Suppositories, Homeopathic Yeast Remedy, 7 Count
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. (Note: I have not been able to find this product online so I have included similar products from Herbal Remedies used to balance hormones associated with menopause.)
Herbal Remedies: Female Estrogen With Progesterone Tincture, 2 fl. oz.
Female Estrogen With Progesterone formula is used mainly to promote hormonal balance. It does not contain hormones, however. It is effective for women who are experiencing menopause. It can also be used for acne, menstrual problems, morning sickness and osteoporosis. Suggested Dosage or Use: 6-12 drops, 3 times per day. Ingredients: Red Raspberry; Black Cohosh; Valerian; Blessed Thistle; Damiana, R/O Water, 12% grain Alcohol.
Herbal Remedies: Banyan Botanicals Women's Support, 500 mg, 90 Tabs
Women's Support is a balancing and revitalizing tonic for the female reproductive system. It rejuvenates and energizes the system, building the body's strength and stamina against debilitating factors such as disease, poor nutrition and aging. Nourishing to the blood and reproductive organs, Women's Support gently maintains the healthy production of female hormones, helping to regulate the menstrual cycle and ease the transition into menopause. This cleansing formula removes excess pitta from the system and relieves congestion of the blood and abdominal area. Soothing to the nerves and tissues, it calms mental agitations and muscular cramping experienced before and during menstruation. Shatavari, the main ingredient, is used as an aphrodisiac, and is believed to increase fertility and vitality. Take 1-2 tablets, once or twice daily, or as directed by your health practitioner.
Chamomile has antifungal properties. Caution: Do not take Chamomile on a regular basis as it can result in allergies. If you are allergic to ragweed, avoid Chamomile.
Herbal Remedies: Chamomile Flowers Herb, German Chamomile, Nature's Way, 350 mg, 100 Caps
Herbal Remedies: Chamomile Tea, Yogi Tea, Organic, Caffeine-Free, 16 Tea Bags
Herbal Remedies: Chamomile Tea, Caffeine Free, NOW Foods, 30 Tea Bags
Herbal Remedies: Chamomile Extract, Standardized, Nature's Way, 345 mg, 60 Caps
Herbal Remedies: Chamomile Tincture, 100% Organic, 2 fl. oz.
Cinnamon and Dandelion inhibit the growth of Candida albicans. They can be used as a douche or taken internally.
Herbal Remedies: Cinnamon Bark, NOW Foods, 600 mg, 240 Caps
Herbal Remedies: Cinnamon Bark Extract, Vegetarian, Herbal Remedies USA, 60 Liquid VCaps
Herbal Remedies: Dandelion Tea, NOW Foods, Organic, 30 Tea Bags
Herbal Remedies: Dandelion Root, Vegetarian, 540 mg, 180 VCaps
Pau D'Arco contains natural antibiotic agents and has a healing effect. It can be taken internally in capsule form or made into a tea, or used as a douche.
Herbal Remedies: Pau D'Arco Tea, Incan Purple LaPacho, 48 Tea Bags
Herbal Remedies: Pau D'Arco Extract, Incan Purple LaPacho, 100% Natural, 4 fl. oz.
Herbal Remedies: Pau D'Arco, Inner Bark, Nature's Way, 545 mg, 180 Caps
Herbal Remedies: Pau D'Arco Tincture, 100% Organic, 2 fl. oz.
NOTIFY YOUR HEALTH CARE PROVIDER IF...
You or a family member has symptoms of vaginitis or you have new vaginal concerns and you have had vaginal infections before, but these concerns seem different.
You have never had a vaginal infection and you need to establish the cause and to help you learn to identify the signs and symptoms.
Symptoms persist longer than 1 week or worsen, despite treatment.
Unusual vaginal bleeding or swelling develops.
You have had multiple sex partners or a recent new partner. You could have a sexually transmitted disease. The signs and symptoms of some sexually transmitted diseases are similar to those of a yeast infection or bacterial vaginosis.
You have completed a course of over-the-counter anti-yeast medication and your symptoms persist, you have a fever, or you have a particularly unpleasant vaginal odor. These are signs the infection may be from something other than yeast or from a resistant strain of yeast.
You probably do not need to see your health care provider if you have vaginal discharge or burning, irritation and you have previously had a diagnosis of vaginal yeast infections and your signs and symptoms are the same as before. You know the signs and symptoms of a yeast infection, and you are confident that you have a yeast infection.
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