Boric acid is often suggested as an at-home treatment for bacterial vaginosis (BV). In this article, we'll analyze boric acid suppositories and oral probiotics for vaginal health.
Understanding Bacterial Vaginosis (BV)
BV is a common vaginal infection caused by a bacterial imbalance. When normal vaginal bacteria overgrow, symptoms may include vaginal discharge, a strong odor, or irritation during urination [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120032/" aggregator="NCBI" institution="University of Michigan" title="The Use of Boric Acid Suppositories in Recurrent Vulvovaginal Candidiasis" link_anchor=""].
Differences Between BV and Yeast Infections
- Irritation and Burning: Present in yeast infections, not always in BV.
 - Discharge: Fishy smell in BV, cottage cheese appearance in yeast infections.
 
Probiotics for Bacterial Vaginosis
- Restore natural balance of bacteria. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594694/" aggregator="NCBI" institution="University of Helsinki" title="Probiotics and Their Role in Restoring Vaginal Microbiota" link_anchor=""]
 - Reduce recurrence of infections. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536225/" aggregator="NCBI" institution="University of Gothenburg" title="Probiotics and Recurrent Infections" link_anchor=""]
 - Enhance effectiveness of other treatments [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786899/" aggregator="NCBI" institution="University of Western Ontario" title="The Role of Probiotics in Vaginal Health" link_anchor=""]
 
Vaginal Dryness
- Supports maintenance of healthy vaginal flora. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786899/" aggregator="NCBI" institution="University of Western Ontario" title="The Role of Probiotics in Vaginal Health" link_anchor=""]
 - May alleviate dryness symptoms. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594694/" aggregator="NCBI" institution="University of Helsinki" title="Probiotics and Their Role in Restoring Vaginal Microbiota" link_anchor=""]
 - Promotes overall vaginal health. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786899/" aggregator="NCBI" institution="University of Western Ontario" title="The Role of Probiotics in Vaginal Health" link_anchor=""]
 
Vaginal Odor
- Balances vaginal microbiome. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786899/" aggregator="NCBI" institution="University of Western Ontario" title="The Role of Probiotics in Vaginal Health" link_anchor=""
 - Reduces unpleasant odors indicating infection. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786899/" aggregator="NCBI" institution="University of Western Ontario" title="The Role of Probiotics in Vaginal Health" link_anchor=""]
 - Promotes healthy vaginal environment. [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786899/" aggregator="NCBI" institution="University of Western Ontario" title="The Role of Probiotics in Vaginal Health" link_anchor=""]
 
Boric Acid for Resistant Infections
Boric acid can be helpful for resistant or recurrent vaginal infections, particularly when combined with a prescription antifungal or antibiotic. For yeast infections caused by Candida glabrata, boric acid may be effective [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120032/" aggregator="NCBI" institution="University of Michigan" title="The Use of Boric Acid Suppositories in Recurrent Vulvovaginal Candidiasis" link_anchor=""].
A study by the University of California supports the use of boric acid for recurrent vaginal yeast infections, emphasizing its role when standard treatments fail [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572645/" aggregator="NCBI" institution="University of California" title="Boric Acid for Recurrent Vaginal Yeast Infections" link_anchor=""].
Potential Risks and Drawbacks
Toxicity and Irritation
Boric acid can be toxic if swallowed, and can cause dramatic irritation, even chemical burns. Sexual partners may also report skin irritation [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133933/" aggregator="NCBI" institution="Harvard University" title="Toxicity and Irritation Associated with Boric Acid" link_anchor=""].
Use During Pregnancy
Boric acid is not recommended for pregnant women due to potential risks, including toxicity concerns. Even a tiny amount absorbed vaginally may pose risks to the developing embryo [trusted_source link="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992401/" aggregator="NCBI" institution="University of Toronto" title="Potential Risks of Boric Acid During Pregnancy" link_anchor=""].
Conclusion
Boric acid can be an effective treatment for resistant vaginal infections, particularly those caused by Candida glabrata. However, its use is not without risks, especially during pregnancy. Consulting a healthcare provider for appropriate treatments is crucial.
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