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Do boric acid suppositories work for bacterial vaginosis?

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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