Probiotic suppositories for BV: It’s all about balance

If you’ve ever experienced bacterial vaginosis (BV), you know how frustrating and persistent it can be. This common vaginal condition is often accompanied by uncomfortable symptoms like unusual discharge, a fishy odor, and itching. Oh, the itching. 

While antibiotics are the standard treatment in a doctor’s appointment room, lots of us are turning to probiotic suppositories – the ones you insert into your vagina, rather than swallow as capsules – for a more natural way to restore vaginal health and balance. 

In this guide, we’ll dive into how probiotic suppositories work for BV, how to use them effectively, and what you need to know before giving them a try. Let’s get into the science, the benefits, and some handy tips to make this approach as effective as possible.

What is BV and why probiotics?

BV occurs when there’s an imbalance in the vaginal microbiome, causing a decline in healthy Lactobacillus bacteria and an overgrowth of anaerobic bacteria (the type which can’t grow with oxygen present – preferring deep tissue, and areas like the gastrointestinal tract). 

Antibiotics like metronidazole or clindamycin are commonly prescribed, but these treatments don’t always prevent recurrence. In fact, antibiotics often kill off any ‘good’ bacteria you’ve got going, alongside the ‘bad’, which can make it even harder to restore a balanced microbiome. This is where probiotics come into play.

Probiotic suppositories are designed to deliver beneficial bacteria directly to the vaginal microbiome, promoting balance and reducing the likelihood of BV returning. They’re particularly appealing because they bypass the digestive system, ensuring the probiotics reach the area where they’re needed most, i.e your vagina.

How do probiotic suppositories work?

Probiotic suppositories typically contain strains of Lactobacillus, the dominant bacteria in a healthy vagina. These bacteria help maintain an acidic pH (around 3.8 to 4.5), which prevents harmful bacteria from thriving.

When inserted vaginally, the probiotics in suppositories can deliver a triple-threat of benefits, working to:

• repopulate Lactobacillus levels: restoring the natural balance of good bacteria.
• lower vaginal pH: creating an environment hostile to harmful bacteria.
• enhance immune response: supporting the body’s natural defenses.

How to use probiotic suppositories for BV

Not sure how to get started? You’re not alone. Here’s a step-by-step guide to using probiotic suppositories:

1. Wash your hands: This is fundamental. Before handling the suppository, ensure your hands are clean to prevent introducing additional bacteria.
2. Prepare the suppository: Follow the product’s instructions. Some suppositories may need to be refrigerated.
3. Insert the suppository: Gently insert the suppository into the vagina, as far as it comfortably goes. This is best done while lying down or standing with one leg raised and resting on the tub, for example. Think tampon. 
4. Timing matters: Insert the suppository before bed, allowing it to dissolve overnight without leakage.
5. Follow the course: Use the suppositories for the recommended duration, often 7 to 14 days, depending on the product.

How fast do probiotics work for BV?

The timeline for results varies. Some people notice an improvement in symptoms within a few days, while others may need to use probiotics consistently for several weeks to see significant changes. 

If you do need to take antibiotics, research suggests that combining your dosage with probiotics can yield better results, as probiotics can help restore balance after antibiotic treatment.

How long should you take probiotics for BV?

Probiotic treatments for BV typically last 1 to 2 weeks, but some people incorporate probiotics into their routine for ongoing maintenance. It’s important to consult with your healthcare provider for personalized advice, especially if BV recurs frequently.

Antibiotics and probiotics – a winning combo?

Antibiotics remain the medical gold standard for treating BV, but they can disrupt the balance of good bacteria. Pairing antibiotics with probiotic suppositories may:

• reduce side effects: probiotics can alleviate symptoms like yeast infections that sometimes occur after antibiotics.
• prevent recurrence: maintaining healthy bacteria levels can reduce the chances of BV returning.

A study published in The Journal of Lower Genital Tract Disease found that women who used probiotics alongside antibiotics had significantly lower recurrence rates of BV.

Learn more about vaginal probiotics and microbiome health in our 101 live chat guide with fertility expert, Zita West. I’m a big fan of Zita’s targeted probiotic Femceive – it gets to work exactly where I need it to, within the vaginal microbiome. Find yours here.

Real talk – do probiotics work for everyone?

While many people report positive results, probiotic suppositories aren’t a one-size-fits-all solution. Factors like the severity of BV, overall health, and adherence to the treatment regimen can influence outcomes. It’s always a good idea to discuss your options with a healthcare provider.

IVF outcomes & BV – is there a connection?

For those undergoing fertility treatments, BV can pose challenges. Studies suggest that untreated BV may impact miscarriage rates and pregnancy outcomes. Addressing BV with probiotics, alongside medical treatments, could support a healthier vaginal environment. 

Is it on your reading list? Explore the connection between STIs and fertility.

A closer look at the research

Scientific interest in probiotics for BV is growing. A study in Microbial Ecology in Health and Disease highlights the effectiveness of Lactobacillus strains in restoring vaginal flora. Additionally, this research article explores the role of probiotics in managing recurrent BV.

Key findings include:

• Probiotics can significantly lower the risk of recurrence.
• Vaginal delivery is more effective than oral administration for BV.
• Combining probiotics with antibiotics enhances treatment outcomes.

Final thoughts – are probiotics good for BV?

Probiotic suppositories offer a promising, natural approach to managing BV, especially when paired with traditional treatments. They’re easy to use, widely available, and supported by a growing body of research. While they’re not a guaranteed solution for everyone, many people find them helpful for restoring balance and reducing recurrence.

If you’re curious about probiotic suppositories, start by consulting with your healthcare provider and choosing a product which targets your symptoms, and fits with your preferences. With the right approach, probiotics could be a valuable addition to your vaginal health toolkit.

Keep reading

Up next, I’d recommend this fantastic read and 101 tool kit from AH! YES® (YES® in the UK), running through the essentials for a healthy vaginal microbiome and how to balance vaginal pH.