• Bacterial Vaginosis, Candida, Candidal Yeast Infection, Gardnerella, Trichomonas, Vaginal Yeast Infection, Vaginitis, Yeast Infection Vaginal
• Boric Acid,
There are three main causes of vaginal infections: the fungus (yeast)
Factors that can contribute to vaginal infections include antibiotics (which kill friendly bacteria, allowing yeast to grow), corticosteroids and HIV (which suppress the immune system),
Conventional medical treatment for vaginal infections caused by candida include vaginal suppositories containing antifungal medications or, in some cases, oral antifungal medications. Women with diabetes often find that yeast infections are less common when their blood sugar levels are well controlled.
Trichomonas infections are treated with oral metronidazole, and gardnerella infections with oral or vaginal metronidazole or vaginal clindamycin. So-called nonspecific vaginitis is usually caused by gardnerella , but there are other causes.
Proposed Natural Treatments
There are some promising natural treatments for vaginal infections caused by candida and other organisms, but the scientific evidence for them is not yet strong.
There is mixed, inconclusive evidence that probiotics may be helpful for preventing or treating infections with
A double-blind study of 100 women found vitamin C vaginal tablets (250 mg) at most marginally helpful for nonspecific vaginitis.
Boric acid is a chemical substance with antiseptic properties. A double-blind comparison study of 108 women with yeast infections found that 92% of those who used boric acid suppositories nightly for 2 weeks experienced full recovery, as compared to 64% of those given suppositories of the somewhat outdated antifungal drug nystatin.
Test tube studies have found antifungal properties in numerous herbs, including the tropical tree
8. Hammer KA, Carson CF, Riley TV. In vitro susceptibilities of lactobacilli and organisms associated with bacterial vaginosis to Melaleuca alternifolia (tea tree) oil [letter]. Antimicrob Agents Chemother. 1999;43:196.
14. Giron LM, Aguilar GA, Caceres A, et al. Anticandidal activity of plants used for the treatment of vaginitis in Guatemala and clinical trial of a Solanum nigrescens preparation. J Ethnopharmacol. 1988;22:307-313.
19. Hughes BG, Lawson LD. Antimicrobial effects of Allium sativum L. (garlic), Alliumampeloprasum L. (elephant garlic), and Allium cepa L. (onion), garlic compounds and commercial garlic supplement products. Phytother Res. 1991;5:154-158.
20. Kaneda Y, Torii M, Tanaka T, et al. In vitro effects of berberine sulphate on the growth and structure of Entamoeba histolytica , Giardia lamblia and Trichomonas vaginalis . Ann Trop Med Parasitol. 1991;85:417-425.
22. Quale JM, Landman D, Zaman MM, et al. In vitro activity of Cinnamomum zeylanicum against azole resistant and sensitive Candida speces and a pilot study of cinnamon for oral candidiasis. Am J Chin Med. 1996;24:103-109.
24. Reid G, Charbonneau D, Erb J, et al. Oral use of Lactobacillus rhamnosus GR-1 and L. fermentum RC-14 significantly alters vaginal flora: randomized, placebo-controlled trial in 64 healthy women. FEMS Immunol Med Microbiol. 2003;35:131-134.
28. Petersen EE, Magnani P. Efficacy and safety of vitamin C vaginal tablets in the treatment of non-specific vaginitis; a randomised, double blind, placebo-controlled study. Eur J Obstet Gynecol Reprod Biol. 2004;117:70-75.
30. Larsson PG, Stray-Pedersen B, Ryttig KR, et al. Human lactobacilli as supplementation of clindamycin to patients with bacterial vaginosis reduce the recurrence rate; a 6-month, double-blind, randomized, placebo-controlled study. BMC Womens Health. 2008 Jan 15.
Last reviewed April 2009 by EBSCO CAM Review Board
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