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WHAT IS A VAGINAL PROBIOTIC AND WHAT ARE THE BENEFITS DURING MENOPAUSE?

Written by Mallory Junggren

twitter-icon

08.27.2021

Written by Mallory Junggren

Gut probiotics have been the subject of countless scientific studies, supporting
their benefits when it comes to everything from constipation and acid reflux to
Alzheimer’s and migraines.1 Made of beneficial bacteria that naturally live in
the body, gut probiotics work their magic in the gut microbiome, the gut’s
ecosystem of trillions of bacteria, fungi, viruses, and protozoa.

But your gut isn’t the only part of your body that has its own microbiome. Your
vagina does as well—and it too can benefit from a probiotic.

WHAT ARE VAGINAL PROBIOTICS?

Vaginal probiotics are probiotics for vaginal health. Your vagina requires a
different balance of bacteria than other parts of your body. Take the gut, for
example—it works best when the bacteria in its microbiome are diverse. An
optimal vaginal microbiome, however, is made up of mostly lactobacillus
bacteria,2 a single genus of bacteria that creates a protective environment. But
27% of women don’t have this lactobacillus dominance.3 Low lactobacillus leaves
the vagina more susceptible to yeast infections, bacterial vaginosis, and
related symptoms like odor, itching, and discharge.4

BENEFITS OF VAGINAL PROBIOTICS DURING MENOPAUSE

A lot of factors can disturb the vaginal microbiome, including sex, smoking,
hormonal birth control, diet, and stress. Most women will get a yeast infection
at some point in their lives,5 and about a third will experience bacterial
vaginosis,6 both of which can create symptoms like itching, burning, odor, and
discharge.

You’re even more susceptible to vaginal infection in perimenopause and beyond,
thanks to diminishing estrogen production. Research shows that before entering
menopause, estrogen promotes colonization of the essential lactobacillus
bacteria in the vagina.7 The bacteria keeps the vagina’s pH level low,
preventing pathogens from causing infections. Decreased estrogen during
menopause depletes lactobacillus bacteria and increases vaginal pH—the prime
environment for harmful microorganisms that cause bacterial vaginosis and its
symptoms.8

The good news is that you’re not stuck with an imbalanced vaginal microbiome
when you reach menopause—and increasing your estrogen levels (like hormone
replacement therapy would do) isn’t the only way to achieve balance. A vaginal
probiotic with live, active lactobacillus strains helps balance and maintain a
healthy vaginal microbiome, promoting the proliferation of beneficial
microorganisms, lowering vaginal pH and preventing vaginal infections.9

WHO CAN BENEFIT FROM VAGINAL PROBIOTICS

A vaginal probiotic is most beneficial for women who have persistent, recurrent
yeast infections, bacterial vaginosis, or their symptoms, as well as women who
are menopausal. If you have risk factors for vaginal symptoms, like smoking or
stress, a vaginal probiotic may have some proactive benefits too. If you’re
taking antibiotics, a vaginal probiotic can actually counteract their negative
effect on your vaginal microbiome. (Just make sure you take them at least four
hours apart. Since antibiotics affect gut bacteria, they can get in the way of
your probiotics working properly.)10

BONAFIDE'S SOLUTION FOR A BALANCED VAGINAL MICROBIOME

ClairveeTM is a hormone-free vaginal probiotic that supports vaginal health for
everyday comfort and confidence.*

Learn More Here

HOW TO CHOOSE A VAGINAL PROBIOTIC

Not all vaginal probiotics for menopause are created equal.

First, make sure it contains a strain of lactobacillus. Lactobacillus
acidophilus is the most researched strain of probiotics for vaginal health. Two
other strains that experts believe are beneficial are lactobacillus rhamnosus
and lactobacillus reuteri.11

Look into what else is in the ingredients list. Some, like lactoferrin, can
assist probiotics by creating a protective biofilm in the vaginal microbiome and
creating lactic acid, helping to maintain a healthy pH. Even manufacturing
processes or improper packaging can damage the live bacteria, rendering the
probiotic useless, so looking into a company’s reputation and manufacturing
process is a good idea too.

Choose the best method for you. Probiotics for vaginal health come in pill form
and as vaginal inserts, and both are effective. Consider what works for your
routine and any other oral or intravaginal medications you’re using. “Many of my
patients prefer the oral route for a probiotic since they may already be taking
an antifungal, antibacterial, estrogen product or nonhormonal moisturizer
vaginally,” says Dr. Alyssa Dweck, MS, MD, FACOG, Chief Medical Officer at
Bonafide.

Check the dosage. You’ll see benefits with anything from one or two billion
colony forming units (CFUs, a unit used to estimate the number of live bacteria
inside a specific supplement12), all the way up to 20 billion. You may notice
that refrigeration-required probiotics tend to have a very high CFU count—that’s
to protect the live bacteria from your stomach acid as it makes its way to your
small intestine. Live bacteria can also be protected through encapsulation
methods or coatings, so probiotics that don’t require refrigeration don’t
require such a high CPU.13

WHEN IN DOUBT, ASK YOUR HEALTHCARE PROVIDER

Although vaginal probiotics have been researched and found safe and effective,
it’s never a bad idea to check with your healthcare provider before adding a new
supplement or medication. Your primary care doctor or OBGYN will be able to make
a recommendation factoring in any medications you already take, health
conditions, and your symptoms.

But if you're prone to uncomfortable symptoms and your doctor thinks you can
give a probiotic geared toward vaginal health a try, it may just be the key that
unlocks long-term relief.

Resources:

1. https://www.womenshealthmag.com/health/a19902426/know-before-taking-probiotics/
2. https://pubmed.ncbi.nlm.nih.gov/20534435/
3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458466/
4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136922/
5. https://www.ncbi.nlm.nih.gov/books/NBK543220/
6. https://www.thehealthy.com/sex/stds/bacterial-vaginosis-one-in-three-women/
7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6008313/#B5
8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770522/pdf/jmm-23-139.pdf
9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6008313/
10. https://www.shape.com/lifestyle/mind-and-body/probiotics-and-vaginal-health
11. https://www.healthline.com/health/vaginal-health/probiotic-vaginal-health#good-probiotic-strains
12. https://ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/
13. https://www.smartypantsvitamins.com/blogs/articles/how-to-pick-a-probiotic

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What Is a Vaginal Microbiome and Why Does It Matter During Menopause?
by Mallory Junggren
Author
Lactobacilli and Why It’s Important for the Vaginal Microbiome — Especially
During Menopause
by Mallory Junggren
Author
A Review of Our Menopause Supplement, Clairvee® - A Probiotic for Vaginal Health
by Mercey Livingston
Author

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