What does a probiotic for intimate flora do?

A probiotic for intimate flora provides Lactobacillus strains that colonise the vaginal mucosa via oral administration. These lactobacilli produce lactic acid and hydrogen peroxide, which keep vaginal pH acidic (between 3.8 and 4.5) and prevent growth of Candida albicans, Gardnerella and other bacteria responsible for intimate infections. The goal isn't to treat an active infection, but to restore flora when it's been disrupted.

How long should a probiotic be taken to work?

The minimum recommended time to notice results in intimate flora is 14 to 30 days, which is how long strains take to stably colonise the vaginal mucosa. In cases of recurrent infections, it's extended to 2-3 months, with rest periods or a maintenance dose of one capsule 2-3 times per week.

Can you take a probiotic during antibiotic treatment?

Yes, and it's actually recommended to reduce the risk of vaginal candidiasis or antibiotic-associated diarrhoea. The antibiotic and probiotic intake must be separated by at least 2 hours, and the probiotic should be continued for 2-4 weeks after the antibiotic ends. Saccharomyces boulardii (a yeast) is the most used strain with antibiotics because it isn't affected by them.

Probiotics for women in the intimate zone: which strains work best?

The strains with the strongest clinical evidence for intimate flora are Lactobacillus rhamnosus GR-1, Lactobacillus reuteri RC-14, Lactobacillus crispatus LBV88, Lactobacillus gasseri LBV150N and Lactobacillus jensenii LBV116. Most serious vaginal probiotics combine at least two of these strains. If a brand doesn't specify the strain (just Lactobacillus rhamnosus without more), pick another: strains aren't interchangeable and neither is their evidence.

Are probiotics compatible with contraceptives?

Yes, oral probiotics don't interfere with oral contraceptives or hormonal contraceptives in general. In fact, users of hormonal contraceptives tend to be more prone to intimate flora alterations and can benefit from preventive use of probiotics in seasonal courses.

Probiotics during pregnancy: can they be taken?

Some strains have specific pregnancy studies and are considered safe (Lactobacillus rhamnosus GR-1 and L. reuteri RC-14 are the most documented). Even so, during pregnancy and breastfeeding any supplement, including probiotics, should be validated by your gynaecologist or midwife and the specific indication for your case.

Why do I have recurrent cystitis even though I look after myself?

Recurrent cystitis (more than 3 episodes per year) usually has a component of protective vaginal flora deficit, not just hygiene. Vaginal lactobacilli are the first barrier against E. coli that colonises the urethra. When that flora is low (due to menopause, contraceptives, repeated antibiotics, etc.) cystitis becomes chronic. The combination of a specific probiotic + cranberry PAC-A is the preventive regimen with the most evidence.

What's the difference between a probiotic for intimate flora and a digestive one?

The strains are different. Digestive probiotics use Lactobacillus acidophilus, Bifidobacterium lactis, Saccharomyces boulardii or Lactobacillus plantarum, designed to colonise the gut. Probiotics for intimate flora use strains that survive digestion and colonise the vaginal mucosa via the lymphatic route (L. rhamnosus GR-1, L. reuteri RC-14, etc.). A generic digestive probiotic doesn't work for intimate flora and vice versa.

Probiotics for Women: Intimate Flora and UTI Prevention

Probiotics for Women

Probiotics for women are selected Lactobacillus strains that help maintain intimate flora balance and prevent conditions like candida, bacterial vaginosis or recurrent cystitis. At Farma2Go you'll find the most used pharmacy brands (Lactoflora, ProFaes4, Donna Plus, Cysticlean, Alflorex) with real pharmacist advice and 24-48h shipping.