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Vaginal Health: Microbiome, Hygiene and Natural Balance
Your intimate health depends on a delicate balance you can care for every day. Below, Dr. Melissa Perfetto explains how the vaginal microbiome works, what disrupts it, and which habits, nutrients and tests help keep it healthy at every stage of life.
Article summary
Your vaginal microbiome is a delicate balance of microorganisms. The main player is Lactobacillus, a good bacterium that helps keep the pH acidic and prevents harmful germs from growing. Knowing your body is the first step to caring for it.
When the balance breaks down
- Bacterial vaginosis: unusual odor or abnormal discharge.
- Yeast infections: itching or burning.
- Urinary tract infections (UTIs): discomfort when urinating.
What can disrupt the balance?
- Stress and lack of sleep.
- Douching or perfumed soaps.
- Diets high in sugar.
- Frequent use of antibiotics.
- Hormonal changes such as pregnancy or menopause.
Recognizing these factors lets you prevent disruptions before they turn into symptoms.
Functional tests that can help you
- Comprehensive hormone panel: measures your estrogen levels, which are essential for a healthy vaginal pH.
- Vaginal microbiome test: analyzes the good and bad bacteria present.
Healthy hygiene habits
- Do not douche or use vaginal steaming.
- Use only mild, fragrance-free soap.
- Change pads and tampons regularly.
- Choose breathable cotton underwear.
- Avoid very tight clothing that traps moisture.
Key nutrients for vaginal health
| Nutrient / Supplement | Main function | Where to find it |
|---|---|---|
| Vitamin E | Relieves dryness and strengthens tissue | Vaginal suppository or natural oils |
| Probiotics | Replenish good bacteria and lower the pH | Yogurt, kefir, fermented foods |
| Estriol | Restores pH and improves vaginal flora | Prescription cream |
| Vitamin C | Reduces the recurrence of bacterial vaginosis | Vaginal suppository |
| Boric acid | Antifungal and antibacterial | Under medical guidance |
Diet and lifestyle
- Eat more vegetables, legumes and whole grains.
- Cut back on sugar and ultra-processed foods.
- Include folate, calcium and vitamins A, C and E.
- Practice relaxation techniques and sleep between 7 and 9 hours a night.
- Remember: chronic stress weakens the immune system and affects the vaginal microbiome.
Tips for your stage of life
During pregnancy or breastfeeding: probiotics are generally safe in the later stages of pregnancy. Avoid intravaginal use of boric acid or estriol without medical guidance.
During your menstrual cycle: take probiotics before or after antibiotics, or during periods of high stress. Notice whether your symptoms change with your cycle.
During menopause: low estrogen levels can alter the pH and reduce Lactobacillus. Estriol and vitamin E may help maintain tissue health and internal balance.
This content is educational in nature and does not replace a medical consultation. Always consult a healthcare professional before running tests or starting treatment. Learn about our hormone replacement and regenerative medicine at Perfetto Salud Integral.
