Vaginal probiotics for women
Bacteria of the genus Lactobacillus are the majority in the vaginal microbiota of healthy women.
These microorganisms that form the vaginal flora live together with the rest of the microbiota in a situation of equilibrium or balance
When for some reason (treatment with antibiotics, use of spermicides, treatment with antineoplastics, etc) an imbalance in the composition of the microbiota occurs, there is an increased risk of infection (Bacterial Vaginosis BV, thrush, trichomoniasis or urinary tract infections UTI, and in this case the use of probiotics plays a very important role in rebalancing the vaginal microbiota and regulating the pH balance of the woman’s vagina.
Both vaginal ovuli and oral capsules have in their composition several freeze-dried species of microorganisms of the genus Lactobacillus, as this is the majority genus that needs to be repopulated.
Let’s look at some of the best probiotics for women we can find in the market
Culturelle Women’s Healthy Balance Probiotic for Women
Probiotic for women with a formula based on species of microorganisms of the genus Lactobacillus which are the majority of the vaginal microbiota.
It has a total of 15 billion microorganisms from the strains Lactobacillus crispatus LBV 88, Lactobacillus rhamnosus LBV 96, Lactobacillus rhamnosus GG, Lactobacillus gasseri LBV 150N, Lactobacillus jensenii LBV 116.
These strains are common in the microbiota or vaginal flora and have demonstrated their effectiveness in recovering and maintaining its balance as well as in the treatment of different types of bacterial vaginosis (BV) with a decrease in the Nugent index.
The presence of Lactobacillus rhamnosus GG (LGG®) in its formula stands out. It is a well known species and one of the most studied, with about 1000 studies conducted on it and about 200 clinical trials. It has beneficial properties for the intestinal microbiota, favoring its protection and creating a hostile environment for pathogenic microorganisms. Also, this species Lactobacillus rhamnosus GG® stimulates the immune system.
Culturelle is a brand belonging to i-Health, Inc, a global consumer health and wellness American company.
AZO Complete Feminine Balance Daily Probiotics for Women
Like the previous Culturelle probiotic, AZO Complete Feminine Balance is owned by the same company, i-Health, Inc. In fact, both have virtually the same probiotic formula. The AZO Complete Feminine Balance formula has 4 probiotic strains: Lactobacillus crispatus LBV 88, Lactobacillus rhamnosus LBV 96, Lactobacillus gasseri LBV 150N, Lactobacillus jensenii LBV 116 and has 5 billion microorganisms versus 15 billion of its equivalent in Culturelle.
The properties of the product are similar to the previous one although, as it has a lower probiotic load, it is more recommendable if you have never tried a probiotic and this is the first time you are taking it.
Renew Life #1 Women’s Probiotics
Renew Life has a range of several probiotic products specially designed for women. These are probiotics for women in formulations of 10 or 12 different species of microorganisms and with different concentrations of 25 and 90 billion probiotics.
Amazon.com has many very positive ratings from its consumers.
The formulations differ very little from each other. They are basically probiotic species of the genera Bifidobacterium and Lactobacillus, although there are a greater number of species of the genus Lactobacillus, as this is the predominant species in the vaginal microbiota.
However, the presence of both genera is beneficial not only for vaginal microbiota, but also for intestinal health and the immune system.
They can be found on Amazon.com, in different presentations and strengths:
25 billion probiotic species:
90 billion probiotic species
RepHresh Pro B Probiotic for women
RepHresh Pro-B is a probiotic for women with 2 patented strains clinically verified to maintain a healthy vaginal flora.
This probiotic for women contains in its formula Lactobacillus rhamnosus GR-1® and Lactobacillus reuteri RC-14, two strains generally studied together to analyze the beneficial effect that both strains have on women’s intimate health.
The Lactobacillus rhamnosus GR-1® strain has studies that demonstrate its ability to improve the balance of a woman’s vaginal microbiota. It is a strain that helps protect the female urogenital area from infections such as bacterial vaginosis (bv) and other urinary tract infections such as cystitis. Its mechanism of action is based on the adherence of these “good” microorganisms to the vaginal mucosa, displacing possible pathogenic microorganisms (1)
In addition, as a lactobacillus, it produces lactic acid, reducing the vaginal pH to get a women’s ph balance and thus preventing colonization by pathogenic bacteria capable of producing an infection, since these microorganisms prefer a more alkaline environment with a higher pH.
For its part, Lactobacillus reuteri RC-14® has studies that demonstrate its beneficial activity against Candida albicans, responsible for the infection known as candidiasis, yeast infection or thrush (2)
Lactobacillus reuteri RC-14® also acts against bacterial vaginosis, a condition with a whitish exudate and a characteristic “fishy odor”. There is usually also an itching and burning sensation.
In a study carried out with Lactobacillus reuteri RC-14® together with Lactobacillus rhamnosus GR-1® in 544 women, it showed the benefits that these two strains have in the treatment of bacterial vaginosis (bv) (3)
Garden of Life Paleo Defense Probiotics for Women
In this case Garden of Life presents a product specially designed for women but who follow a “Paleo” diet, that is, a diet based on the diet of our ancestors from the Palaeolithic era. It is a diet based on meat, fish, vegetables, fruits, nuts but without products such as dairy products, salt or refined sugar.
The product has a probiotic formula of Lactobacillus and Bifidobacterium and two species of the genus Bacillus, Bacillus subtilis and Bacillus coagulans that add up to a total of 15 billion cfu. Its probiotic formula makes it a very suitable product for both intestinal and vaginal microbiota balance.
This product also has numerous digestive enzymes (lipases, protease, cellulases, etc.) that help the digestion process to run smoothly without discomfort, flatulence or gas. It also has a component called elevATP® which consists of a combination of apple and peat polyphenols that promote the production of ATP (Adenosine tri-phosphate) the cellular energy source.
Finally, we should mention the presence in its formula of Changa mushroom, with several beneficial effects for health among which are its effect in reducing the levels of cholesterol and sugar (4)
Purely Optimal – Probiotics for Women
Very complete product with 10 probiotic species of which 7 are of the genus Lactobacillus and 3 Bifidobacterium. They are strains that help to maintain not only the balance of the vaginal microbiota but also that of the intestinal microbiota, since they are common species in both female organs. It has a total of 60 billion cfu of probiotic microorganisms for women.
However, this probiotic for women also has prebiotics, specifically a Jerusalem Artichoke root, which contains inulin, a very common prebiotic that stimulates the growth of the native flora, as well as fructooligosaccharides from Agave, another prebiotic with a similar function to inulin.
In order to prevent infections in the urinary tract, this product also contains D-mannose, cranberry and uva-ursi leaf extract which contains compounds such as arbutin, with antiseptic properties for the urinary tract.
Other components of this product: Pau D’arco bark, Black Walnut Hull and oregano leaf for their antiseptic functions of urinary tract.
Very complete product to maintain a vaginal and intestinal balance, eliminate discomfort and prevent infections.
Vitamin Bounty Probiotic & Prebiotic for Women
Product with 10 billion species of 5 probiotics of Lactobacillus and Bifidobacterium that promote a balance of the microbiota not only vaginal but also intestinal.
It also has fructooligosaccharides (FOS) as a prebiotic component
This product stands out for the presence of other components in addition to probiotics such as Ashwagandha root, Cranberry powder and Black Cohosh root, all of which have additional properties for women’s health. Cranberry with an antiseptic function, Cohosh for its properties related to menstruation and in particular to the reduction of menopausal symptoms, and Ashwagandha, related to well-being and stress reduction.
Innate Vitality Probiotics for Women
In this case, this probiotic for women contains 50 billion cfu of 17 different species of microorganisms beneficial to both vaginal and intestinal health. Most of the 17 species are of the genus Lactobacillus, the majority in the vaginal microbiota.
It also has Cranberry, with antiseptic properties of the urinary tract to prevent possible infections (UTI) and also contains a prebiotic, specifically, xyloligasaccharides (XOS), a fiber that acts by promoting the growth of native species of the vaginal and intestinal microbiota.
Ultimate Flora Bloom Probiotic for Women
Probiotic with 10 billion cfu of 4 species, all of them of the genus Lactobacillus, the majority of the vaginal microbiota. This composition makes it ideal for improving the balance and equilibrium of the vaginal microbiota, although its composition also favors the balance of the intestinal microbiota.
This probiotic for women also has Cranberry with antiseptic properties, as well as D-Mannose that prevents the adherence of pathogenic microorganisms to the mucosa of the urinary tract.
It therefore has antiseptic properties and a simple probiotic formula, but with the necessary probiotics for adequate vaginal and intestinal health.
Balance Complex Vaginal Health Dietary Supplement
This product has only one probiotic species, Lactobacillus acidophilus, but at a much higher concentration than the rest of the products as it has 100 billion cfu. This species, Lactobacillus acidophilus is one of the most studied species and with more clinical trials carried out. It enhances the balance of both vaginal and intestinal microbiota.
What really differentiates this product is the presence of a wide variety of components that are not probiotics but have many beneficial properties for women’s health. Thus, we find oregano leaf (antioxidant, antiseptic), caprylic acid (antiseptic), we also have digestive enzymes such as protease and cellulase, on the other hand, we find Aloe Vera and arabinogalactane that act as a prebiotic, enhancing the growth of Lactobacilli. It also has Anise seeds, with properties, among others, antifungal, Black Walnut Hulls powder, an antioxidant, the Reishi mushrooms with anti-inflammatory properties and immune response enhancer. We also have Cranberry and Mannose, both acting as antiseptics.
In summary, this is a very complete product because of all the beneficial properties it has, not only because of the presence of Lactobacillus acidophilus but also because of the rest of the compounds with various antiseptic and antioxidant properties.
It has a high number of ratings in Amazon.com and very positive.
Perfect Balance Complex for Women
Probiotic for women with a formula practically identical to the previous product. A single probiotic species and numerous compounds with beneficial properties. It has less valuations but they are also very positive.
Women’s Probiotic Delayed Release
Probiotic for women with 10 probiotic species, of the genera Lactobacillus and Bifidobacterium providing a total of 50 billion cfu. It is therefore a product that promotes the balance of the vaginal and intestinal microbiota. It is a simple product, without prebiotics or other components that add more properties.
WonderVites Probiotic & Prebiotic for Women’s
Probiotic for women with 10 billion cfu of strains of the genus Lactobacillus and 5 billion strains of the genus Bifidubacterium. All of them are common species in both the vaginal and intestinal microbiota. It is therefore a probiotic that acts by maintaining the balance and equilibrium in both microbiotas, also preventing colonization by other pathogenic microbial species.
This product also has two prebiotics, one of which is the well-known fructooligosaccharides (FOS) and the other is a laryx arabinogalactane or larix that promotes the growth of lactobacilli.
We can also find Physioflor, manufactured by the French laboratory Iprad. This probiotic has in its composition a single species of Lactobacillius, namely Lactobacillus crispatus at a concentration of 1 billion cfu/capsule. This Lactobacillus species is the predominant one in the vagina in comparison with the rest of the species of this same genus.
Physioflor specifically contains the Lactobacillus crispatus strain IP 174178. Its efficacy on bacterial vaginosis (BV) was demonstrated in a study conducted in France and coordinated by the Fournier Institute in Paris (5)
Women’s Probiotic – Health Labs Nutra
Women’s Probitic is a complete probiotic manufactured in the United States by Health Labs Nutra, a company with a wide variety of health care products.
This product contains a mixture of probiotics, specifically 6 billion cfu of Lactobacillus plantarum, Lactobacillus fermentum, Lactobacillus acidophilus, Lactobacillus reuteri, Lactobacillus rhamnosus and Bifidobacterium bifidum. It also contains fructooligosaccharides (FOS) as a prebiotic that helps the growth of microorganisms native to the vagina.
An important characteristic of this product and that differentiates it from the rest, is the presence of CranGyn® an exclusive formula that contains Cranberry, a compound that has proven its effectiveness in the treatment of urinary tract infections according to several studies (6)(7). Cranberry is one of the most popular herbal products in the United States for known medicinal use. They also contain D-Mannose, a sugar that has also demonstrated its ability to prevent the adhesion of pathogenic bacteria (E. Coli) to the urinary tract, acting synergistically with Cranberry (8)
OptiBac, manufactured in UK by Wren. They are capsules with 2.3 billion of Lactobacillus reuteri RC-14 ® and Lactobacillus rhamnosus GR-1 ®. That is, they are the same microorganisms that we have already seen in other products on this same page and at a lower price. Like other probiotics with the same composition, they are suitable for the treatment of bacterial vaginosis (BV), urinary tract infections (UTI) as well as vaginal candidiasis, yeast infection or thrush.
As mentioned above, these Lactobacillus reuteri RC-14 ® and Lactobacillus rhamnosus GR-1 ® strains are registered by CHR HANSEN. They are two of the strains on which most studies have been carried out both in vitro and in vivo. They have the security of being within the QPS list and being recognized as GRAS (Generally Recognized As Safe) microorganisms by the FDA, that is to say, safe and innocuous strains.
Women’s Probiotic 20 Billion
This product gathers 3 strains of probiotic bacteria: Lactobacillus rhamnosus HN001, Bifidobacterium lactis HN019, Lactobacillus acidophilus La-14®
There are several studies that demonstrate the beneficial properties of these bacteria – in combination or separately – on women’s health.
Lactobacillus rhamnosus HN001 improves immunity in pregnant women (9). Studies have also been done together with Bifidobacterium lactis HN019 comparing its activity against a placebo and showing its protective immune effects (10).
Other studies have shown how the combination of Lactobacillus rhamnosus HN001 and Lactobacillus acidophilus LA14 promotes the growth of these Lactobacilli in the vagina (11) and, in cases of candidiasis, yeast infection or thrush it inhibits the growth of Candida albicans, also reducing the symptoms and probability of recurrence when administered together with antifungal treatment (12).
In addition to oral administration, vaginal probiotics can be found on the market in the form of suppositories or ovuli to be introduced directly into the vagina.
Some of them are:
Vagi Biom Probiotic Suppositories
These are vaginal suppositories that each contain a total of 1×1010 cfu of the strains Lactobacillus acidophilus Bi14, Lactobacillus crispatus Bi16, Lactobacillus gasseri Bi19 and Bacillus coagulans Bi34 which will allow the re-establishment of the vaginal flora of this genus of lactobacilli.
It is important not to confuse this type of probiotics with other vaginal ovules which, although effective and indicated for reducing the pH of the vagina and lubricating its epithelium, do not contain microorganisms in their formula, i.e. they are not probiotics.
FloraFemme – pH Balanced Vaginal Probiotic Suppositories
Probiotics in suppositories to be administered directly into the vagina. It has a total of 72 billion “good” bacteria, with a total of 11 different species, most of which are of the genus Lactobacillus, making it one of the best probiotics for women’s ph balance.
It also contains Aloe Socotrina HPUS 4X, which as a derivative of Aloe, exerts an antiseptic function reducing the chances of suffering infections in the urinary tract (UTI) such as Bacterial Vaginosis (BV)
Degree in Pharmacy and Specialist in Clinical Analysis from the Complutense University of Madrid.
Technical Director and Consultant at Laboratorio López Salcedo.
Director of the Institute of Microecology – study of intestinal and vaginal microbiota.
Specialist in Clinical Genetics by the Hospital Ramón y Cajal of Madrid
University Specialist in Clinical Occupational and Applied Biopathology
Diploma in Advanced Studies from the UNESCO Chair in Bioethics and Biojuridical