When treating chronic vaginal symptoms holistically, we always want to look at the WHY, which usually means treating internally by focussing on hormonal imbalances, reducing inflammation, supporting the immune system etc. Whilst the internal prescription IS important, it is also ESSENTIAL to address what is going on at the site of infection and inflammation (ie: the vaginal canal & vulval tissue), which is where intra-vaginal treatment comes in!
What is intra-vaginal treatment? The term intra-vaginal treatment refers to topical treatment of the vulva and vaginal canal. This could be as simple as applying cream to the vulva and vaginal opening or inserting particular capsules or pessaries into the vaginal canal.
Why is topical treatment important for vaginal health?
With topical treatment, we can have a direct effect on the quality and integrity of the vaginal tissue, as well as modulating the microbial landscape (increasing beneficial bacteria). The vulval and vaginal tissue is made up of epithelial tissue which is similar to the lining of the digestive tract. This is delicate tissue which has direct contact with the outside world, meaning that it can be easily disrupted or damaged.Treating topically can not only soothe the irritated tissue, providing more relief from symptoms, but it can also speed up the healing of that tissue. Not to mention the beneficial effects it can have on the microbiome!
Topical applications I use in clinic
Herbal creams - A cream containing specific herbs and nutritional ingredients (such as zinc or lactulose), inserted into the vagina or applied topically to the vulva.
Oils (fennel, sea buckthorn etc) - Specific oils applied to the outer vulva as a moisturiser, to aid the repair of damaged tissue and keep the vulva hydrated.
Vaginal rinses - A liquid mixture dispensed into the vaginal canal with a syringe, to “rinse out” the vaginal canal.
Sitz baths - A bucket or shallow bath in which a person sits in water up to the hips. The water may have herbs or other ingredients added to produce a specific effect.
Pessaries - Usually a tampon-shaped herbal / nutritional preparation, inserted into the vaginal canal.
Intravaginal probiotics - Specific probiotics inserted into the vaginal canal.
Topical sprays - Soothing liquid mixture to spray directly onto the vulva.
It is important to note that topical treatment can also have the opposite effect when treating with harsh antimicrobials or tissue degraders which can damage the microbial environment and cause more irritation. Ensure that you undertake this treatment under the care of a qualified health professional who can provide the appropriate prescription for you.
