Three Types of Women Prone to Vaginal Microbiome Imbalance
Compared to women with a healthy microbiome, pregnant women, those with diabetes, and postmenopausal women are at a higher risk of experiencing vaginal microbiome imbalances. Therefore, it is crucial for these individuals to take preventive measures seriously. Below are some expert recommendations for each group.
Pregnant Women
During pregnancy, hormonal changes can lead to an increase in acidity in the vaginal environment, which creates favorable conditions for yeast growth.
Preventive Measures: It is advisable to wear cotton, loose-fitting underwear, and to change and wash underwear frequently. Handwashing with soap is recommended. After washing, underwear should be dried in the sun or sterilized with hot water.
Women with Diabetes
For those with poorly controlled blood sugar levels, the increased glycogen in the vagina can lead to a more acidic environment, further promoting yeast proliferation.
Preventive Measures: Actively managing diabetes and maintaining strict blood sugar control is essential. Additionally, drinking plenty of water and urinating frequently can help. It is also important to wear cotton underwear to keep the area dry.
Postmenopausal Women
After menopause, the decline in ovarian function and estrogen levels causes vaginal mucosa to thin and atrophy. This reduction in glycogen in epithelial cells can weaken local defenses, making it easier for pathogenic bacteria to invade and disrupting the vaginal flora, potentially leading to atrophic vaginitis.
Preventive Measures: Apply a small amount of lubricant at the vaginal opening before sexual activity to prevent damage to the vaginal mucosa. If necessary, consider hormone replacement therapy under the guidance of a healthcare provider.
Creating a Harmonious Environment for Intimate Areas
If you experience symptoms such as vulvar itching or increased discharge, it is important to consult a healthcare provider for routine examinations. Under normal conditions, both lactobacilli and epithelial cells should score above three on the test, and a higher count is preferable. A decrease in these indicators suggests an imbalance in the microbiome.
To identify which pathogens are present, a bacterial culture can help pinpoint the dominant bacteria, whether it be yeast, trichomonas, or another harmful microbe.
Treatment Approach: The principle of “first eliminate, then replenish” should be followed during treatment. This involves using medications targeted at inhibiting or eradicating pathogenic bacteria initially, followed by supplements containing lactobacilli to restore and maintain a balanced vaginal microbiome, thus preventing recurrences of vaginitis. Additionally, treatments should be continued for one menstrual cycle after normalizing routine examinations.
By following these guidelines, women can take proactive steps toward maintaining a healthy vaginal microbiome and preventing imbalances.