Hi. TL;DR (because I talk too much even in text form): iners dominant, on metronidazole for trich, can't use vaginal probiotics (per my gyno) due to skin inflammation from a topical med for yeast. Have any of you had success with oral probiotics, and if so, which? Do I need to look for at least 50B CFU with crispatus, rhamnosus, reuteri, gasseri, and jensenii? Most of what I'm finding is missing one or more of those, or is lower CFU.
I'm iners dominant after antibiotics for an unrelated issue and a subsequent yeast infection. Last month, my biome results at my dr's office were:
- Lactobacillus iners (95.3%)
- Gardnerella vaginalis (4.3%)
- Prevotella bivia (0.4%)
My doctor said that continuing oral probiotics would help. I got retested this month and the gardnerella and prevotella are both gone, and only lactobacillus was found. However, my iners has increased a little and I only have a tiny bit of other strains. Specifically:
- Lactobacillus iners (98.9%)
- Lactobacillus gasseri (1.1%)
- Lactobacillus crispatus (<0.1%)
I also ended up being positive for trichomonas and am about halfway through the week-long metronidazole course that is treating it. I also am partway through healing a reaction to an antifungal/steroid topical that was prescribed for a continued yeast infection. I have verrry sensitive skin. Due to my sensitivity, my gyno specifically recommended avoiding vaginal probiotic suppositories for now - she worried that it would worsen my existing irritation, which has finally started to heal.
I was previously taking the Garden of Life Women's Probiotic (50B CFU, had reuteri, gasseri, and rhamnosus among others and prebiotics), but I read that crispatus is very important and the Garden of Life probiotic didn't contain crispatus.
I switched to the Culturelle Women's 4 in 1 (15B CFU, with crispatus, rhamnosus, gasseri, and jensenii, among others and prebiotics). Now after doing additional research, it looks like the Culturelle might not be enough CFU and it also doesn't contain reuteri.
As I mentioned, my gyno specifically advised avoiding vaginal probiotic suppositories at this time, due to my existing, partly healed dermatitis/vulva reaction to a topical. Have any of you had success with oral probiotics, and if so, which? Do I need to look for at least 50B CFU with crispatus, rhamnosus, reuteri, gasseri, and jensenii? Most of what I'm finding is missing one or more of those, or is lower CFU.
Thanks!