How do I support my vaginal microbiome?

Bottom lineSupport your vaginal microbiome (mostly protective lactobacilli) mainly by not disrupting it: don't douche, avoid perfumed products, wash only the vulva with water, wear breathable cotton underwear, and wipe front to back; antibiotics, hormonal changes, and some lubricants can shift the balance, probiotic evidence is mixed, and you should see a clinician for unusual discharge, odor, or itching, especially if recurrent.

The vaginal microbiome is the community of bacteria - mostly protective lactobacilli - that keeps the vagina slightly acidic and helps fend off infections. Supporting it is mainly about not disrupting this delicate balance.

Protect the balance

• Don't douche - it strips out protective bacteria and is linked to imbalance and infections
• Avoid perfumed soaps, washes, sprays, and wipes
• Wash only the vulva with water or a plain product - the vagina self-cleans
• Wear breathable cotton underwear and avoid prolonged damp or very tight clothing
• Wipe front to back

Things that can disrupt it

• Antibiotics can reduce protective bacteria (sometimes leading to thrush) - take them only when needed
• Hormonal changes (periods, menopause) shift the balance
• Semen and some lubricants can cause temporary changes

On probiotics

Evidence for probiotics to support vaginal health is still developing and mixed - they may help some people, particularly with recurrent BV, but they're not a guaranteed fix. Ask a clinician before relying on them.

When to see a clinician

See a doctor for unusual discharge, odor, itching, or irritation, especially if recurrent - these can signal an imbalance like BV or thrush that needs the right treatment.

See signs your vaginal microbiome is out of balance for warning signs.

Femora helps you track discharge and symptoms so you can notice when your natural balance seems disrupted.