2024年7月31日

Probiotics: An Emerging Approach in Treating Vaginitis

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Vaginitis, characterized by inflammation of the vaginal tissue, affects millions of women globally, leading to discomfort, itching, and abnormal discharge. CandidaI vulvovaginitis (CVV), commonly known as a yeast infection, and bacterial vaginosis (BV) are predominant forms, comprising almost 80% of all cases of vaginitis. While conventional treatments typically involve antifungal or antibiotic medications, recent research suggests a new approach - probiotics.

Probiotics, live microorganisms conferring health benefits when administered adequately, offer a promising avenue in managing vaginitis. By replenishing the depleted lactobacilli population, probiotic supplementation restores the acidic environment of the vagina. Lactobacilli, crucial for maintaining vaginal health, produce lactic acid, which helps sustain an acidic pH environment, preventing the overgrowth of harmful bacteria and fungi. Common plant-based food sources of lactobacilli include soy yogurt, soy-based kefir, fermented soy products, and fermented vegetables. These plant-based fermented foods not only provide beneficial lactobacilli strains but also offer diverse flavors and textures to enhance dietary variety.

Several studies (2, 3) have demonstrated the efficacy of probiotics, both orally and vaginally, in significantly reducing recurrence rates of candidal vulvovaginitis and bacterial vaginosis at one month post-treatment. Patients in the probiotic group exhibited a significantly higher rate of normal flora restoration compared to the control group. Moreover, a few studies (1) have suggested higher bacterial vaginosis cure rates with probiotics than with antibiotics. Importantly, no additional adverse events were reported. However, at six months post-treatment, there was no significant difference in recurrence rates and normal flora restoration between the probiotic and control groups (2, 3), indicating the need for ongoing support to ensure colonization in the vagina.

Prebiotics play a crucial role in supporting the effectiveness of probiotics by serving as fuel for beneficial bacteria to thrive, not only in the gut but also in other areas of the body, including the vagina. Numerous studies have shown that prebiotics indirectly support the colonization and survival of probiotic lactobacilli strains, thus helping maintain a healthy vaginal microbiome. By providing a favorable environment for lactobacilli growth, prebiotics contribute to the production of lactic acid, crucial for maintaining an acidic pH in the vagina and inhibiting the overgrowth of harmful pathogens associated with bacterial vaginosis and vulvovaginal candidiasis.

Prebiotics are readily available in various plant-based foods, facilitating easy incorporation into the diet. Some examples of prebiotic-rich plant-based foods include soybeans, garlic, onions, asparagus, and bananas.

Probiotics offer a promising adjunctive therapy in managing vaginitis. By restoring the balance of vaginal flora and maintaining an acidic pH environment, probiotics alleviate symptoms and reduce recurrence rates. When combined with plant-based prebiotics found in certain foods, this approach may further enhance the effectiveness of probiotic treatment, providing holistic support for women's vaginal health and overall well-being.

Creamy Vegan Mushroom Soup with Almonds

Ingredients:

  •    15g almonds
  •    20g onion, diced
  •    40g mixed mushrooms (such as cremini, shiitake, or oyster mushrooms), chopped
  •    100ml unsweetened almond milk
  •    1 tablespoon olive oil
  •    2 cloves garlic, minced
  •    1 teaspoon dried thyme
  •    Salt to taste
  •    Fresh parsley or chives for garnish (optional)

Instructions:

  1.    Toast almonds in a skillet. Set aside.
  2.    Sauté onion and garlic in olive oil until translucent.
  3.    Add mushrooms and cook until softened.
  4.    Blend toasted almonds into a powder.
  5.    Add almond milk, thyme, and almond powder to the saucepan.
  6.    Simmer for 10 minutes.
  7.    Optional: Add soy sauce or tamari for flavor.
  8.    Blend the soup until smooth and creamy.
  9.    Reheat if needed.
  10.    Serve hot, garnished with parsley or chives.

The Creamy Vegan Mushroom Soup with Almonds is a nutritious and delicious option that offers multiple health benefits. Packed with vitamins, minerals, and antioxidants from mushrooms, almonds, and onions, this soup supports immune health and provides heart-healthy fats. It's a satisfying, low-calorie choice for weight management and is suitable for dairy-free and vegan diets. Additionally, the soup's antioxidant content helps protect against oxidative stress. Enjoy this flavorful soup while nourishing your body with its wholesome ingredients.

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