How to use the BV-Prevotella Vaginal Pessary (Killing BV)

This specially formulated blend is a treatment for those with a diagnosis of bacterial vaginosis (BV) which has over 10% or problematic levels of Prevotella species present.

Safety first, kids!

Do not use the BV-Prevotella Vaginal Pessary if you may have cytolytic vaginosis (lactobacilli overgrowth syndrome), severe aerobic vaginitis (AV), or have a history of chronic UTI, as these blends contain lactulose, which may exacerbate symptoms.

BV-Prevotella Vaginal Pessary CAN be used in AV if it is mild, and can be a useful course of action. Some AV-related bacteria do not use lactulose as an energy source. Check the list of bugs that love lactulose.

If you don’t know what bacteria you have, please get a comprehensive vaginal microbiome test as soon as possible, or work from your diagnosis.

Do not use if you are allergic to any of the ingredients.

If you are allergic to dairy, avoid the BV-Prevotella Vaginal Pessary. If you are lactose intolerant, you can still use blends containing lactulose vaginally.

Do not use the BV-Prevotella Vaginal Pessary if you are pregnant and use with practitioner guidance during breastfeeding. If you’re pregnant or breastfeeding, please see alternative treatment plans.

What you get in your BV-Prevotella Vaginal Pessary kit

Each treatment from My Vagina comes with everything you’ll need to get started, but these are your instructions, so please refer back here.

When to start your treatment

If you get periods, start the day you stop bleeding to capitalise on period-free days, then go through your period (or stop if you want to, or stop for the heaviest part, and restart).

If you get a surprise period, treat during bleeding unless it’s really heavy, then stop if it’s too messy. Make up the extra days after.

If you do not get periods, start whenever you want.

How to use the BV-Prevotella Vaginal Pessary

How to do your BV-Prevotella Vaginal Pessary treatment

Start with seven nights of vaginal treatments and then stop and do a symptom and pH check. If your symptoms disappear and your pH is between 3.5-4.5, do not restart treatment. If your pH rises or symptoms reappear, do another week, and so on.

Repeat this until your treatment runs out. This may take several months if symptoms take a few weeks to come back but conversely, could take just one treatment. Be prepared. Seven nights is likely not going to be enough, but we can’t tell at the start.

If symptoms are slowly improving, keep going. If after the treatment cycles you are back at square one, the treatment has failed.

You have several options here, including making an appointment with a vulvovaginal specialist naturopath, get in touch via the support form, or choose another treatment from My Vagina or another practitioner.

Tips and tricks for using the BV-Prevotella Vaginal Pessary

  • During the day, you may want to wear a panty liner until you figure out just how much is left that will dribble out from the night before.
  • If you have severe symptoms, start off with a hydrogen peroxide douche or a diluted vinegar douche to rinse out the excess fluids in your vagina.
  • The herbal blend may take a little while to work in severe cases, so just be patient and use whatever management strategies you usually opt for (boric acid, etc.) but avoid douches – you want the ingredients to stay on your vaginal walls to exert their effect.
  • What to do if your vaginal pessary burns

Sex and treatments

This is a great opportunity to have sex to treat you both a little extra, when you both have treatments applied.

If you have severe symptoms, wait until those go away before attempting to ‘share’ this treatment with your lover. When you are both comfortable, you can have bareback sex. Avoid semen in the vagina.

The point of this sexual encounter is to get your treatment into the crevices, the way that your vaginal fluids would. Protect bedding or clothing and be prepared for the lovely smell of the blend to accompany you.

Getting support

If you’re not getting the results you’re after, please book with a My Vagina vulvovaginal specialist practitioner for effective, personalised 100% holistic treatments. We understand what is happening to you and can help.



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