Using liquorice (Glycyrrhiza glabra) as a topical treatment for vaginal dysbiosis

  • Jessica Lloyd Lead Naturopath and founder of My Vagina clinic
    Author: Jessica Lloyd
    Senior Vulvovaginal Specialist Naturopath | BHSc(N) | ISSVD, ISSWSH, BSSM, ATMS

Liquorice root (Glycyrrhiza glabra) has many demonstrated activities that benefit the vagina topically, including as an antibacterial, anti-inflammatory and steroidal.1,2

The steroidal action is similar to the effect of hydrocortisone, which can help to calm and soothe cells, while the other active constituents can act on the microbial issues in vaginal dysbiosis.3

When the vagina is battling with an infection or overgrowth of the wrong sorts of bacteria, inflammation can be the natural result. This inflammation may appear as itching, soreness, rawness or unusual discharge. Liquorice root extract can soothe the vaginal mucosa in several ways, reducing itching and discomfort.

In our own clinic, we use liquorice in vaginal pessaries as an anti-inflammatory, and in oral herbal liquids both as an anti-inflammatory and as a potentiator — liquorice is the classic traditional ‘guide’ herb, used to harmonise a formula and help the other herbs in it work together.7 We also use it for other complaints in line with its long traditional use.

In laboratory studies, liquorice root extract inhibits both gram-positive and gram-negative microbes.4,5 These are test-tube results, so this is promising background rather than proof that topical liquorice cures a vaginal infection.

  • Actinomyces viscosus
  • Aspergillus niger
  • Bacillus subtilis
  • Enterococcus faecalis
  • Escherichia coli
  • Pseudomonas aeruginosa
  • Staphylococcus aureus
  • Streptococcus mutans
  • Streptococcus sanguis

Liquorice root also shows antiviral activity in the laboratory against viruses including HIV, HPV and herpes.6 Importantly, this is test-tube activity only — it does not mean liquorice protects you from catching or passing on these infections, so it is no substitute for condoms, vaccination or antiviral medication.

A note on liquorice safety

Liquorice is not just a soothing herb — its active compound, glycyrrhizin, can be absorbed and, especially if overused, can raise blood pressure and lower potassium. Be cautious if you have high blood pressure or heart or kidney problems, and avoid liquorice in pregnancy, where higher intakes have been linked to poorer outcomes for the baby. Use it topically and sparingly, and check with a practitioner.3

Frequently asked questions

Does liquorice help vaginal dysbiosis?

In the lab, liquorice root extract is antibacterial, antiviral and anti-inflammatory, and its glycyrrhetinic acid has a mild cortisone-like soothing effect. Applied topically it may calm irritation, but the evidence is in-vitro, so see it as a supportive, soothing option rather than a proven cure.1

Can liquorice protect against STIs like herpes or HPV?

No. Liquorice has antiviral activity in test tubes, but there is no evidence it prevents catching or passing on HIV, HPV or herpes. Rely on condoms, vaccination and antiviral medication for that.6

Is liquorice safe to use?

Used topically and sparingly it is generally well tolerated, but glycyrrhizin can be absorbed and affect blood pressure and potassium, so take care if you have high blood pressure or heart or kidney problems, and avoid it in pregnancy.3

This article is general information and not a substitute for personalised medical advice. If a vaginal infection is not settling, please see an experienced practitioner.

  1. Sedighinia F, Safipour Afshar A, Soleimanpour S, Zarif R, Asili J, Ghazvini K. Antibacterial activity of Glycyrrhiza glabra against oral pathogens: an in vitro study. Avicenna Journal of Phytomedicine. 2012;2(3):118–124.
  2. Nitalikar MM, Munde KC, Dhore BV, Shikalgar SN. Studies of antibacterial activities of Glycyrrhiza glabra root extract. International Journal of PharmTech Research. 2010;2(1):899–901.
  3. Nazari S, Rameshrad M, Hosseinzadeh H. Toxicological effects of Glycyrrhiza glabra (licorice): a review. Phytotherapy Research. 2017;31(11):1635–1650.
  4. Gupta VK, Fatima A, Faridi U, et al. Antimicrobial potential of Glycyrrhiza glabra roots. Journal of Ethnopharmacology. 2008;116(2):377–380.
  5. Abbas A, Zubair M, Rasool N, Rizwan K. Antimicrobial potential of Glycyrrhiza glabra. Journal of Drug Design and Medicinal Chemistry. 2015;1(2):17–20.
  6. Wang L, Yang R, Yuan B, Liu Y, Liu C. The antiviral and antimicrobial activities of licorice, a widely-used Chinese herb. Acta Pharmaceutica Sinica B. 2015;5(4):310–315.
  7. Wang X, Zhang H, Chen L, Shan L, Fan G, Gao X. Liquorice, a unique ‘guide drug’ of traditional Chinese medicine: a review of its role in drug interactions. Journal of Ethnopharmacology. 2013;150(3):781–790.


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