How to use the AV Vaginal Pessary (Killing BV)

A navy fower shape with green bullseye in the middle, with an I information symbol for the AV Vaginal Pessary instructions for use.

These specially formulated blends are a treatment for those with little to no lactobacilli or a clear diagnosis of aerobic vaginitis or an undetermined vaginal infection.

The AV Vaginal Pessary can be used in anyone who isn’t using lactulose for any reason and is effective for other vaginal infections, including bacterial vaginosis (BV).

Safety first, kids!

The AV blend does not contain lactulose, as lactulose can feed some AV-related bacteria and may make symptoms worse. If you’re not sure, check the list of bacteria 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.

Do not use any herbal medicine if you are pregnant and use with practitioner guidance during breastfeeding. If you’re pregnant or breastfeeding, please see alternative treatment plans or consult a qualified, experienced practitioner.

AV Vaginal Pessary kit includes:

Each herbal blend kit 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. You can use vaginal treatments during menstrual bleeding, but the treatment is diluted and may be less effective, so we advise to use as many non-bleeding days as possible to get the most out of treatments.

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

How to use your AV Vaginal Pessary

How to do your AV 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, repeat the treatment for 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 these 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 AV Vaginal Pessary

  • If you have severe symptoms, start off with a hydrogen peroxide douche or a diluted vinegar irrigation/douche to rinse out the excess fluids in your vagina.
  • During the day, you may want to wear a panty liner.
  • Dunk the vegetable capsule in water immediately before insertion for quicker dissolving of the capsule, particularly if your vagina is often dry.
  • Avoid douches – you want the ingredients to stay on your vaginal walls to exert their effect.

What to expect from the AV Vaginal Pessary

  • The discharge will be the pessary mixture and your vaginal fluids, so don’t make any judgements on discharge during treatment – it’ll be indecipherable.
  • The treatment may take multiple rounds to see results. Be patient and consistent.
  • If your symptoms are not improving at all, or change for the worse during treatment, get in touch for support.
  • It is normal for the AV Vaginal Pessary to produce a sensation of burning at the start of treatment, but this should dissipate quickly and improve in the coming days. What to do if your vaginal pessary burns

Sex and treatments

Partners with penises can also be treated with the AV Vaginal Pessary, as a penis rub. Instructions for penises are in the Killing BV Penis Treatment Support Section.

Avoid semen in the vagina during treatments. Many bacteria use fructose – abundant in semen – as an energy source.

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

If you have severe symptoms, wait until those go away before attempting to ‘share’ this treatment with your lover. When you are both comfortable with results, sex without a barrier can be resumed. If symptoms return, reinfection may be an issue, so resume sex with a barrier.

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.



(1) USD $34.95

Specially formulated probiotic for vaginal application to promote a healthy vaginal microbiome.

(8) USD $44.95

Naturopath-developed 100% natural, effective BV treatment.

(8) Original price was: USD $9.95.Current price is: USD $0.00.

Unique, comprehensive BV, AV and 'mystery bad vag' treatment guide, one-of-a-kind system, with effective, innovative treatments.

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