By Dr Paul Froomes FRACP, MD
Gastroenterologist & Microbiome Health Expert

Dr Paul Froomes is a Melbourne-based gastroenterologist and a leading authority on the
human microbiome, particularly as it relates to women's health. With over three decades of clinical experience, he has helped thousands of women across Australia resolve chronic issues relating to the vaginal and gut microbiome.

Why the Vaginal Microbiome Matters

The vaginal microbiome is a delicate yet powerful ecosystem made up of trillions of
microorganisms—mainly bacteria—that live in the vaginal canal. Though small in size, it
makes up about 8% of the body’s total microbiome and plays a vital role in genitourinary
health, sexual and reproductive function, and immune defence.
When in balance, the vaginal microbiome protects against pathogens, reduces inflammation, and maintains the integrity of vaginal and urinary tissues. A healthy vaginal microbiome is dominated by Lactobacillus species, which help maintain an acidic pH between 3.8 and 4.5 through the production of lactic acid, hydrogen peroxide, and other antimicrobial compounds.

When Things Go Wrong: Vaginal Dysbiosis

Vaginal Dysbiosis occurs when the natural balance is disrupted. This usually involves a drop in Lactobacillus and an overgrowth of harmful organisms such as Gardnerella vaginalis, Candida albicans, Atopobium vaginae, or Escherichia coli.

Common Causes of Vaginal Dysbiosis:

• Broad-spectrum antibiotic use
• Hormonal fluctuations (e.g., menopause, pregnancy, menstrual cycle changes)
• Sexual activity (semen can disrupt the natural acidic environment)
• Stress, often linked with poor diet and weakened immunity
• Use of scented or harsh hygiene products
• Wearing synthetic, non-breathable underwear

Signs Your Vaginal Microbiome May Be Out of Balance:
If you’ve been feeling like something’s "not quite right" down there, you’re not alone.
Common symptoms include:

• Unusual odour
• Irritation or redness
• Itching
• Burning sensation
• Discomfort during intercourse

Health Conditions Linked to Vaginal Dysbiosis
Vaginal Dysbiosis isn’t just uncomfortable—it can be the root cause of more serious issues:

• Bacterial Vaginosis (BV): A shift from Lactobacillus to anaerobes like Gardnerella,
  BV is the most common vaginal infection in women of reproductive age.
• Recurrent Thrush: Typically caused by Candida albicans, especially following
  antibiotic use or hormonal changes.
• Urinary Tract Infections (UTIs): Often linked to overgrowths of E. coli, Klebsiella,
  and Proteus species.
• Increased STI Risk: An imbalanced vaginal microbiome can increase susceptibility
  to chlamydia, gonorrhoea, and HIV.
• Pregnancy Complications: Including premature labour, low birth weight, and
  ruptured membranes.
• Uterine Health: Certain bacterial imbalances have been associated with uterine
  fibroids and even cancer.
  
  

Restoring Balance: A Targeted, Science-Backed Approach
Dr Paul Froomes has pioneered microbiome-focused treatments for over 30 years. His
Women’s Repair-4™ Program, available through BestGut Medical™, offers a three-step
approach for identifying and correcting Vaginal Dysbiosis.

Step 1: Test the Microbiome
The journey starts with a Vaginal Microbiome Test, conveniently done at home. Thanks to
advanced DNA sequencing, the test provides a comprehensive map of your vaginal bacteria.
Within 2-3 weeks, you receive a detailed report outlining your microbial imbalances and the
key culprits.

Step 2: Repair the Microbiome
The Repair phase includes two crucial stages:

(a) Eradication
Targeted treatment to eliminate overgrown or harmful microbes. Depending on your report,
this may involve:

• Antimicrobial herbal blends
• Vaginal Boric Acid Pessaries to rebalance pH
• Immune-supportive supplements curated by BestGut Medical™
  In some cases, a short course of prescription antibiotics may be used.

(b) Restoration
Once the problematic microbes are cleared, the focus shifts to rebuilding. This stage uses: 

• Oral probiotics
• Vaginal probiotic pessaries
• Prebiotics to nourish beneficial flora, specifically curated by BestGut Medical™

Step 3: Maintain the Microbiome
Maintaining vaginal health is the critical long game. Everyday factors like synthetic clothing, processed foods, hormones and stress can disrupt your microbial balance and lead to the recurrence of symptoms over time.

To support long-term wellbeing, Dr Froomes recommends:

• Prioritising a whole food, anti-inflammatory diet
• Wearing natural fibres (like cotton and bamboo)
• Reducing stress with regular movement, mindfulness, and rest
• Daily probiotic support

The Women’s Maintain Program, available online at BestGut Medical™, includes specially
curated supplements containing Lactobacillus crispatus, Lactobacillus rhamnosus, and
Lactobacillus reuteri to optimise ongoing vaginal microbiome health.

Real Results for Real Women
Thousands of women who followed the Women’s Repair-4™ and Women’s Maintain
Programs have reported:

• Freedom from itching, pain, discharge, and odour
• Fewer or no UTIs, Bacterial Vaginosis or thrush episodes
• Improved comfort and moisture
• Enhanced sexual confidence and satisfaction
• Better overall wellbeing

Ready to reclaim your confidence and comfort?
Start your journey today at www.bestgutmedical.com