What is Boric Acid?
Boric acid is a naturally occurring compound derived from boron, often used in various industrial and medical applications. In gynecology, it is primarily employed for its antifungal and antiseptic properties. It is available in the form of vaginal suppositories.
How is Boric Acid Used in Gynecology?
In gynecology, boric acid is mainly used to treat recurrent and resistant vaginal yeast infections. It is also effective against bacterial vaginosis and trichomoniasis. Vaginal
boric acid suppositories are typically inserted into the vagina once daily for 7-14 days, depending on the severity of the infection.
Why Choose Boric Acid for Vaginal Infections?
Boric acid is often considered when other treatments fail. It is particularly useful for treating infections caused by non-albicans species of Candida, which are often resistant to standard antifungal treatments. Its ability to restore the vaginal pH to a normal acidic level makes it a valuable option for managing persistent infections.
Is Boric Acid Safe?
When used correctly, boric acid is generally safe for most women. However, it is important to follow the prescribed dosage and duration of treatment. Overuse or improper application can lead to irritation and damage to the vaginal mucosa. Pregnant women should avoid using boric acid due to potential risks to the fetus.
Side Effects of Boric Acid
Common side effects include mild burning, itching, or irritation in the vaginal area. In rare cases, severe allergic reactions may occur, characterized by symptoms such as rash, itching/swelling, severe dizziness, or trouble breathing. If any of these symptoms occur, discontinue use and seek medical attention immediately.How Effective is Boric Acid?
Studies have shown that boric acid is highly effective in treating recurrent and chronic
vaginal yeast infections. It has a success rate of up to 70% in patients who have not responded to conventional antifungal treatments. For bacterial vaginosis, it can be used as an adjunct therapy alongside antibiotics to enhance treatment outcomes.
How to Use Boric Acid Suppositories?
Boric acid suppositories should be inserted into the vagina at bedtime to allow the medication to work overnight. Patients are advised to wear a panty liner to manage any potential discharge. It is essential to wash hands thoroughly before and after inserting the suppository to prevent infection.
Precautions and Contraindications
Boric acid should not be ingested orally as it can be toxic. It is contraindicated in individuals with open wounds or ulcers in the vaginal area due to the risk of systemic absorption and toxicity. Women with hypersensitivity to boric acid should avoid its use.When to See a Doctor?
If symptoms persist despite treatment with boric acid, it is important to consult a healthcare provider. Recurrent infections may indicate an underlying condition that requires further investigation. Additionally, any severe side effects or reactions should be promptly addressed by a medical professional.
Conclusion
Boric acid is a valuable alternative treatment for persistent vaginal infections, particularly those resistant to standard therapies. While generally safe and effective, it is crucial to use it under the guidance of a healthcare provider to ensure proper application and avoid potential risks.
