Are Boric Acid Suppositories Bad for You?

Boric acid suppositories are a common over-the-counter option for vaginal health. Many individuals seek them as an alternative solution for gynecological concerns. This article covers what boric acid suppositories are, their uses, safety considerations, usage guidelines, and when to consult a healthcare professional.

Understanding Boric Acid Suppositories

Boric acid is a chemical compound with mild antiseptic and antifungal properties. For vaginal health, it is formulated as a suppository, a solid form inserted into the vagina. Once inserted, the suppository dissolves, releasing the boric acid.

These suppositories are used for recurrent vaginal yeast infections and bacterial vaginosis (BV). They help restore and maintain the vagina’s normal acidic pH balance, typically between 3.8 and 4.5. This acidic environment inhibits the overgrowth of bacteria and fungi that cause infections.

Safety Considerations for Use

When used vaginally, boric acid is minimally absorbed into the bloodstream. However, it is highly poisonous if ingested. Accidental oral consumption, especially by children, can lead to serious health issues, including gastrointestinal distress, kidney problems, and in severe cases, even death.

While generally safe for vaginal use, some mild side effects can occur. These include localized vaginal irritation, a burning sensation, redness, and watery discharge. Such symptoms are usually temporary. Rarely, allergic reactions like hives, facial or throat swelling, or difficulty breathing may occur, requiring immediate medical attention.

Important Usage Guidelines

Proper application maximizes the effects of boric acid suppositories and minimizes discomfort. Wash and dry your hands before handling a suppository. Gently insert it into the vagina as far as comfortable, using a finger or applicator if provided.

It is often recommended to insert the suppository at bedtime. This allows it to dissolve overnight and reduces potential leakage during daily activities. Wearing a panty liner can manage any watery discharge. Typical dosage is one 600 mg suppository once daily, for 7 to 14 days. If a dose is missed, use it as soon as remembered, but do not double up on doses.

When Not to Use and Medical Consultation

Avoid boric acid suppositories and seek medical advice in certain situations. Do not use them during pregnancy or breastfeeding, as effects on the fetus or infant are not established. Also, avoid use with open wounds, sores, or ulcerations in the vaginal area, as this can cause irritation or absorption into the bloodstream.

Boric acid suppositories are not for treating sexually transmitted infections (STIs) or undiagnosed vaginal bleeding. Discontinue use and consult a healthcare professional if severe irritation, unusual or persistent discharge, fever, abdominal pain, or other new or worsening symptoms occur. Always discuss symptoms with a healthcare provider before starting any new vaginal treatment, especially for recurrent or persistent issues.