Boric acid suppositories are vaginal inserts used to address certain vaginal concerns. This article explains what they are, the primary conditions they treat, how they function, and how to use them safely.
What Boric Acid Suppositories Are
Boric acid suppositories are small, solid, capsule-like inserts for vaginal use. They contain boric acid, a substance that dissolves within the vagina.
Primary Conditions Treated
Boric acid suppositories are commonly used as an alternative or adjunctive treatment for recurrent vaginal yeast infections (candidiasis). They are particularly considered when standard antifungal treatments have been ineffective or for chronic, recurring cases. Yeast overgrowth, often Candida albicans, causes irritation, itching, and discharge. Boric acid suppositories have shown effectiveness, especially against non-Candida albicans species, which can be more resistant to typical medications.
They also treat bacterial vaginosis (BV), an imbalance of vaginal bacteria. BV causes a strong fishy odor and unusual discharge. Boric acid suppositories may be recommended for recurrent BV, often after or in combination with antibiotic treatment, to help restore the natural balance of vaginal flora. While effective in certain contexts, boric acid suppositories are generally not a first-line treatment, and professional medical advice is recommended for diagnosis and treatment.
How They Work
Boric acid suppositories primarily restore the vagina’s natural pH balance. A healthy vagina has an acidic pH, which discourages harmful microorganism overgrowth. When inserted, boric acid dissolves, creating an acidic environment unfavorable for yeast and certain bacteria.
Boric acid also has mild antiseptic and antifungal properties. These inhibit pathogens responsible for infections like yeast infections and bacterial vaginosis. This dual action of pH normalization and direct antimicrobial effects helps alleviate symptoms and support vaginal health.
Safe Usage and Important Precautions
For safe and effective use, wash hands thoroughly before and after handling the suppository. Insert it into the vagina using a finger or an applicator, similar to inserting a tampon. Many find it beneficial to insert the suppository at bedtime to allow it to dissolve overnight and minimize leakage; a panty liner can prevent staining. Typical dosages involve one 600 mg suppository daily, with durations from 3 to 14 days depending on the condition. For recurrent issues, a healthcare provider might suggest a longer course or maintenance therapy.
Important Precautions
Boric acid is highly toxic if ingested orally and must never be swallowed. Keep these suppositories out of reach of children and pets to prevent accidental poisoning. If swallowed, contact poison control immediately. Do not use if pregnant or breastfeeding without consulting a healthcare provider, as boric acid can be absorbed into the bloodstream and affect a fetus or transfer through breast milk.
Avoid using if you have open sores, wounds, or significant vaginal irritation, as this can cause further irritation or bleeding. Mild side effects include watery discharge, burning, itching, or redness at the insertion site. If severe discomfort, increased pain, or unusual symptoms occur, discontinue use and seek medical attention. Avoid sexual intercourse while using suppositories, as boric acid can break down condoms and diaphragms and may irritate a partner. Always consult a healthcare professional for diagnosis and treatment, especially for new or persistent vaginal symptoms, as boric acid suppositories are not a substitute for medical advice.