Can lactic acid bacteria defeat mold?

Patient's question:

Probiotic capsules are used to increase vaginal acidity, while yeast thrives in acidic environments. Will this worsen the condition? Baking soda is alkaline. After washing with baking soda, using probiotic capsules afterward would there be any conflict? Can probiotics overcome yeast?

Doctor's answer:

Lactic acid bacteria actually cannot kill mold. If you have a fungal vaginal infection, it is generally recommended to use nystatin effervescent tablets for treatment, or you can rinse the external genital area with a baking soda solution. If it is caused by an imbalance of the microbial flora, of course, you can also use probiotics vaginally to improve the vaginal environment. After improving the vaginal environment, it's possible that mold won't be able to reproduce and grow inside the vagina.

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