If you find yourself always conscious of about your vagina, there is something wrong. Even if your gynecologist tells you everything looks normal. You are likely suffering from one of the conditions tat arise form altered vaginal microflora (AVMF).  All of the following vaginal symptoms, despite how varied they my seem, have the same underlying etiology meaning they all occur secondary to AVMF. The normal vaginal secretions change from constituents that provide a lactobacilli dominant to a non-lactobacilli dominant environment that contains numerous bad bacteria which cause problems such as discharge, odor, recurrent UTI or provide a culture media that supports recurrent bacteria or yeast infections. Also the secretions may change from its normal neutral, soothing effect to eliciting an irritative effect on the vestibule at the vaginal opening. This causes burning, rawness, stinging, pain, chafing, dryness, itching and or urinary frequency and urgency. The secondary effects are pain with intercourse, tight vaginal caliber, tearing of vaginal opening with intercourse, and shortening of vagina with the cervix or top of vagina being hit during deep thrusting with intercourse.  It seems odd that similar treatment would be effective in women with such varied vulvovaginal symptoms. The reason for this is that each woman responds differently to the same stimulus depending on the innate propensity of her individual vulvovaginal tissues. Also, to say the “same treatment approach” is not to say it’s the same treatment. To get you fixed you need a protocol that is individualized based on your particular hormone profile (HP) and the results of the VFA Test which determines the type and relative quantity of vaginal constituents present. FGI uses 36 different protocols. The hormone profiling is based on factors that affect the vaginal estrogen effect.

What are the Variables of Hormone Profiling (HP)?

This includes your age, proximity to menopause, factors that influence your endogenous estrogen production such as lifestyle stress, exercise and body weight, whether there is sexual arousal wetness and a q-tip assay for vaginal moisture on physical exam. These factors are used to individualize your treatment. The mainstay of your treatment is a unique blend of hormones. The vaginal mucosa does not respond if it senses too much or too little of the hormones. It took the experts at FGI over 10 years to figure out how to get the dosing just right. Of all the commercially available hormone preparations, none of them are suitable for treatment of these conditions. Using HP indicators, FGI experts have been able to consistently achieve  excellent results.

At this point you may be asking yourself, if therapy directed to underlying altered vaginal micro-

flora is so superior for the spectrum of symptoms including chronic vaginal discharge, vaginal

odor, itching, and vaginal burning, stinging or rawness then why isn’t it widely utilized in the

United States?

The primary reason is that practitioners have relied on a century old technique for the analysis

of vaginal secretions known as “wet preps” and patterns of altered vaginal micro-flora have gone

totally unrecognized. The new technique of quantitative analysis of wet preparations was

published by Dr. Fowler in a peer reviewed medical journal for worldwide viewing in October of

2012. He had been using the technique it for years; few others worldwide do so. It takes a

physicians significant time, dedication, and investment in equipment to offer this level of

expertise for very little reimbursement based on the current diagnostic codes so there is little

incentive for physicians to make the overall investment. Consequently, this test will not likely

to be routinely offered in gynecologic practices for many years to come. FGI wishes to make this

advanced diagnostic technique and treatment available to all US women.