Fowler Gyn International

The Experts in Vaginal Health Care

Paradise Valley
Medical Plaza

5410 N. Scottsdale Rd

Suite B-200

Paradise Valley, AZ 85253



Call (480) 420-4001

"Finally Revealed- New Treatment For Recurrent Bladder Infections without urologic cause- That Actually Works"


Symptoms of bladder infections

In the early stages, the bladder gets irritable and spasms at random times creating the urge to urinate. This happens frequently even shortly after voiding. Often there is little to no urine to void. When there is enough urine to void, the stream can feel like it’s burning all the way down. There can be a different odor and color to the urine. In later stages there can be blood in the urine and a burning discomfort in the low abdominal just above the pubic bone in the midline. Bladder infections, otherwise known as UTI’s, are caused by bacterial infections.

Where Does the Bacteria Come From

Did you know that the very bacterial species that cause bladder infections come from bacteria present at the opening of the vagina? Those “bad” bacteria are normal flora in the area. You don’t get bladder infections from other people. BUT… for years, it has been speculated that the bacteria come from the bowels… meaning from the anus and get displaced into the vaginal opening. The urethra, the tube from the bladder to the outside, opens into the front wall of the vagina just below the clitoris. With the close proximity of the urethral opening to the anus, this would appear to make sense that this is where the bacteria come from; although this has never been definitively proven. Consider this: The vagina is a whole lot closer to the urethral opening than the anus; in fact vaginal mucosa totally surrounds it!  AND THE SAME BACTERIA THAT CAUSE UTI’S ARE ALSO FOUND IN THE VAGINA!! The experts in vaginalhealthCare at FGI believe that on occasion the bacteria may originate from the anal area, BUT the majority of bladder infections in women are caused by the bacteria naturally present in the vagina!

Think about the implication for you in this context: It follows that the likelihood for UTI’s increases when there is an altered flora pattern in the vagina; meaning there has been a bacterial shift where more “bad” bacteria strains present relative to the “good” bacteria. More on this in a moment.

The vaginal secretions continually bathe the vaginal opening known as the vestibule. That’s why so many women get bladder infections after intercourse. You have heard the term “honeymoon cystitis”? The mechanical action of intercourse pumps bacteria into the urethral opening and up into the bladder. Located at the upper entrance to the vagina, the urethral opening is the first tissue to get impacted and compressed by penile insertion. Bacteria naturally present at the urethral opening gets pushed into the urethra and towards the bladder. The urethra runs parallel with the vagina and just under the upper vaginal mucosa along the midline. The urethral tissues significantly indent the upper wall of the vagina. You can easily feel the urethral ridge if you insert a finger into the vagina and sweep it across the upper vaginal wall. Some people refer to this area as the G-spot.  With sequential thrusts during intercourse, the urethra is compressed and pushes bacteria towards and into the bladder. If the bacteria adhere to the bladder cells, the result is a UTI.

However, women don’t have to be sexually active to get UTI’s or even recurrent UTI’s. All women are at risk because of the short urethral length, the urethral opening is always being bathed in vaginal secretions and again perhaps the proximity to the anus plays a role as well. Women are more prone to UTI’s than men on account that the female urethra is only about 4 cm in length compared to 15-29 cm for men.

The Vaginal Micro-flora

The vagina has a normal micro-flora ecosystem consisting of 30+ co-existing strains of bacteria at any one time. Normally, the good bacteria known as “lactobacillus” dominate and are numerous enough where they coat the entire vaginal mucosal surfaces forming a protective barrier. Problems arise when a shift in bacteria milieu occurs and the “bad” strain proliferate and dominate the “good” strains.

Altered Vaginal Micro-flora Patterns

When the lactobacilli do not thrive, the 30 plus other “bad” bacteria strains proliferate and dominate the micro-flora.  This results in one of several “altered vaginal micro-flora patterns.” In 2007, Dr. Fowler published a landmark study which expanded the known spectrum of altered vaginal flora patterns. Up until then, the medical literature commonly referred to ‘Vaginitis” as consisting of four etiologic types. Dr. Fowler proposed a new Vaginitis Classification System that expands the types of vaginitis to ten types. Reference: Fowler, R.S. Expansion of altered vaginal flora states in vaginitis. J Reprod Med. 2007 Feb;52(2):93-99.  

Symptoms Associated with Altered Vaginal Micro-flora Patterns

The “bad” bacteria that predominate in these patterns consist of a host of aerobic and anaerobic microbes. The resulting vaginal secretions from this shift of bacterial milieu bathe the tissues surrounding the vaginal opening and external genitalia causing variable symptoms including itching, irritation, and sensitivity as well as discharge, odor, burning, urinary urgency/frequency depending on the innate sensitivity of a particular woman’s external genitalia tissues. It follows that the higher the concentration of these bad bacteria, the higher propensity of getting symptoms.

Determining if an Altered Vaginal Micro-Flora Pattern is Present

If an altered vaginal micro-flora pattern is found, an FGI treatment protocol could prove to be of great benefit for you! The only way to determine whether you have an altered vaginal micro-flora pattern is to perform the Vaginal Fluid Analysis Test (VFT Test). You can have the VFA Test done by the FGI Lab regardless of where you reside in the US.In October of 2012, Dr. Fowler published a breakthrough in the understanding of the vaginal micro-flora analysis preformed under phase-contrast microscopy titled, “Quantification of normal vaginal constituents using a new wet prep technique.” He had been using this technique for years for women with vaginal symptoms but for the first time, the relative concentrations and constituents of what constitutes “normal” on wet preparations from women without symptoms became known. This knowledge is essential because these patterns become the therapeutic goal of vaginal therapy. Prior to the findings of this study, it was only inferred by clinical deduction as to what constituted healthy vaginal constituents.  Reference: R.S. Fowler. Quantification of normal vaginal constituents using a new wet prep technique.  J Low Genit Tract Dis. 2012 Oct; 16(4):437-441.

The Bottom Line

The FGI treatment approach uses vaginal rejuvenate therapy to change the abnormal vaginal micro- flora patterns into one of the normal patterns. The therapy can be monitored to see how effectively the particular therapy is moving the vaginal constituents towards a normal flora pattern while maintaining the external genitalia tissues under strict hypocontactant conditions.This approach has been developed and used by Dr. Fowler with success for the treatment of thousands of women. Are you ready for expert help?

The majority of healthcare providers are unaware of the existence of altered vaginal micro-flora states. Why? To begin with, very few gynecologists specialize in vaginal disorders. Morover, detecting altered vaginal micro-flora patterns requires extra time, training, an advance set of skills and expensive microscopic equipment.  Since there seems to be no incentive in sight for gynecologists to learn advanced microscopic skill, invest in expensive phase-contrast microscopic equipment, and spend the extra time analyzing slides, it is not likely for the VFA Test to be routinely offered in gynecology offices anytime soon!

How can FGI Help You?

It’s your turn to get advanced technology working for you. Dr. R. Stuart Fowler took early retirement from the Mayo Clinic, where he worked as a  gynecologist specializing in vaginal disorders and bio-identical hormones, to hosts this website and makes his knowledge & expertise of evaluating women with vaginal conditions for over 20 years available online…to you, right now! FGI offers diagnosis and individualized treatment protocols for select vaginal conditions that have been used with success by thousands of women. 

Please note: You need to continue to work with your provider who has been treating your bladder infections for ongoing treatment when they occur. FGI WILL NOT TREAT OR CONSULT REGARDING TREATMENT OF BLADDER INFECTIONS.THE PURPOSE OF the consultation with FGI IS NOT TO TREAT YOUR BLADDER INFECTIONS, but to help reduce or prevent them from happening!

Ask yourself,

How long have I had this problem?

How many doctors have I seen?

Do I want to go through another pelvic exam? 

How much would I like to be rid of this problem?

If your answers are too long, too many, I hate pelvic exams, and that would be wonderful!... Register today and get on the path tomorrow that could very well resolve your problem! You must be 18 and not pregnant, a resident of the US (residents of Texas and Oklahoma are not eligible due to restrictive medical laws). Let FGI help make you the next success story; you may register today if the ribbon on the header is green or yellow! If red, return tomorrow and check availability or put your name on the wait list under “Contact Us” click

Your Options for Services from FGI are as Follows:

1) Potential Client- Sign Me Up. FGI will review your vaginal symptoms and general medical history questionnaire information and clarify the details on the phone with you, recommend the VFA Test if indicated, and create an individualized treatment protocol tailored to your condition with prescription medications! You can register either for “Virtual Services” delivered to the privacy of your residence or schedule an In-Office visit at FGI headquarters in Scottsdale, Arizona.


2) FeminaRx Pure SkinCare Collection. Order the highly praised, time proven, combination of skin products ideal for women with sensitive external genitalia tissues. It took Dr. Fowler 25 years of clinical observations to discover! You don't even need be an FGI Client to purchase.  You may buy these products right now and switch from your current products which likely contain common chemical irritants contributing to your symptoms.  You may think you’re using hypoallergenic products right now, but wait until you feel the difference. This collection contains five hypocontactant products recommended by FGI for all women with sensitive external genitalia skin particularly for those women with vaginal discharge associated with irritation, sensitivity, itching, burning, dryness/ chafed sensation, or sensitivity after shaving genital hair and sensation of urinary urgency/frequency. The Collection contains about 4 month supply of product.

Expectations for Response

While FGI cannot guarantee full resolution or the degree of response to prescribed treatments which can vary from person to person, it takes 4 months before notable improvement may occur in the vaginal health. Then depending on the prior frequency of bladder infections, it takes a few more months to see if the frequency is reduced.  If not, the vaginal rejuvenate therapy may need to be changed because the vaginal mucosa of every woman does not uniformly respond to the same type or dosage of therapy. A vaginal fluid analysis (VFA Test) at that time can best clarify how to proceed.

Need More Proof that FGI is Here for You?

If you’re still hesitant and need more proof of the expertise and competency of FGI so that you can place your trust in an online medical consulting practice, take your time and investigate more of the information on the home page. Click on How It All Worksand the Organization.  Under the Organization you will find the “CV of Board Certified R. Stuart Fowler, M.D.” where you can read about Dr. Fowler’s training, credentials, and 25 years of affiliation with the Mayo Clinic, and “How Dr. Fowler Developed His Expertise” in vaginalhealthCare. Read “Testimonials” for inspiring success stories of women who have used Dr. Fowler’s treatment protocols. Or call FGI HEADQUARTERS at 480-420-4001 in Scottsdale, Arizona during business hours and talk to the staff. The experts in vaginalhealthCare at FGI treat women with vaginal conditions with confidence. It’s a sub-specialty practice and they know exactly what they are doing. Are you ready for expert help?

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