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Genital infections are always the result of a vaginal imbalance involving three altered factors: an increase in pH, a decrease in lactobacilli, and weakening of the genital mucosa.
Instead of fighting pathogens with antibiotic and antifungal therapies—which have definite side effects—it would be far more effective and harmless to work on the main causes by restoring vaginal lactobacilli levels, lowering the pH, and strengthening the mucous membranes. This will also help prevent bacterial Cystitis.
In-depth look: how to treat bacterial Cystitis
Through the experiences shared on its forum over the years, Cistite.info APS has gathered many testimonials about various treatments useful for Vaginitis, bacterial Vaginosis, and Candida fungal infections, becoming a point of reference in Italy for women affected by uro-genital conditions. By analyzing the different results obtained, we developed a protocol based on natural products and remedies that have so far shown the best balance between benefits and minimal irritating effects. It can be applied in cases of infections caused by specific microorganisms such as Escherichia coli, Streptococcus, Enterococcus, Ureaplasma, Candida, Staphylococcus, Klebsiella, Proteus, Pseudomonas, Enterobacter, and in any situation of vaginal imbalance.
The protocol is named after the woman who first tested the sequence of the recommended products, which were initially proposed and later adapted over time based on new knowledge and new discoveries: Miriam.
The protocol consists of three types of treatment that must be followed simultaneously:
Get the Miriam Protocol for treating vaginal infections for free
Oral treatment:
The oral therapy aims to regulate intestinal function and reduce the excess of pathogenic bacteria or Candida in the digestive system.
This goal can be achieved by introducing beneficial bacterial flora (Saccharomyces boulardii and Lactobacillus acidophilus), lactoferrin (which has antibacterial, antifungal, and immunostimulating properties), acetylcysteine (which breaks down the biofilm where bacteria and Candida hide, depriving them of an important defense), and bromelain (to reduce inflammation and soothe pain).
We recommend Purofem DÖDERLEIN and Purocol Flor as probiotics; for antimicrobial, immunostimulating, anti-inflammatory, and antioxidant support, we suggest Purodefend Urto. Members of Cistite.info APS can obtain these products at discounted prices—become a member!
- first and second week of treatment:
Purodefend Urto (1 capsule in the morning and 1 capsule in the evening) + 1 Purocol Flor at lunch with food - maintenance phase: after the acute phase, to prevent relapses, take Purodefend Urto every morning during the week before your period. About 3 days before menstruation, increase the dose to 2 capsules (one in the morning and one in the evening) and continue for the first 2 days of your period. Purodefend Urto will help reduce menstrual pain thanks to its pain-relieving ingredients. If menstrual pain is severe, increase the intake up to 3 capsules per day. In the following 3 days, take one capsule of Purodefend Urto each morning: the lactoferrin it contains will help replenish lost iron
Local therapy:
Local treatment will help restore the correct vaginal pH, rebuild the beneficial bacterial flor, fight existing pathogens and strengthen the vaginal mucosa and defenses.
- On the first, second, fourth, and fifth days: use Purofem DÖDERLEIN or Calagin vaginal (both containing lactoferrin and probiotics to combat Candida, E. coli and other pathogenic bacteria while simultaneously introducing lactobacilli)
- Third day: yogurt (read about our experiences with yogurt in the forum)
- Seventh day: D-mannose-based vaginal wash (to remove residues from previous applications and to deliver mannose into the vagina)
- Every morning, apply Puronerv Oleogel to strengthen the vulvar mucosa, protect it from pathogens and reduce inflammation
Start again from the beginning and repeat the same schedule for another 7 days.
Then reassess the situation based on symptoms or a vaginal swab. The need to start or repeat the Miriam protocol can also be evaluated by vaginal pH: if lactobacilli are insufficient, they won’t adequately acidify the vaginal environment, resulting in a high pH. A pH between 3.5 and 4.5 indicates an optimal amount of lactobacilli. A pH above 5 suggests the need to (re)start the protocol. This parameter can be easily checked at home using vaginal pH test strips, tests for detecting vaginal infections, or through a specific analysis of the vaginal microbiota.
After the acute phase, until all pelvic balances (vaginal, urinary, muscular, neurological) are restored, it is advisable to apply Purofem alternated with yogurt during the week before menstruation (the phase when symptoms tend to worsen), then stop at the start of menstruation. After menstruation, continue applying yogurt and Purofem on alternate days for one week, as the alkaline nature of menstrual blood raises the pH, hindering the survival of lactobacilli.
After the acute phase, it will also be important to combine a local restructuring and re-epithelializing treatment based on soothing, emollient, and antioxidant substances. These help repair the cellular damage caused to the mucosa by the infection, preventing bacteria from penetrating the more fragile deeper layers. These antioxidants are found in plants (polyphenols and bioflavonoids), vitamins (vitamin C, vitamin E, carotenoids such as quercetin and lycopene), and micronutrients (selenium, zinc, copper, glutathione, coenzyme Q10, melatonin, uric acid, and hyaluronic acid).
Among the products we recommend are Puronerv Oleogel, Puronerv CBG, Dr. Tili’s Vitamin E10 Spray, pure sweet almond oil, Vea Oil, allantoin ointment, Panthenol, and others to be applied regularly externally (on the vulva). These products are also available at a discounted price for members—become a member and take advantage of the benefit.
Behavioral advice:
- eliminate synthetic pads and switch exclusively to disposable cotton pads, washable pads or a menstrual cup
- avoid using panty liners on non-mestrual days, as they prevent the skin from breathing
- wear only white cotton underwear, which allows the skin to breathe and provides oxygen that inhibites anaerobic bacteria
- stop using all intimate cleansers to avoid removing the natural Döderlein flora
- avoid using bicarbonate or tea tree oil in the bidet, as these have proven too harsh on the mucous membranes
- avoid tight and tight-fitting pants (as they retain moisture and heat, creating favorable conditions for the development of pathogens)
- sleep without underwear
- avoid estrogen-progestin hormonal therapies (pill, patch, medicated IUD, ring, etc.) and prefer natural methods like Babycomp devices
- follow behavioral advice in case of vulvar sensitivity or fragility
Testimonials
“In this past year, I've made huge progress with my muscle contracture and Candida. They changed my life and brought further improvements... I was Candida-free for over a year, and that's why I'm writing... the Miriam Protocol worked very well for me too, and I had to use it for a full 6 months before getting negative test results! Gradually, my swabs went from showing "many strains" of Candida to just "traces". And then, in January 2013, the tests were negative!! I was coming out of a tough situation with a severe contracture, and everything worked for me. Don't give up, stay consistent because there is a way out! Healing is possible.”
Anna Leaf 29/01/2014 (cistite.info)
Read personal Candida stories and healing testimonials on the Forum.
Member benefits
How can I get the products of the Miriam protocol at discounted prices?
Members of Cistite.info APS are entitled to a discount on the purchase of the following products:
- Products from the Puro line, Calagin, vaginal pH test sticks, vitamin E, allantoin, panthenol, etc. (see the agreements with Dottortili)