The Top Probiotics For Women’s Gut Health + How To Choose What Is Right For You
As a functional medicine expert, I know just how much a healthy gut plays in your overall health. I also understand that women have a unique set of health needs that take additional consideration and that are also influenced by gut health.
While probiotics are beneficial for most people, we need to take it a step further and look at how probiotic supplementation can benefit women specifically. As there is a countless amount of beneficial bacteria strains, it is important to consider what strains in particular play a direct role in overcoming women’s health problems. So without further ado, let’s dive into the probiotics benefits for women in order to find the best probiotic for women.
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What are probiotics?
Probiotics are live bacteria that enhance your gut and overall health. Your microbiome is already home to a variety of beneficial strains that influence everything from your brain health, mood, digestion, immunity, hormone health, and more. Probiotics are naturally found in fermented foods like yogurt, kimchi, sauerkraut, and kombucha but you can also get them through supplements that contain targeted strains of bacteria.
Why probiotics are important for women’s health
Since women have certain health needs that are different from men, in order to find the best probiotic for women, we need to look at whether or not certain bacterial strains have an influence over these health concerns. The more that we study women’s health and understand gut health, we can see the far-reaching effects probiotics can have on things beyond just digestion. In fact, the makeup of your microbiome can even play a role in the health of your hormones - something that women have to pay closer attention to.
1. Hormone health
Your microbiome is host to a slew of various bacteria strains that all play different roles in your health. In fact, estrobolome refers to a specific set of bacteria and microbiomes that work together to manage estrogen levels by metabolizing your body’s circulating estrogen. If there is an imbalance in your estrobolome it can lead to hormone imbalance like estrogen dominance and associated symptoms such as PMS, irregular cycles, and painful periods.
2. Vaginal health
Believe it or not, your vagina has a microbiome too. Bacterial strains come together to keep your pH levels balanced down there to avoid vaginal infections with studies showing (1) that taking certain beneficial strains like Lactobacillus acidophilus through oral supplementation can prevent bacterial vaginosis and associated symptoms like itching and abnormal discharge.
Probiotics can also be helpful in preventing yeast infections that can be more common amongst women. Candida overgrowth is one example. As the most common yeast in the human gastrointestinal system, research has shown (2) that women who have higher levels of estrogen due to hormone imbalances or from taking oral contraceptives, are more susceptible to candida overgrowth.
While candida overgrowth can be isolated to your gut, it can frequently migrate into the vagina resulting in vulvovaginal candidiasis (VVC) - aka, a yeast infection. Treating VVC with lactobacilli was able to improve symptoms and reduce recurrence rate (3) of reinfection by up to 91% after 3 months!
3. Urinary tract health
According to the Office Of Women’s Health, (4) more than half of women will experience at least one UTI during their lifetime. UTIs are often painful infections that are caused by bacteria and/or yeast getting into your urinary tract that results in burning and itching. You at are a higher risk if you are sexually active, pregnant, or have gone through menopause.
While standard hygiene practices are the best way to prevent UTIs, probiotics have been shown to help maintain urinary tract health. Lactobacilli strains - specifically Lactobacillus rhamnosus - have been shown to be the most beneficial at preventing (5) UTIs as they are the most dominant bacterial strains in the urinary tract.
By taking these factors into consideration, it can help you choose the right probiotic for your specific needs, especially if you are dealing with one of these health problems.
How to choose a good probiotic
There are many things that go into choosing the right probiotic. Everything from the type of strain you take to the brand itself, can influence how effective a probiotic is on your health.
1. The type of strains
As we mentioned above, with so many beneficial strains of bacteria, how do you know that you are getting the right ones for your body? Working with a functional medicine practitioner is one way to get tailored recommendations based on your lab work and particular health case. Otherwise, a safe bet is to look for a probiotic that contains the strains Lactobacillus and Bifidobacterium. Not only have these strains been extensively studied, they are the dominant strains (6) in most people’s guts.
2. The delivery method
While capsules are the most common way to take probiotics, you can also find probiotics in liquid and powdered form. When choosing what form you should take, it’s important to really consider your overall health case and how that might benefit from each of the different forms. For example, if you are struggling with severe digestive distress, capsules might be harder on your gut and esophagus and it would be better to choose powder or liquid probiotics.
3. CFU count
If you’ve ever looked at probiotics before, chances are you’ve seen the term “CFUs” listed on the packaging. This stands for colony-forming unit and represents the estimated number of bacterial cells in each serving that are bioavailable and able to thrive in your gut. I generally recommend at least 10 billions CFUs per day however, you may need more if you are working at healing severe gut dysfunction.
4. The research
You also want to look at how much research has gone into the bacterial strains a brand uses in their probiotic. A reputable brand should be completely transparent on their website with links to the research they used when formulating their supplement. Also, if you are wanting to take a probiotic for a specific health concern, you may want to consider choosing a probiotic that has been studied and proven to help with that area of your health. For example, some strains have been studied for their ability to help with IBS whereas others have been shown to be more beneficial for immune health.
5. Ingredients
Another thing to look at is whether or not there are any unnecessary added preservatives and ingredients. The list of ingredients should be extremely minimal with the main ingredients being the bacterial strains themselves. Too many supplements on the market go for marketability rather than effectiveness with the addition of sugar, coloring, and flavors to make it more appealing for consumers without considering that these could further aggravate digestive distress and the reason for taking probiotics in the first place.
What about prebiotics?
First off, probiotics and prebiotics are not the same. However, they are both equally important for a healthy gut. Unlike probiotics that are live bacteria, prebiotics are a form of dietary fiber found in certain foods that act as a food source for the good, live bacteria already in your gut so they can multiply and thrive. Ultimately, both are necessary so focus on incorporating a high-quality probiotic followed by prebiotic-rich foods as your digestion can tolerate.
The best probiotics for women
If you Google probiotics, hundreds if not thousands of brands come up. Again, the right probiotic for you is going to be different than the right probiotic for someone else. As your health case requires, you may need a more targeted, specialized probiotic blend, but I’ve found the best probiotic for women comes from these trustworthy brands.
1. Sun Genomics
Sun Genomics is a great option for probiotics as they offer customized probiotics based on your own at-home microbiome test results. Everyone’s microbiome is unique, so they believe that your probiotic should be also. They also customize their probiotics based on age with probiotics for adults, kids, toddlers, and babies.
2. mindbodygreen’s probiotic+
mindbodygreen’s line of supplements includes their clinically-backed probiotic+. This blend contains four strains of bacteria - B. lactis Bi-07, B420, HN019, and L. acidophilus NCFM - designed to ease bloating, aid digestion, and promote overall gut microbiome health. In fact, this probiotic is the only formulation in the world that contains all four of these beneficial strains.
3. Dr. Brighten Women’s Probiotic
If you are looking for the best probiotic for women, look no further than my good friend and women’s health expert Dr. Jolene Brighten’s, supplement. The Dr. Brighten Women’s Probiotic is formulated with the beneficial strains Lactobacillus rhamnosus, Lactobacillus acidophilus, and a Bacillus blend, along with prebiotics and antioxidants designed to support a healthy estrobolome for balanced hormones and vaginal microbiome.
4. The Probiotic
As a part of my personally curated supplement line The Collection, The Probiotic fills the gap of a high-quality all-round probiotic. With 100 billion CFUs per capsule, The Probiotic contains four strains of beneficial bacteria, including the extensively studied HN019 strain of Bifidobacterium lactis.
The Probiotic is sealed in nitrogen-purged aluminum blister packs to protect the bacteria from heat, moisture, and oxygen with each capsule packaged in gastro-resistant capsules to ensure a more targeted release for restored microbiome balance, boosted immunity, and enhanced overall health.
Seeking help from a functional medicine doctor
Ultimately, the best probiotic for women is going to come down to your particular health case. Whether you are dealing with hormone imbalance, yeast infections, UTIs, or general gut dysfunction, there are many well-studied strains that have been proven to help overcome these women’s health problems.
In my telehealth functional medicine clinic, I run an extensive list of labs to get to a comprehensive look at your gut health:
1. Gut permeability labs
I always run tests for Zonulin and occluding antibodies. These two proteins control gut permeability, and the presence of antibodies can indicate damage to the tight junctions that keep your gut lining sealed. I also test for actomyosin antibodies, which can indicate destruction of the gut lining, and lipopolysaccharides (LPS) antibodies, which can also indicate leaky gut syndrome, if these antibodies are not contained within the digestive tract.
2. A comprehensive stool analysis
This test can uncover everything from the presence of parasites to bacterial imbalances to conditions like candida overgrowth or SIBO (small intestinal bacterial overgrowth) or SIFO (small intestinal fungal overgrowth)—any of which can negatively impact gut health.
I also run hormone specific labs to determine if estrogen dominance is a factor in your health case. Urine and saliva hormone labs can give us a complete overview of how well your hormones are functioning. These labs look at sex hormones like estrogen, progesterone, and testosterone as well as cortisol levels and your HPA-axis function.
Working with myself or another functional medicine practitioner can help you get to the root cause of your gut problems and identify the best probiotic to help achieve your health goals. Remember, your gut is the foundation of your entire health. Once you identify and address any underlying gut dysfunctions, your overall health will also reap the benefits.
If you want to learn more about how we can help you find the best probiotic for you and help you restore your gut health, check out our telehealth functional medicine consultation.
As one of the first functional medicine telehealth clinics in the world, we provide webcam health consultations for people around the globe.
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References:
- Russo, Rosario et al. “Study on the effects of an oral lactobacilli and lactoferrin complex in women with intermediate vaginal microbiota.” Archives of gynecology and obstetrics vol. 298,1 (2018): 139-145. doi:10.1007/s00404-018-4771-z
- Spinillo, A et al. “The impact of oral contraception on vulvovaginal candidiasis.” Contraception vol. 51,5 (1995): 293-7. doi:10.1016/0010-7824(95)00079-p
- Russo, Rosario et al. “Randomised clinical trial in women with Recurrent Vulvovaginal Candidiasis: Efficacy of probiotics and lactoferrin as maintenance treatment.” Mycoses vol. 62,4 (2019): 328-335. doi:10.1111/myc.12883
- Office of Women's Health "Urinary Tract Infections" December 6th 2022. https://www.womenshealth.gov/a-z-topics/urinary-tract-infections
- Falagas, Matthew E et al. “Probiotics for prevention of recurrent urinary tract infections in women: a review of the evidence from microbiological and clinical studies.” Drugs vol. 66,9 (2006): 1253-61. doi:10.2165/00003495-200666090-00007
- Mohajeri, M Hasan et al. “The role of the microbiome for human health: from basic science to clinical applications.” European journal of nutrition vol. 57,Suppl 1 (2018): 1-14. doi:10.1007/s00394-018-1703-4
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BY DR. WILL COLE
Dr. Will Cole, DNM, IFMCP, DC is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is also the host of the popular The Art of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian, Gut Feelings, and The Inflammation Spectrum.
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