Women's Maintain — Daily Probiotic (1-Month Supply)
The step that decides whether your Women's Repair-4 result lasts. A daily oral probiotic pack designed to be taken for a minimum of 6 months after the Repair-4 program — because Lactobacillus populations decline within 7–10 days of cessation, and BV, recurrent thrush, and UTIs return when the protective community fades. One pack, twice-daily dosing, designed for both pre- and post-menopausal women.
Eradication is half the job. Maintenance is the other half.
Women's Repair-4 clears the pathogens, restores vaginal pH, and reseeds the Lactobacillus species your vaginal microbiome was missing. It cannot, in 28 days, make those colonisations permanent. Research consistently shows that supplemented probiotic strains decline within 7–10 days of cessation — and the conditions that drove BV, recurrent thrush, or UTIs (low Lactobacillus, rising pH, pathogen overgrowth) reassert themselves without ongoing support.
For pre-menopausal women, cyclic hormonal shifts, antibiotics, contraception, and intimate-care products continue to challenge the vaginal microbiome every month. For post-menopausal women, declining ovarian estrogen has fundamentally shifted the estrogen → glycogen → Lactobacillus pathway, and without ongoing seeding the protective community simply doesn't hold.
Women's Maintain is built to be the easy answer for both: one capsule morning, one capsule night, reordered monthly for at least six months. Nothing to think about, nothing to deviate from.
Two daily capsules. One protective community.
Lactobacillus Re-Seeding via the Gut–Vaginal Axis
L. crispatus + L. reuteri + Hyaluronic Acid + FOS prebiotic (16B CFU per cap — 1 capsule morning AND night)
Oral probiotic strains survive GI transit and translocate from the gut to the vaginal tract via the perineum — the same pathway that recolonises the vaginal microbiome after Phase 2. L. crispatus produces D-lactic acid (the primary antimicrobial that holds vaginal pH at 3.8–4.5) and L. reuteri produces reuterin, a broad-spectrum antimicrobial. The hyaluronic acid component supports mucosal hydration; the FOS prebiotic feeds the colonising bacteria.
Daily — sustain Lactobacillus dominance from the gut up.
Hold the pH That Holds Off Pathogens
Twice-daily dosing through the 6-month maintenance window
A Lactobacillus-dominant community keeps vaginal pH at 3.8–4.5 — the acid environment that suppresses Gardnerella, Candida, and uropathogenic E. coli. When Lactobacillus declines (which it does within 7–10 days of stopping probiotics), pH rises and the pathogens that drive BV, thrush, and UTIs regain a foothold. Daily dosing through Maintain holds the pH that holds them off.
Daily — keep the environment acidic, keep the pathogens out.
Built for Both Life Stages
One pack — same protocol for pre- and post-menopausal women
Pre-menopausal women face cyclic vaginal microbiome shifts driven by estrogen fluctuation, antibiotics, and contraception. Post-menopausal women face structural decline of the estrogen → glycogen → Lactobacillus pathway as ovarian estrogen falls. The maintenance strain set is the same — what differs is the rest of the daily routine (hormonal support, lubrication, fabric choices), guided by your Microbiome Doctor.
Daily — the protocol stays the same, the context around it doesn't.
Why six months is the minimum.
From Repair-4 to durable Lactobacillus dominance.
Transition straight into Maintain.
Order at the start of Week 3 of Women's Repair-4 so the first 1-month pack arrives before Phase 2 ends. The handover should be seamless — no gap, no waiting for BV, thrush, or UTI symptoms to nudge you back.
Twice-daily dosing + daily-life basics.
One capsule morning, one capsule night, with food. Continue the daily-life practices established in Repair-4 — cotton underwear, avoiding scented hygiene products, water-based or hyaluronic-based lubricants, and (post-menopausal) any clinical estrogen support directed by your Microbiome Doctor. Reintroduction of restricted foods happens gradually under clinical oversight.
Re-test your vaginal + gut microbiome.
Repeat your vaginal and gut microbiome tests at the 6-month mark to objectively validate Lactobacillus dominance, confirm whether pathogen levels (Gardnerella, Candida, uropathogenic E. coli) have returned to within reference range, and decide — with your Microbiome Doctor — whether to step down, continue, or extend Maintain further.
Questions, answered.
Is this the same pack for pre-menopausal and post-menopausal women?
Yes — the maintenance strain set is the same. The clinical reasoning: in both life stages, the goal is sustained Lactobacillus dominance and a vaginal pH of 3.8–4.5, achieved via the gut-to-vaginal translocation pathway. What differs is the surrounding routine — pre-menopausal women may need cyclic hormonal support, while post-menopausal women may need clinical estrogen support and lubrication — and your Microbiome Doctor guides these alongside the daily probiotic.
Do I have to finish Women's Repair-4 before starting Maintain?
Yes. Women's Maintain is designed as the step that follows the full Repair-4 program — Phase 1 eradication + Phase 2 rebuild (oral and vaginal probiotics, boric acid pH restoration, hormonal support). Starting Maintain without first clearing pathogens and re-establishing Lactobacillus dominance means dosing into a microbiome that's still pathogen-dominated. Complete Repair-4 first, then transition directly into Maintain at the end of Phase 2 with no gap.
Why six months minimum? Can I stop earlier if my symptoms have settled?
Feeling fine is not the marker — sustained Lactobacillus dominance is. Supplemented probiotic counts begin declining within 7–10 days of cessation, and the conditions that drove your original symptoms (low Lactobacillus, rising vaginal pH, pathogen overgrowth) can re-establish before symptoms come back. The 6-month minimum exists because that's the timeframe over which the rebuilt vaginal microbiome consolidates into a self-sustaining state. Stopping earlier is the most common cause of recurrence we see in clinic.
How do I take it each day?
One capsule in the morning and one capsule at night, with food. Consistency matters more than timing precision — set a daily prompt at breakfast and dinner. Your digital Maintenance Guide includes a worked schedule plus daily-life prompts (clothing, lubricants, hygiene, intimate-care products).
When should I order my next pack?
Order your next 1-month pack 1 week before your current supply runs out so there's no gap. The product is set up to be reordered monthly across the 6-month minimum maintenance window — six packs back-to-back. Most patients set a recurring calendar reminder at the 3-week mark of each pack.
Can I take this with hormonal contraception or HRT?
Yes — there are no known interactions between this probiotic and either hormonal contraception or hormone replacement therapy. In fact, oral contraceptives and (in post-menopausal women) clinical estrogen support the estrogen → glycogen → Lactobacillus pathway that this probiotic is helping to sustain. Discuss your full medication list with your Microbiome Doctor at your follow-up consult.
What about during pregnancy or breastfeeding?
Discuss with your Microbiome Doctor before continuing in pregnancy or breastfeeding. The probiotic strains in this maintenance pack are generally considered well-tolerated, but vaginal microbiome interventions in pregnancy should be supervised. Do not start or continue without clinical clearance.
Should I re-test at 6 months?
Yes. A repeat vaginal and gut microbiome test at the 6-month mark objectively validates Lactobacillus dominance, confirms whether pathogen levels have returned to within reference range, and decides — with your Microbiome Doctor — whether to step down, continue, or extend Maintain further. Symptoms alone are an unreliable guide — testing is the only way to know.
Important — general advice only. Information presented on this page is general health information and is not personal medical advice. Always consult your treating practitioner before starting any new supplement, particularly if you are pregnant, breastfeeding, immunocompromised, or taking prescription medications.
Pregnancy and breastfeeding: Discuss vaginal microbiome interventions in pregnancy or breastfeeding with your Microbiome Doctor before starting or continuing this pack.
These products are listed complementary medicines and are not intended to diagnose, treat, cure, or prevent any disease. The Microbiome Clinic has no commercial affiliation with any specific supplement brand included in this protocol — supplements are selected on the basis of clinical evidence alone, in line with the Microbiome Clinic Independence Guarantee.