One of the primary focuses of alternative treatment for vaginal conditions including vulvovaginitis is rebalancing the normal vaginal flora. To assist with this rebalancing, Lactobacillus acidophilus and L. bifidus are recommended, either taken internally or introduced directly into the vagina. Garlic (Allium sativum), both taken internally and inserted into the vagina (a peeled whole clove wrapped in gauze), may be helpful due to its antibacterial and antifungal actions. A variety of other herbs can be used as douches or in suppository form to help treat acute flare-ups of vaginal symptoms. For example a douche made by steeping 1–2 tsp. of calendula (Calendula officinalis) in boiling water (let the water cool before using) may help reduce inflammation. A boric acid douche can help to acidify the vaginal pH so that unwanted bacteria cannot survive and multiply. For atrophic vaginitis, especially in menopausal women, topical application of progesterone cream can help with the thinning of the tissue so that symptoms can abate.
Dietary modification and nutritional supplementation may also be helpful in the treatment of vulvovaginitis. Antioxidantvitamins, including A, C, and E, as well as B complex vitamins, and vitamin D, are recommended. Foods to avoid include cheese, alcohol, chocolate, soy sauce, sugar, vinegar, fruits, and any fermented foods. Wearing cotton underwear and loose fitting clothes and avoiding panty hose can help keep the vagina cool and dry, thus helping to prevent some forms of vulvovaginitis. Cases of chronic vulvovaginitis should be addressed on systemic level by an alternative practitioner.