Note: Keep suppositories refrigerated before use.
1) Start time
The best time to start the treatment is the next day or a few days after your period is cleared. You will have the longest time to treat the infection without interference from the menstrual period. If you no longer have a period, like you had a hysterectomy or are postmenopausal, you can start at any time.
2) Application frequency and duration
A pack of AV-Nil provides 3 suppositories. For a mild case, 1-2 packs may clear it. But for a severe case, 3 or more packs are recommended. The application frequency depends on your tolerance to the product.
After using the first suppository, if you do not feel burning, you can use one suppository per day until your AV is cleared. Most customers reported symptom reduction or clearance on the 3rd or 4th day, but some customers with a stubborn case may take a longer time to notice symptom reduction.
How do I know if my aerobic vaginitis (AV) is cleared?
Among over 200 customers who used AV NIL during product testing, only one reported sensitivity. Thus, the chance that you may be sensitive to the product is low.
However, if you feel burning, you can take a 1-2 day break until your burning stops. Then, you can restart the treatment by using ½ or 1/3 suppository per day. You can cut a suppository into 2 halves or 3 pieces as shown in the figure. Refrigerating it first helps with cutting. You may keep the shell on when you cut it and remove the shell just before use.
At bedtime and with an empty bladder, insert the suppository as deeply as you can with your fingers or an applicator. Keep the lying down position for at least 20 minutes or preferably the whole night to allow maximal absorption. White discharge the next day is normal. If the discharge is too much, wearing a pantiliner may help protect the underwear.
3) Write a daily journal
To help assess the effect of treatment, you can write a few words about your healing experience each day. This may include symptoms before and after the treatment. If you notice any symptom reduction, unchanged, or increased after you use the product, please record it each day. If you notice a side effect, like itching, burning, or other discomfort, please also record it.
4) Submit feedback
If your AV is not cleared after using AV NIL, your daily journal may help with troubleshooting. You can wait for 3 days and write down if the AV symptoms have returned after the treatment. Then, send a copy to us by email. If your AV is not cleared, we will help you troubleshoot and figure out what to do next. If you find relief, please also tell us about your successful healing experience. It will help others with the same condition also find relief.
5) Maintenance to stop AV from coming back
If your AV is cleared or substantially reduced after using AV NIL, we recommend that on the next day, you start doing maintenance to stop AV or BV from coming back.
The maintenance products include NeuEve BV Clear (age <40) and Gold (40-50) once a week, and Silver (50-55) or Silk (>55) with suggested frequency on the box. If your lab test shows sufficient Lactobacillus (over 70%), you do not need to take probiotics. Otherwise, you need to take probiotics as suggested in this article: To clear AV, when should I take probiotics to be most beneficial?
Related article: AV and BV are different, but you recommend the same NeuEve products for stopping AV and BV from returning. Why?
How long should I do the maintenance? We recommend 3 months. If you do not see AV coming back for 3 months, you may be AV free for a long time.
6) Reservoir reduction
After AV is cleared, it frequently recurs. AV-causing bacteria may easily come back to cause a re-infection from other sources. These sources are called "reservoirs."
There are 4 possible reservoirs that may harbor aerobic bacteria to re-infect the vaginal tract after it has cleared the unwanted bacteria.
- The bladder, which often harbors E. coli, Enterococcus, etc.
- The colon, which often harbors E. coli, Enterococcus, group B streptococcus, etc.
- The skin, which often harbors Staphylococcus, etc.
- The intimate partner may carry bacteria from you before you used AV NIL.
To stop AV from coming back, it is important to reduce the bacterial load in all possible reservoirs.
This article provides updated information about how to reduce reservoirs.
https://www.neueve.com/blogs/blog/a-new-remedy-to-clear-aerobic-vaginitis-symptoms
7) Leave a review
AV NIL is not a drug. It is a nutrient. This article explains how certain nutrients can clear infections.
Technically, only drugs can "cure" a disease.
We cannot say that AV NIL can clear an infection. We rely on customers' reviews to help spread the word.
If you find relief, it is important to leave a product review. Your review will help others to find the product.
8) Sex during the treatment
While you are treating your AV with AV NIL, it would be advised to refrain from having intimacy. However, after you complete the AV NIL treatment and are in maintenance mode, you can have intimacy by following the suggestions detailed in this article:
**Disclaimer: This article is for information purposes only. It is about natural products, nutrients, and/or methods for managing discomforts associated with vaginal dysbiosis (not a true infection or disease). It is not medical advice for the treatment of any disease.