Last updated: August 11, 2021

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Welcome to our big vaginal cream test 2021. Here we present all the vaginal creams that we have tested in detail. We have compiled detailed background information and added a summary of customer reviews on the internet.

With this, we would like to make your purchase decision easier and help you find the best vaginal cream for you. You can also find answers to frequently asked questions in our guide. Furthermore, you will also find some important information on this page that you should be aware of if you want to buy a vaginal cream.




The most important facts

  • Vaginal cream is used when the natural vaginal flora is disturbed. This is manifested by symptoms such as itching, burning or discharge.
  • The causes of these symptoms can be a fungal infection, a bacterial inflammation or, for example, a hormonally induced vaginal dryness. There is a special vaginal cream for each type of symptom.
  • Vaginal cream is available on a natural, herbal and pharmaceutical basis. It is available with and without antibiotics.

The Best Vaginal Cream: Our Picks

Guide: Questions you should ask yourself before buying a vaginal cream

The natural colonisation of the female vagina by very different microorganisms is called vaginal flora. If the natural pH value (3.8-4.5) of the vaginal environment is disturbed, harmful fungi or bacteria can invade. This leads to infections and pain.

However, vaginal creams are also used for vaginal dryness and itching, e.g. due to hormonal changes during menopause.

What is a vaginal cream?

A vaginal cream is a semi-solid cream for vaginal use. It usually has an applicator to make it easier to place the cream in the vagina. The vaginal cream can usually be applied internally (vaginally) and externally directly to the vagina.

The vaginal cream kills fungi or bacteria and promotes the natural vaginal environment. The vaginal cream can also be used to relieve burning and itching caused by vaginal dryness.

Vaginal cream balances the vaginal flora in many ways after certain illnesses and thus provides a feeling of well-being. (Image source: unsplash.com / Christina Branco)

What are the possible applications for vaginal cream?

The right vaginal cream is selected depending on the symptoms. Basically, three areas of application can be distinguished:

  • Bacterial vaginosis
  • Fungal infection of the vagina
  • The vaginal dryness
Symptoms Effect of vaginal cream
Bacterial vaginosis caused by disturbance of the vaginal environment due to imbalance and proliferation of bacteria pain, foul-smelling discharge, burning antibiotic vaginal cream eliminates bacteria. (if necessary, at the same time as a combination preparation, suppositories or tablets)
Fungal infection of the vagina (vaginal mycosis) caused by infection of the vagina mostly with the yeast fungus Candida severe itching and burning of the vagina and in the external genital area, greyish, crumbly discharge vaginal cream with antimycotics stops the growth and multiplication of the fungi. Can be applied internally and externally
Vaginal dryness often due to hormone deficiency, e.g. menopause, breastfeeding, etc. Burning, redness and pain, e.g. during sexual intercourse Moisturise vagina and relieve redness and uncomfortable burning.

Vaginal cream for pregnancy prevention

In addition to gynaecological complaints (see table above), vaginal cream can also be used as part of pregnancy prevention. A distinction is made between hormonal contraceptive methods, such as the contraceptive pill, and non-hormonal methods.

These include (in addition to e.g. contraception by condoms) also the vaginal cream. This special cream is based on lactic acid. It paralyses the sperm due to an increased acidity of the vaginal flora. It has comparatively few side effects. For safe contraception, however, the vaginal cream must always be combined with another barrier method.

For example, a diaphragm or a contraceptive cap are suitable here. Vaginal cream for contraception is available without a prescription.

What is the difference between individual vaginal creams?

The list refers to the different types of symptoms and uses of vaginal cream. Excluding pregnancy prevention, as this is about prevention and not a medical condition.

Vaginal cream against fungal infections vaginal cream against bacterial vaginosis vaginal cream against vaginal dryness
A cream with so-called antimycotics helps here. These are substances like clotrimazole, econazole, nystatin or fenticonazole. These substances slow down the growth and prevent the fungi from spreading. They cause the fungal cells to die. In the case of bacterial inflammation of the vagina and vagina, usually only a vaginal cream with antibiotics helps. Here it depends on the bacterium and the degree of inflammation which cream and, if necessary, which additional antibiotic given works best. A doctor should always be consulted. Vaginal dryness can have many causes. Besides improper care, hormonal imbalance is the most common cause. It is important to differentiate here:

  • creams containing hormones (e.g. with oestrogen)
  • hormone-free vaginal cream

Both ensure that the vagina is better moisturised.

How do I apply vaginal cream correctly?

The vaginal cream is usually inserted deep into the vagina with an applicator. If external genital organs (labia, vulva) are infected at the same time, the cream is also applied to these areas.

The application is usually done in several consecutive days. The best time is in the evening before going to bed. Important information on the use of vaginal cream with and without applicator: With applicator

  • Read the instructions for use
  • Wash hands thoroughly
  • Fill the applicator with the vaginal cream, insert it into the vagina, empty it out
  • Dispose of the applicator or clean thoroughly if used more than once
  • Wash hands thoroughly again

Without applicator

  • Wash hands thoroughly, use disposable gloves if necessary
  • Insert the cream as deeply as possible into the vagina with your index or middle finger.
  • The easiest way to do this is to lie on your back and then stay in this position for a moment.

Do not use applicators during pregnancy. Avoid treatment during menstruation. Check that the vaginal cream used and, for example, the condoms used do not interfere with each other.

What are the risks and side effects?

The side effects and risks of vaginal creams vary. Do you use a vaginal cream against fungal infections? Here, local skin irritation in the vaginal area can occasionally occur if there is intolerance.

If you use an antibiotic vaginal cream to treat bacterial vaginosis, you may have problems with the gastrointestinal tract. In particular, fungal infections may occur after treatment. The vaginal cream you use for vaginal dryness is usually without antibiotics. But there are different ways of making it.

If you suffer from allergies, you should check what your lubricant is based on. There are creams that contain chemicals or silicones. You should read the list of ingredients carefully. However, most creams are well tolerated.

When should you see a doctor? Immediately if you have a burning sensation when you urinate and/or a pulling pain. Of course, you should also consult a doctor if you are pregnant.

Are there alternative methods of prevention and treatment?

There are a number of herbal creams and remedies that can help prevent inflammation, infection or dry mucous membranes in the intimate area. They have anti-inflammatory, antifungal and antibacterial effects. The following remedies have a preventive, natural effect and complement medical measures if necessary:
Complaints Remedies Effect
For redness and burning St. John's wort oil Soothing
For all vaginal complaints Constitutional therapy (homeopathy) Positive effect on physical and mental condition
For fungal diseases, also preventive Tampon dipped in natural yoghurt Improves vaginal environment and cools
Vaginal dryness Lubricant made of aloe vera Moisturises
Vaginal fungus or bacteria Underwear made of natural materials such as cotton, silk Allows skin to breathe and can be washed at 60 ° degrees
Recurrent infections Low-sugar and high-fibre diet Ensures a healthy intestinal and vaginal environment

There are many other suggestions. Ultimately, you have to try it out. But especially for prevention and recurrent infections, it is worth taking a look at natural methods in addition to a medical approach.

Decision: What types of vaginal creams are there and which is the right one for you.

Basically, you can distinguish between three different types of vaginal creams for gynaecological complaints:

  • Vaginal cream against fungal infections
  • Vaginal cream against bacterial vaginosis
  • Vaginal cream against vaginal dryness

In the following section, we would like to help you make your decision so that you can buy the vaginal cream that is best for you.

There are different vaginal creams that can help you with different problems. This way, you can feel good all over again. (Image source: unsplash.com / Christopher Campbell)

What is a vaginal cream against fungal infections and what are the advantages and disadvantages?

Yeast fungi such as Candida albicans are found in every vagina. A disturbed vaginal environment (e.g. due to hypothermia, stress, infection, antibiotics, etc.) can lead to uncontrolled growth of the fungi.

A vaginal cream with the active ingredients miconazole or clotrimazole can help here. As antimycotics, these kill the fungal pathogens. The cream has the following advantages and disadvantages:

Advantages
  • Kills fungi
  • Works quickly
  • Easy to use
  • Prescription-free
Disadvantages
  • Possible redness and burning of the skin if intolerant

What is a vaginal cream against bacterial vaginosis and what are the advantages and disadvantages?

Bacterial vaginosis is a bacterial imbalance in the vagina. If the vaginal environment is out of balance, it can lead to bacterial overgrowth. Causes include stress, medication, incorrect intimate hygiene and sexual intercourse. The symptoms are usually treated with antibiotics containing metronidazole or clindamycin.

This is also available in the form of a vaginal cream.

Advantages
  • Fast-acting
  • Good dosage
  • If necessary, the partner can "simply" be treated as well
Disadvantages
  • Gastrointestinal problems
  • After treatment with antibiotic vaginal cream

What is vaginal cream for vaginal dryness and what are the advantages and disadvantages?

Normally, a fluid is produced in the vagina every day which keeps the vagina moist. This vaginal secretion protects the woman from bacteria and pathogens. It provides lubrication during sexual intercourse and protects the woman from injuries. If not enough mucus is produced, this is called vaginal dryness.

The most common cause of vaginal dryness is hormonal fluctuations (e.g. during menopause). Hormone-free vaginal creams are successfully used to moisten the vagina or to prevent unwanted bacteria.

Advantages
  • Effectively relieves redness, burning and itching
  • Enables sexual intercourse without pain
  • Preventively cares for the vagina and keeps it moist
Disadvantages
  • Greasy feeling when overdosed
  • Requires preparation and stamina

Buying criteria: Use these factors to compare and rate vaginal creams

In the following we would like to show you which factors you can use to compare and evaluate vaginal creams. This will make it easier for you to decide whether a certain vaginal cream is suitable for you or not. In summary, these are:

  • Area of application
  • Ingredients
  • Handling
  • Package size/price

In the following paragraphs you can read about the individual purchase criteria and how you can classify them.

Area of application

If you are looking for a vaginal cream that is suitable for you, you should definitely consider the following:

  • What are your symptoms?
  • Hormone-free or not?
  • With or without antibiotics?

Now you can choose between different vaginal creams either over-the-counter or on the advice of your doctor. Do you need a cream for vaginal dryness or a preparation for a fungal infection? Maybe you have a bacterial infection and need a vaginal cream that contains antibiotics. The purpose or area of application should therefore always be the first criterion in your purchase decision.

Ingredients

You now know the purpose for which you need a vaginal cream and are looking for a high-quality cream. Then you should definitely pay attention to the following points:

  • High quality ingredients
  • Efficacy

Unlike a gel, a vaginal cream always contains a nourishing fat component in addition to a water component. There are different compositions depending on the manufacturer.

Some creams contain fragrances and/or other additives. Depending on the application and effect, you can also distinguish a vaginal cream according to the following criteria:

  • hormone-free (e.g. oestrogens)
  • Hormone-containing vaginal creams (e.g. with estriol)
  • based on natural ingredients

Vaginal creams containing hormones should not be used as a lubricant shortly before sexual intercourse. This could lead to unwanted side effects for your partner.

Handling

There are basically two ways to use a vaginal cream correctly:

  1. Application with applicator
  2. Use without applicator

To avoid under- or overdosing, please follow the enclosed instructions for use. The exact dose, time and frequency of treatment are listed there. Many products come with an applicator.

You can also buy one separately. Here you should compare. It is also important that you pay attention to what the manufacturer says about pregnancy and breastfeeding. The instructions for use in combination with condoms should also be followed.

Package size / price

Vaginal cream is usually available in different pack sizes. Depending on the area of application, you may need a smaller or larger pack.

As a rule, the creams have a shelf life of about 6 months after opening. Here, too, follow the manufacturer's recommendation. The four most important criteria for price comparison:

  • Is it a combination product?
  • Which package size is offered and at what price?
  • Is an applicator (or none, or several) included?
  • Manufacturer

After the expiry date, the cream should no longer be used. When buying, make sure that your product will last as long as possible.

Facts worth knowing about vaginal cream.

What other forms of vaginal cream are there?

In addition to vaginal cream, ointment or gel, there are other therapeutic products such as tablets and suppositories. One advantage of vaginal cream is that it is easy to use.

Unlike suppositories, for example, which dissolve at body temperature and flow out, vaginal cream can be easily applied with the help of an applicator. The vaginal cream can also be easily reapplied externally.

What can I do for prevention?

  • Use only water or a pH-neutral wash lotion for intimate hygiene
  • Do not use plastic-coated panty liners
  • Condoms protect against further infections
  • If your vagina is dry, apply a cream to it regularly.
  • Wear boil-proof and permeable underwear made of natural materials (silk, cotton, hemp)

You should protect your vaginal flora as a preventive measure to avoid problems and diseases. (Image source: pixabay.com /
congerdesign)

Image source: pixabay.com / jill111

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