For many women, vaginal health is defined by recurring UTIs and endless cycles of antibiotics. Each treatment brings temporary relief, but the symptoms eventually return, often with no clear explanation and no lasting change.

Over time, the pattern stops feeling like a series of separate infections and begins to resemble something the body continually recreates.

Dr. Sebastian Faro, a clinician who has spent decades treating persistent and recurrent vaginal and urinary conditions, knows this all too well. The truth most clinicians miss: what we call "BV" or a "UTI" is often the visible expression of something deeper, a vaginal ecosystem that's been disrupted over time.

What gets overlooked is that these recurrences aren't random. They're part of a larger biological pattern that doesn't show up on a quick test or in a routine visit.

The vaginal environment is influenced by pH, lactobacillus levels, gut health, estrogen, and even the way the colon and bladder interact with the vagina. When that system is out of balance, antibiotics may quiet the symptoms, but the underlying conditions remain… and the cycle continues.

How can someone on the "right" medication still struggle to find permanent relief? What does it actually take to address vaginal dysfunction so it resolves rather than resets?

In this episode, we discuss why these problems persist despite the medication seeming effective, and what needs to change for the body to finally stabilize.

Things You'll Learn In This Episode

The problem isn't the infection, it's the ecosystem Most women are given antibiotics without addressing the disrupted gut–vagina–bladder axis that keeps recreating symptoms. How do you rebuild the microbiome instead of attacking it?

Why antibiotics can make the problem worse Repeated prescriptions kill good bacteria, select for resistant strains, and strengthen biofilms. How does treating BV or UTIs like a simple infection create long-term recurrence?

The "vital sign" no one checks anymore A healthy vaginal pH protects against pathogens, but almost no clinicians measure it. What happens when you restore pH instead of chasing symptoms?

The estrogen connection most clinicians overlook Estrogen determines glycogen production, which feeds lactobacillus, and without it, no probiotic can take hold. How does supporting estrogen change vaginal health in both pre- and post-menopausal women?

P.S. Are you looking for targeted support for recurring UTIs, BV, or vaginal microbiome imbalance? Explore Nature's Women's Restorative Probiotic and see how it can help you restore long-term balance:

https://magnoliapharmacy.com/products/natures-womens-restorative-probiotic

About the Guest

Dr. Sebastian Faro is one of the world's leading OB/GYNs who has practiced general obstetrics and gynecology for over 40 years. He is an expert in vaginal and urinary health with decades of clinical experience treating complex cases of BV, UTIs, and microbiome disruption. He's authored numerous scientific publications and helped develop Nature's Women's Restorative Probiotic to support optimal vaginal pH and microbiome balance. To learn more, visit https://luna-obgyn.com/ or call 713-465-1800.

About Your Host

Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 250,000 on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare.

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