A vaginal insert controls pH within a human vagina by use of various probiotics which include lactobacillus reuteri, lactobacillus rhamnosus, lactobacillus casei, lactobacillus plantarum, lactobacillus acidophilus, lactobacillus brevis, bifidobacterium lactis, bifidobacterium longum, lactobacillus paracasei, lactobacillus salivarius, and lactobacillus bulgaricus. In other embodiments, the use of aloe vera and aloe vera based derivatives are disclosed. Such derivatives include stabilized high molecular weight aloe vera gel polysaccharides (AVP), purified polysaccharide fractions, aloe succotrina, and aloe vera polysaccharide of Dalton weights in the range of 100,000 to 7 million. The disclosed embodiments may be applied or inserted in the form of gels, tablets, powders and other modalities.