O Positiv offers vitamins and nutritional products that are said to support needs across different stages of life. Its range covers menstrual health, hormonal balance, vaginal and gut health, menopause support, and general wellness.
The brand focuses on PMS, hormonal shifts, urogenital comfort, and the changes that occur during perimenopause and menopause. Its catalog includes probiotics, hormone-support formulas, menopause products, and other supplements intended to address routine or life-stage-specific concerns. It describes its approach as clean, comprehensive, and effective, aiming to provide various options you can use from early adulthood through midlife.
This review will outline the brand’s philosophy and core products, examine the claims behind its formulations, and provide an assessment of its strengths and limitations. It will also include real user experiences to help explain how the products perform in everyday use.
Founded by Brianna Bitton, O Positiv presents its mission as supporting women from their first period through menopause with products designed for vaginal health, menstrual comfort, menopause symptoms, and reproductive needs.
The product line is organized by life stage and health category, including Vaginal & Gut Health, Period & Hormones, Menopause & Healthy Aging, Pregnancy Support, and several everyday essentials. Key products include URO Vaginal Probiotic Capsules and related formulas for pH, odor, and urinary comfort, FLO gummies, capsules, and ovarian-support vitamins for PMS and cycle regularity, and MENO capsules, gummies, and vaginal moisture formulas for menopause symptoms and intimacy support.
The brand also provides capsules, gummies, powders, suppositories, and intimate-care products, along with bundled kits such as Hormone Balance, Menopause Passion Pack, and Microbiome Care. The company states commitments around clinical support, safety, and accessibility. It highlights OB-GYN recommendations, third-party testing for purity and potency, and evidence citations for its ingredient choices.
The company also maintains a medical advisory presence. Featured clinicians include Dr. Roxanne Pero (OBGYN MD, FACOG, FACLM, IFMCP), Dr. Jessica Shepherd (OBGYN MD, MBA, FACOG), Dr. Sasha Hakman (OBGYN MD, FACOG, reproductive endocrinologist), and Dr. Saru Bala (Integrative Women’s Health ND). Their statements on the site outline common needs and support the cause behind targeted women’s health formulations.

As per the official site, the Vaginal Probiotic supports vaginal pH, odor, and microbial balance by combining four Lactobacillus species with a prebiotic. Its two-capsule serving provides 5 billion CFU from Lactobacillus acidophilus, L. rhamnosus, L. reuteri, and L. fermentum, along with 400 mg of xylooligosaccharides (XOS). These strains play a defined role in the microbial environment. L. acidophilus sticks to mucosal surfaces and produces significant amounts of lactic acid, which may help maintain a low pH that discourages unwanted organisms.
Vaginal Probiotics’ L. rhamnosus may provide immune support and epithelial-barrier stability, which may help reduce inflammation and interrupt cycles of recurrent imbalance.
L. reuteri in its formulation, helps produce antimicrobial compounds such as reuterin, which may support mucosal resilience. Vaginal Probiotic also has L. fermentum, which provides additional lactic-acid production, helping good bacteria to flourish.
XOS may work as a prebiotic that good bacteria can ferment into short-chain metabolites, supporting probiotic survival, activity, and persistence. This synbiotic approach may help the strains survive gastrointestinal transit, grow within the gut, and reinforce the gut-to-vagina microbial connection so lactobacilli are more likely to influence vaginal conditions indirectly.
The Ovarian Support Vitamin Capsule may support healthy ovulation, hormone balance, menstrual regularity, and hormone-related weight changes. The formula includes folate as folic acid, myo-inositol, diindolylmethane, and D-chiro-inositol from carob pod extract.
The formula combines inositols and DIM, which could influence several hormone-related pathways. Myo-inositol and D-chiro-inositol act as signaling molecules in insulin and ovarian-hormone systems. Myo-inositol is involved in how cells respond to insulin, which may influence follicle development, while D-chiro-inositol participates in downstream insulin-related signaling that can support blood-sugar regulation.
DIM compound may influence estrogen metabolism by shifting it toward certain breakdown pathways. This shift can affect the balance between estrogen and androgens.
The Ovarian Support Vitamin formula may function through insulin signaling, androgen regulation, and ovarian function. Reduced insulin sensitivity can cause ovarian cells to produce more androgens, which may affect cycle length, ovulation timing, and hair growth. Supporting insulin pathways with inositols may help lower excess androgen signaling, while DIM may contribute to a more balanced estrogen-to-androgen profile through its effects on liver metabolism.
The Vaginal Moisture Capsule may provide additional support for vaginal moisture, sexual comfort, arousal, and intimacy. Its two capsule serving contains the Pleasure Positiv Blend™, which includes fenugreek seed extract, ginkgo leaf extract, pueraria mirifica root extract, maca root extract, saffron stigma extract, and beet root extract.
Pueraria mirifica contains phytoestrogens that may help the tissue maintain moisture. Vaginal Moisture Capsule also has fenugreek that has steroidal saponins, which may further support lubrication and comfort.
Circulation support is addressed through ginkgo and beetroot. Ginkgo is associated with increased nitric oxide activity, which might help relax blood vessels and improve blood flow. Better genital circulation can increase the natural fluid that lubricates the vaginal canal. Beetroot in the Vaginal Moisture formula may provide dietary nitrates that your body changes into nitric oxide, which influences arousal, lubrication, and physical comfort.
The blend also includes ingredients associated with mood and sexual desire. Maca contains sterols and macamides that may influence the hypothalamic–pituitary axis, which plays a role in libido and energy. Saffron contains compounds such as crocin and safranal, which have been studied for their potential effects on serotonin regulation and mood balance. These compounds may support neurotransmitter function and overall relaxation.
The Menopause Vitamin may provide multi-symptom menopause support and is available in two formats, including berry-flavored gummies or sugar-free capsules.
The formula contains Vitamin D3, Vitamin B6, KSM-66® Ashwagandha root extract, Chasteberry fruit extract, and Black Cohosh root extract. The brand states that these ingredients can help reduce hot flashes and night sweats, ease mood swings and occasional sleeplessness, and support stress management and general well-being.
Black cohosh in Menopause Vitamin may influence the hypothalamic thermostat, which could reduce the frequency and intensity of hot flashes. The makers also added KSM-66® ashwagandha that may modulate the hypothalamic–pituitary–adrenal stress pathway, supporting sleep quality and reducing stress-related symptoms.
Menopause Vitamin also contains chasteberry (vitex agnus-castus), which may help rebalance hormone activity across the ovarian axis and support mood stability. Vitamin D3 is included for bone health and general hormone-related functions, while Vitamin B6 could boost your mood and also provide metabolic support.
The Revitalizing Sex Collection is a three-product bundle designed to support hormonal balance, vaginal pH and odor, and urinary comfort, which are key factors that commonly shift during perimenopause and menopause and can affect intimacy. The bundle combines MENO Menopause Vitamins, URO Vaginal Probiotic, and URO Urinary Tract capsules into one daily routine.
MENO Menopause Vitamins are said to be formulated with botanicals, adaptogens, and vitamins positioned to address hot flashes, mood variability, stress, and overall menopausal comfort. Its URO Vaginal Probiotic provides Lactobacillus strains and a prebiotic to help maintain an acidic vaginal pH and support odor control, balance, and microbiome resilience.
The bundle also has URO Urinary Tract that combines cranberry, D-Mannose, and Vitamin C to support urinary cleanliness, comfort, and reduced recurrence of post-intimacy discomfort. These three formulas in the revitalizing sex collection may help target hormone-related changes, vaginal microbiome balance, and urinary-tract health, potentially supporting sexual comfort and confidence.
O Positiv creates products that support you through every part of life, starting from the first period to menopause and beyond. The brand focuses on wellness by addressing hormonal, vaginal, gut, skin, and mood health. Each product is made with specific goals but built to fit together as part of a complete system that grows with your changing needs.
The Flo Gummies help ease PMS symptoms like bloating, cramps, and mood changes. URO supports vaginal and urinary health by promoting balance and comfort. GOGO focuses on gut health and digestion, which also affects energy and mood. DISCO helps clear skin by balancing internal factors that lead to breakouts. For menopause, MENO provides relief from hot flashes, night sweats, and hormonal shifts.
This wide range of targeted options shows that the brand provides ongoing support that adapts to different life stages. It gives you a single, trusted place to find products that fit your body as it changes over time.
O Positiv works with board-certified OB-GYNs Dr. Roxanne Pero, Dr. Jessica Shepherd, and Dr. Sasha Hakman, along with an Integrative Women’s Health ND. These medical professionals provide guidance on product formulation to ensure each supplement addresses real women’s health needs, including hormonal balance, vaginal and urinary health, and menopause support through evidence-based approaches.
Their medical input shapes how ingredients are chosen and dosed. Products like Flo, URO, and MENO include nutrients supported by clinical research, such as vitamin B6 and chasteberry in Flo for PMS symptoms, cranberry and zinc in URO for urinary and vaginal support, and black cohosh and ashwagandha in MENO for menopause relief. Each is formulated to complement the body’s natural processes rather than alter them.
The collaboration extends through the full product development cycle, from ingredient review to final formulation. This ensures that O Positiv’s offerings align with clinical standards for safety and efficacy while remaining accessible for daily use. The involvement of medical professionals provides oversight that connects clinical knowledge with consumer wellness products.
O Positiv lacks extensive, independent, long-term clinical studies on its full product formulations. While its supplements, such as FLO for PMS, GOGO for gut health, and DISCO for mood and energy, are said to be made with ingredients like chasteberry, vitamin B6, probiotics, and B vitamins, most supporting evidence comes from short-term studies on these ingredients individually rather than on O Positiv’s proprietary multi-ingredient blends. Existing research typically lasts only a few weeks or menstrual cycles and does not assess long-term safety, nutrient interactions, or cumulative effects from years of consistent daily use. There is limited evidence confirming how the brand’s complete formulations influence hormone balance, gut microbiome health, or nutrient levels over time.
This means that while short-term improvements, such as reduced PMS symptoms from FLO or better digestion with GOGO, may align with existing nutritional science, no established data confirms how ongoing, long-term use impacts your health.
The potential for gradual changes, nutrient imbalances, or shifts in gut or hormonal function has not been thoroughly studied in the context of O Positiv’s specific blends. While O Positiv’s formulations are grounded in known research, the lack of direct, prolonged studies leaves uncertainty about sustained results and safety over years of continuous use.
O Positiv shows a limitation in ingredient sourcing transparency. The brand does not provide detailed public information about where its ingredients come from, how they are sourced, or what standards its suppliers follow. While O Positiv notes that its supplements are made in the USA and feature clean, vegan, and gluten-free ingredients, details such as supplier identities, sourcing regions, or third-party certifications are not disclosed.
In products like FLO, which contains chasteberry, vitamin B6, and dong quai, the brand does not specify whether these botanicals are organically grown, sustainably harvested, or tested for contaminants at the source, factors that can affect potency and purity. Similarly, GOGO, which uses probiotics and prebiotic fiber, lists bacterial strains but provides little information on their origin, production, or stability standards. The same applies to products such as DISCO, URO, and RETRO, which include active compounds like D-mannose, chromium, green tea extract, black cohosh, and maca root. O Positiv does not clarify whether these are natural or synthetic, or if they are standardized and verified through independent lab testing.
While the brand promotes clean and high-quality formulations, there is limited visibility into the full supply chain. Without clear sourcing or verification details, it’s difficult to independently assess the sustainability, ethical practices, or consistency of ingredient quality across products. This level of transparency is an area where the brand could improve, as it plays a key role in trust and long-term credibility.
Ritual presents itself as a clinically driven company built on traceability, scientific validation, and strict quality standards, while O Positiv positions itself as a symptom-focused women’s health brand built around OBGYN-recommended formulations designed for every stage of hormonal life.
The brand Ritual concentrates on essential daily nutrition through multivitamins, gut-health formulas, omega-3s, and skin-support capsules, whereas O Positiv expands its offerings into vaginal probiotics, PMS gummies, ovarian-support vitamins, menopause capsules, sexual-wellness enhancers, urinary-health supplements, and endocrine powders.
Ritual keeps its product architecture small and controlled, centering on a limited number of rigorously tested essentials backed by human clinical studies, patented capsule design, heavy-metal testing, and full ingredient traceability.
O Positiv takes the opposite approach by building a wide catalog that includes capsules, gummies, powders, suppositories, intimate deodorants, probiotic washes, moisture capsules, and multi-category bundles aligned to highly specific symptoms.
Ritual organizes its catalog around daily essentials such as Essential for Women 18+, Essential Prenatal, Synbiotic+ (a combined prebiotic–probiotic–postbiotic formula), HyaCera™ for skin support, and Omega-3 DHA & EPA.
O Positiv organizes its system around symptom clusters, including URO, FLO, MENO, and PREGGO, along with additional formulations for metabolism, sexual wellness, urinary comfort, and hormone-related skin concerns.
Ritual focuses on clean-label certifications, ingredient traceability, transparent supply chains, and a streamlined set of products meant for consistent daily use. It frames its role as addressing long-term nutrient sufficiency and foundational health through a small number of clinically validated formulas, while O Positiv frames itself as an intervention-driven brand offering immediate, symptom-specific support across reproductive health, hormonal balance, sexual wellness, metabolic comfort, urinary health, and intimate-care concerns.
Ritual concentrates on a limited range of products as compared to Positiv, whereas O Positiv expands its catalog to cover nearly every need related to vaginal, hormonal, sexual, metabolic, and urinary health.
Hello Bonafide presents itself as a clinically grounded women’s health brand built around hormone-free, third-party tested, and extensively studied options for menopause, sexual function, vaginal health, and mood-related symptoms.
Its identity centers on medical credibility, highlighting more than 40 clinical studies, adoption by over 13,000 doctors, focused on vaginal dryness, painful sex, low arousal, hot flashes, night sweats, PMS-related irritability, anxiety, cravings, and menopause-related changes in skin and hair.
The portfolio is structured with pharmaceutical-style precision. It offers Revaree and Revaree Plus, which use hyaluronic acid for vaginal moisture. Its Ristela and Ristela Mixes are positioned for arousal and orgasm support through blood-flow-related pathways.
The brand also provides other options, such as Thermella and Relizen, which could target hot flashes and night sweats, and Serenol addresses mood swings and emotional symptoms tied to PMS and menopause.
Clairvee is a clinically tested vaginal pre+probiotic designed to reduce odor, discharge, and itching, and Silvessa supports skin and hair affected by estrogen decline through an oral capsule, hair serum, and skin serum.
Bonafide extends these offerings into comprehensive systems, such as Hot Flash + Dryness System, Pleasure + Dryness System, Perimenopause System, Hot Flash + Pleasure System, Cooling Intimacy System, and others.
The brand consistently highlights medical validation, doctor endorsement, symptom specificity, and a clinical approach grounded in purity and research-supported outcomes.
O Positiv frames women’s health through a broader, life-stage-wide lens that begins at the first menstrual cycle and extends into fertility support, metabolic health, aging, sexual wellness, urinary comfort, and microbiome balance. Its positioning centers on OBGYN recommendations and a large ingredient evidence base, totaling more than 2,500 peer-reviewed studies.
While Bonafide focuses on hormone-free clinical precision, O Positiv leans into accessible and varied delivery formats, such as capsules, gummies, powders, patches, suppositories, and hygiene products, allowing you to build modular routines that fit into daily life.
Its product families include FLO for PMS and cycle-related balance, URO for vaginal and urinary health, MENO for menopause and healthy aging, PREGGO for nutritional support, RETRO for skin, and a broad set of metabolic and probiotic formulas. These categories address menstrual regularity, bloating, ovarian support, acne related to hormonal cycles, gut-skin interactions, vaginal odor and pH balance, vaginal moisture, sexual arousal, bladder control, urinary comfort, metabolism and weight management, and endocrine-related stress.
Bundles such as Body Confidence Kit, Always Fresh Kit, Intimate Harmony Bundle, Menopause Passion Pack, Smell Good Set, Vaginal Vitality Kit, Hormonal Acne Kit, and Metabolism Capsule systems combine multiple categories into cross-functional routines.
The brand’s identity is reinforced by engagement tools such as the State of the Vagina Report, an advisory board of OBGYNs, and a direct-to-consumer model.
These two brands highlight some differences in their philosophies. Hello Bonafide builds a medically precise, clinically validated, narrowly focused suite of non-hormonal products aimed primarily at menopause-related, sexual-function, and vaginal-health needs.
O Positiv builds a broad, multi-category consumer-health ecosystem covering menstrual health, vaginal-microbiome balance, metabolic function, hormonal support, and aging, with an emphasis on variety, accessibility, and cross-category bundling.
Both address overlapping concerns, such as vaginal moisture, sexual satisfaction, hot-flash relief, and hormonal mood shifts, but each defines support in a fundamentally different way based on its scope, structure, and underlying philosophy.
We reviewed O Positiv’s public information on the Better Business Bureau as part of evaluating the company’s brand reputation. The BBB listing shows that the business is not accredited and has held an F rating.
According to the BBB, this rating has been influenced in part by the company’s failure to respond to some customer complaints in the past. The file also states that the business has been operating since 2017 and has been listed with the BBB since 2022.
The BBB profile has recorded several complaints in the past years, including a few within the last few months.
Many of these complaints have involved subscription issues. Customers have reported being charged for recurring orders they believed they had canceled, or for subscriptions they say they never intended to start. Some have described canceling months ahead of time but still being charged, while others have said they selected a one-time purchase but were enrolled in automatic shipments without clear consent.
Customer-service access has been another recurring concern. A number of complaints have reported unanswered or bounced-back emails, making it difficult for customers to resolve issues.
While some individual cases have eventually been addressed, such as refunds for orders lost in transit, the overall complaint history on BBB points to ongoing problems with subscription management, communication reliability, and order accuracy. These recurring concerns have suggested areas where the company’s overall reputation may be experiencing strain.
While reviewing how users have experienced O Positiv’s products, we examined customer responses on Amazon. The brand’s FLO Ovarian Health Support Capsules hold a 4.4 out of 5 rating from 2,060+ global reviews.
Many users say the product has helped regulate their menstrual cycles, especially those with PCOS or long-term irregularity. Reviewers frequently report reduced bloating, better energy, more stable appetite, fewer PMS symptoms, and, in some cases, notable weight loss after several months of consistent use.
Several users note stronger appetite control when taking the capsules in the morning and reduced effectiveness when doses are missed. Early reactions, such as migraines, acne purging, and mild discomfort, were also mentioned.
The brand’s MENO Menopause Gummies have a 4.2 out of 5 rating from 1,970+ global reviews. Users often report fewer hot flashes, night sweats, irritability, and sleep disturbances. Some say they notice improvements within days, and several note that symptoms return when they stop taking the gummies.
Mood stability and improved rest are also common themes. Taste and texture reviews are mixed, where some saying that they enjoyed the flavor, while others did not.
URO Vaginal Probiotics & Prebiotics (Lactobacillus + XOS) hold a 4.5 out of 5 rating from 25,910+ reviews. Many users report quick improvements in vaginal odor, pH balance, and overall comfort.
Digestive changes are also reported, including less bloating, more regular bowel movements, and improved constipation. While the formula is widely praised, some consider the product overpriced.
O Positiv PMS Vitamins have a 4.4 out of 5 rating from 857+ reviews. Many users report fewer PMS symptoms, including mood swings, bloating, cramps, heavy flow, and hormonal acne. Some describe major mood improvements and say the product has helped stabilize their emotional patterns. However, ingredients like chasteberry lead to varied results. Some users experience spotting, irregular cycle timing, stronger cramps, or increased emotional sensitivity. A group of users reported mood swings intense enough to affect daily life, leading them to stop taking the product.
User feedback shows that O Positiv products can be helpful for many customers. Hormone-related products, such as the PMS vitamins, ovarian support capsules, and menopause gummies, produce mixed outcomes, including strong benefits for some people and noticeable side effects for others. Pricing appears to be a common concern across all product offerings from the brand.
O Positiv offers a wide, stage-based approach to women’s wellness, giving you targeted options for PMS, vaginal health, digestion, skin clarity, ovarian support, and menopause symptoms.
The lineup is designed so you can combine products as your needs change, and the brand’s involvement of OB-GYNs and women’s health professionals adds medical alignment to its formulations.
Most ingredients are based on existing research about nutrients and botanicals that may influence hormonal balance, urogenital comfort, and cycle-related symptoms, which helps create a routine that feels consistent across different phases of life.
However, long-term, product-specific clinical evidence is limited, and most available research supports individual ingredients rather than O Positiv’s complete blends. This makes it difficult to assess long-term safety, ingredient interactions, or effects that may appear after extended use.
O Positiv provides accessible, symptom-focused supplements that may be useful for short-term support, but limited transparency, variable user outcomes, and a modest long-term clinical foundation mean expectations should stay realistic. The products can be convenient tools when used thoughtfully, but monitoring side effects, reviewing ingredient research, and managing subscriptions carefully will help ensure they fit your needs responsibly and predictably.
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