Vaginal microbiome

Ceska Gynekologie
|March 9, 2019
PubMed
Summary

The vaginal microbiome, often dominated by lactobacilli, maintains an acidic environment crucial for health. Its composition and function, influenced by factors like ethnicity, define its stability and relation to conditions such as bacterial vaginosis.

Keywords:
(vaginal microbiota/ microbiom; vaginal discharge; bacterial vaginosis; vulvovaginitis; vaginal Lactobacillus). Results: The vaginal microbiome is a specific compartment of the human microbiome. Unique conditions of the vagina are characterized by a few microbial speciesH2O2Lactobacillusalthough the incidence of some of them can be correlated with dysbiosis or eubiosis. The composition of microbiota is importantand genetic disposition of woman. Keywords: vaginal microbiomeand their relative ratio is likely to give the vaginal microbiota a certain degree of stability and ability to withstand some infections. This microbiota is manifested by a low degree of diversity and by the high dynamics of changes of its composition under the influence of various exogenous and endogenous factors. Increase in diversity can be paradoxically associated with a dysbiosis such as bacterial vaginosis. Individual species of lactobacilli mainly Lactobacillus crispatus characterize the main community state types in the vagina. Apart from lactobacillibut it is only one of the basic attributes of normal vaginal microbiotabut not sufficient; that is the functional definition of vaginal microbiota in relation to its structure and dynamicscommunity state typesdysbiosishealthy women may be colonized with a non-lactobacillary microbiota whose rate is dependent on ethnicity. Conclusion: The definition of vaginal microbiota cannot be only related to the presence or absence of individual microorganismshistorical and recent conceptincluding the influence of ethnicitylactic acidpHphysiological status of the vaginasexual hormonessexual hormones historical and recent concept.usually lactobacillivaginal microbiomewhich are able to utilize glycogenwhich is under control of estrogens. Lactobacilli and other fermentative bacteria together with vaginal epithelial cells produce lactic acid and are responsible for acidifying vaginal milieu. Lactic acid occurs in two isomeric forms

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