List of microbiota species of the lower reproductive tract of women
This is the list of healthy vaginal microbiota (VMB), which is defined as the group of species and genera that generally are found to have lack of symptoms, absence of various infections, and result in good pregnancy outcomes. VMB is dominated mainly by Lactobacillus species. This is the list of organisms that are found in the lower reproductive tract of sexually mature women who are not immunocompromised. A partial description of pathogens that can be found in the lower and upper reproductive tract of women can be found in the article sexually transmitted disease. The organisms listed below are capable of causing illness if for some reason there is a change in vaginal pH or a change in the ratio of one organism to another. For example, Candida is a normal inhabitant of a healthy reproductive tract but an overgrowth of this organism can cause candidiasis.
This is the list of the normal flora that are found in the lower reproductive tract of sexually mature women who exhibit no symptoms of illness and who are not immunocompromised. Lactobacilli predominate. These organisms protect against infection. Vaginal microbiota composition may have a genetic component.
These bacteria may be detected as transients or are marginally discernable with PCR techniques. They are also opportunistic pathogens and their overgrowth is considered an infection though symptoms and signs may be absent.
|Group B Streptococcus||spp.||+||cocci|||
While the vaginal microbiota is populated predominantly by Lactobacillus spp. in 71% of women, 29% of asymptomatic, healthy women possess a microbiota essentially lacking in Lactobacillus and instead the following groups have been isolated from this population. This microbiota is affiliated with ethnicity:
Pre-pubescent girls, women in menarch, and postmenopausal women have lower populations of Lactobacillus spp. in proportion to the other species. Hormone replacement therapy in postmenopausal women restores the microbiota to that of a reproductive-aged woman. The microbiota populations change in response to the menstrual cycle. Pregnancy alters the microbiota, with a reduction in species/genus diversity. Overgrowth of Candida albicans or other Candida (yeast infections) sometimes occurs after antibiotic therapy. Bacterial vaginosis results in altered populations and ratios of the normal microbiota. There has been no link demonstrated between taking oral probiotics and maintaining normal microbiota populations of lactobacilli.
- Petrova, Mariya I.; Lievens, Elke; Malik, Shweta; Imholz, Nicole; Lebeer, Sarah (2015). "Lactobacillus species as biomarkers and agents that can promote various aspects of vaginal health". Frontiers in Physiology. 6. doi:10.3389/fphys.2015.00081. ISSN 1664-042X.
- Hoffman, Barbara (2012). Williams gynecology, 2nd edition. New York: McGraw-Hill Medical. p. 65. ISBN 0071716726.
- Clark, Natalie; Tal, Reshef; Sharma, Harsha; Segars, James (2014). "Microbiota and Pelvic Inflammatory Disease". Seminars in Reproductive Medicine. 32 (01): 043–049. doi:10.1055/s-0033-1361822. ISSN 1526-8004. PMC . PMID 24390920.
- Senok, Abiola C; Verstraelen, Hans; Temmerman, Marleen; Botta, Giuseppe A; Senok, Abiola C (2009). "Probiotics for the treatment of bacterial vaginosis". Cochrane Database Syst Rev (4): CD006289. doi:10.1002/14651858.CD006289.pub2. PMID 19821358.
- Nardis, C.; Mastromarino, P.; Mosca, L. (September–October 2013). "Vaginal microbiota and viral sexually transmitted diseases". Annali di Igiene. 25 (5): 443–56. doi:10.7416/ai.2013.1946. PMID 24048183.
- Lamont, RF; Sobel, JD; Akins, RA; Hassan, SS; Chaiworapongsa, T; Kusanovic, JP; Romero, R (2011). "The vaginal microbiome: new information about genital tract flora using molecular based techniques". BJOG: An International Journal of Obstetrics & Gynaecology. 118 (5): 533–549. doi:10.1111/j.1471-0528.2010.02840.x. ISSN 1470-0328. PMC .
- Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013; Access provided by the University of Pittsburgh
- Ratner, Adam J.; Aagaard, Kjersti; Riehle, Kevin; Ma, Jun; Segata, Nicola; Mistretta, Toni-Ann; Coarfa, Cristian; Raza, Sabeen; Rosenbaum, Sean; Van den Veyver, Ignatia; Milosavljevic, Aleksandar; Gevers, Dirk; Huttenhower, Curtis; Petrosino, Joseph; Versalovic, James (2012). "A Metagenomic Approach to Characterization of the Vaginal Microbiome Signature in Pregnancy". PLoS ONE. 7 (6): e36466. doi:10.1371/journal.pone.0036466. ISSN 1932-6203. PMC . PMID 22719832.
- Fijan, Sabina (2014). "Microorganisms with Claimed Probiotic Properties: An Overview of Recent Literature". International Journal of Environmental Research and Public Health. 11 (5): 4745–4767. doi:10.3390/ijerph110504745. ISSN 1660-4601. PMC . PMID 24859749.
- Brotman, Rebecca M. (2011). "Vaginal microbiome and sexually transmitted infections: an epidemiologic perspective". Journal of Clinical Investigation. 121 (12): 4610–4617. doi:10.1172/JCI57172. ISSN 0021-9738. PMC . PMID 22133886.
- Bacterial vaginosis: a review on clinical trials with probiotics (2013)
- Enhanced Trapping of HIV-1 by Human Cervicovaginal Mucus Is Associated with Lactobacillus crispatus-Dominant Microbiota (2015)
|Wikispecies has information related to Microbiota|
- A Metagenomic Approach to Characterization of the Vaginal Microbiome Signature in Pregnancy. Kjersti Aagaard, Kevin Riehle, Jun Ma, Nicola Segata, Toni-Ann Mistretta, Cristian Coarfa, Sabeen Raza, Sean Rosenbaum, Ignatia Van den Veyver, Aleksandar Milosavljevic, Dirk Gevers, Curtis Huttenhower, Joseph Petrosino, James Versalovic. PLoS ONE volume 7, issue 6. (2012) ISSN 1932-6203 doi:10.1371/journal.pone.0036466
- Pelvic Inflammatory Disease (PID; Salpingitis, Endometritis)