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Lactobacillus-containing vaginal suppository is a live biotherapeutic product (LBP) designed to restore the healthy microbial balance of the female reproductive tract. It is primarily investigated for its ability to correct endometrial dysbiosis, a condition characterized by a lack of *Lactobacillus* species and an overgrowth of pathogenic bacteria, which is associated with chronic endometritis and recurrent implantation failure (RIF) in women undergoing assisted reproductive technology. By increasing the occupancy of *Lactobacillus* in the vaginal and endometrial environments, the suppository aims to reduce uterine inflammation and improve endometrial receptivity, thereby enhancing pregnancy and live birth rates. The development of this therapeutic approach is supported by clinical trials in Japan, including those funded by the Japan Agency for Medical Research and Development (AMED).
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