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Live quadruple lactobacillus vaginal capsule is a live biotherapeutic product (LBP) containing four specific strains of beneficial bacteria: *Lactobacillus acidophilus*, *Lactobacillus casei*, *Lactobacillus rhamnosus*, and *Lactobacillus bulgaricus*. Developed and manufactured by Inner Mongolia Shuangqi Pharmaceutical, it is primarily indicated for the treatment of bacterial vaginosis and the restoration of vaginal microecology. The mechanism involves the colonization of the vaginal epithelium by these lactobacilli, which produce lactic acid and hydrogen peroxide to maintain a low vaginal pH (3.8–4.5), thereby inhibiting the overgrowth of anaerobic and pathogenic bacteria. Clinical trials are currently evaluating its safety and efficacy in postmenopausal atrophic vaginitis, a condition characterized by vaginal flora imbalance due to decreased estrogen levels.
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