Target intelligence / Profile preview

Vaginal and urogenital microbiota

Molecular classification
Microbiome, Other
01

Overview

The vaginal and urogenital microbiota refers to the complex community of microorganisms, including bacteria, fungi, and viruses, that inhabit the female genitourinary tract (NIH, 2022). In a healthy state, this ecosystem is typically dominated by Lactobacillus species, which maintain an acidic environment through the production of lactic acid, thereby inhibiting the growth of pathogenic organisms (StatPearls, 2023). Dysbiosis, or the imbalance of this microbial community, is strongly associated with conditions such as bacterial vaginosis (BV), yeast infections, and increased susceptibility to sexually transmitted infections (STIs) and preterm birth (PubMed, 2021). Therapeutic interventions targeting this microbiota include the use of antibiotics like metronidazole to eliminate overrepresented pathogens and live biotherapeutic products (LBPs) like LACTIN-V designed to restore a healthy microbial balance (NEJM, 2020). Furthermore, the urogenital microbiota's influence extends to the urinary tract, where its composition can affect the recurrence of urinary tract infections (UTIs) and bladder health (Nature Reviews Urology, 2019). Understanding the interactions within this niche is critical for developing precision treatments for reproductive and urinary health.

Other names
Vaginal microbiomeUrogenital microbiomeVaginal floraGenitourinary microbiotaFemale reproductive tract microbiota
02

Mechanism of action

Restoration of microbial homeostasis, acidification of the vaginal environment, competitive inhibition of pathogens, and disruption of polymicrobial biofilms.

03

Biological functions

Immune responsePathogen defensepH homeostasisMetabolic regulationOther
04

Disease associations

InfectionInflammationBacterial vaginosisUrinary tract infectionPreterm birthOther
05

Safety considerations

Antibiotic resistanceRisk of systemic infection in immunocompromised patientsDisruption of commensal floraTransfer of antimicrobial resistance genes
06

Interacting drugs

Metronidazole

5 more in the full profile.

07

Biomarkers

Nugent scoreVaginal pHLactobacillus abundanceAmsel criteriaGardnerella vaginalis concentration

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