Vaginal Dysbiosis in Infertility: A Comparative Analysis Between Women with Primary and Secondary Infertility.

IF 4.2 2区 生物学 Q2 MICROBIOLOGY Microorganisms Pub Date : 2025-01-17 DOI:10.3390/microorganisms13010188
Iliana Alejandra Cortés-Ortíz, Gustavo Acosta-Altamirano, Rafael Nambo-Venegas, Jesús Alejandro Pineda-Migranas, Oscar Giovanni Ríos-Hernández, Eduardo García-Moncada, Alejandra Yareth Bonilla-Cortés, Mónica Sierra-Martínez, Juan Carlos Bravata-Alcántara
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Abstract

Infertility, both primary and secondary, is strongly influenced by microbiological factors, with the vaginal microbiota playing a key role in reproductive health.

Objective: The aim of this study was to characterize the vaginal microbiota of 136 Mexican women diagnosed with infertility-primary (n = 58) and secondary (n = 78)-by evaluating the presence of pathogenic bacterial species and their associations with infertility conditions.

Methods: Samples were obtained through cervical swabs, and microorganism identification was performed using qPCR techniques.

Results: Analysis revealed a positive correlation between increased age and the likelihood of primary infertility, as well as a negative correlation with secondary infertility. Significant differences in microbial composition were also observed between the two infertility groups. Lactobacillus crispatus and Lactobacillus gasseri were dominant in women with primary infertility, in addition to a high prevalence of Gardnerella vaginalis and Fannyhessea vaginae. Additionally, correlations were found between the presence of human papillomavirus (HPV) and sexually transmitted bacteria, as well as Gardnerella vaginalis.

Conclusion: Our findings suggest that the composition of the vaginal microbiota may play a decisive role in infertility, highlighting the need for personalized therapeutic strategies based on microbial profiles.

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不孕症阴道生态失调:原发性和继发性不孕症妇女的比较分析。
不孕症,无论是原发性还是继发性,都受到微生物因素的强烈影响,阴道微生物群在生殖健康中起着关键作用。目的:本研究的目的是通过评估致病菌种类的存在及其与不孕症的关系来表征136名被诊断为不孕症的墨西哥妇女的阴道微生物群——原发性(n = 58)和继发性(n = 78)。方法:采用宫颈拭子法采集标本,采用qPCR技术进行微生物鉴定。结果:分析显示年龄增加与原发性不孕症的可能性呈正相关,与继发性不孕症的可能性呈负相关。在两个不育组之间也观察到微生物组成的显著差异。在原发性不孕症中,除阴道加德纳菌和阴道凡妮丝菌外,以马铃薯乳杆菌和干酪乳杆菌为主。此外,还发现了人乳头瘤病毒(HPV)与性传播细菌以及阴道加德纳菌之间的相关性。结论:我们的研究结果表明,阴道微生物群的组成可能在不孕症中起决定性作用,强调了基于微生物谱的个性化治疗策略的必要性。
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来源期刊
Microorganisms
Microorganisms Medicine-Microbiology (medical)
CiteScore
7.40
自引率
6.70%
发文量
2168
审稿时长
20.03 days
期刊介绍: Microorganisms (ISSN 2076-2607) is an international, peer-reviewed open access journal which provides an advanced forum for studies related to prokaryotic and eukaryotic microorganisms, viruses and prions. It publishes reviews, research papers and communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files and software regarding the full details of the calculation or experimental procedure, if unable to be published in a normal way, can be deposited as supplementary electronic material.
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