Clinical indicators and reproductive tract microbiota abnormalities indicate the occurrence of endometriosis
Endometriosis patients exhibited distinct vaginal and cervical microbiota, with specific bacterial genera correlating with clinical pain indicators and antibody levels.
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This preprint studied 35 women (17 with endometriosis and 18 healthy controls) comparing clinical indicators plus vaginal and cervical microbiota from cervical and vaginal secretions analyzed by 16S rRNA V3–V4 high-throughput sequencing. Women with endometriosis showed higher vaginal and cervical microbial diversity measures (e.g., higher Chao1 and Shannon indices) and distinct taxa, with specific genera correlating with symptoms and biomarkers: Romboutsia, Ruminococcus, Phascolarctobacterium, and Olsenella positively correlated with VAS pain, while Mobiluncus negatively correlated with VAS, and Lactobacillus (with other taxa) correlated with thyroid peroxidase antibody indices. The paper explicitly notes a major limitation that it is a preprint and not peer reviewed. This paper is centrally about endometriosis — it links reproductive tract clinical indicators and vaginal/cervical microbiota differences to the occurrence of endometriosis.
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