Evidence map›Paper›PMID 34120200›Full record

ReviewArchives of microbiology2021

Vaginal microbiome: normalcy vs dysbiosis.

Viqar Sayeed Saraf, Sohail Aslam Sheikh, Aftab Ahmad, Patrick M Gillevet, Habib Bokhari, Sundus Javed

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Archives of microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05652959 (Real-world Performance and Safety of Cerviron® Medical Device in the Treatment of Various Types of Vaginitis), which is not on this map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
16.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05652959 completednot on this map

Real-world Performance and Safety of Cerviron® Medical Device in the Treatment of Various Types of Vaginitis

TypeobservationalSponsorPerfect Care DistributionRan2021 to 2022Enrolled111ConditionsVaginitis, Bacterial VaginosisArmsCerviron®
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 184 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. The Gut-Vagina Axis.Microorganisms · 2026
    Review
  12. Review
  13. Review
  14. Bacterial Load ofMicroorganisms · 2026
    Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. VaginalFrontiers in cellular and infection microbiology · 2026
    Article

53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Viqar Sayeed SarafDepartment of Biosciences, COMSATS University, Islamabad, Pakistan.
Sohail Aslam SheikhDepartment of Biosciences, COMSATS University, Islamabad, Pakistan.
Aftab AhmadDepartment of Biosciences, COMSATS University, Islamabad, Pakistan.
Patrick M GillevetMicrobiome Analysis Center, George Mason University, Science and Technology Campus, Manassas, VA, USA.
Habib BokhariKohsar University Murree, Murree, KPK, Pakistan. vckohsaruniversity@gmail.com.ORCID http://orcid.org/0000-0002-2171-6062
Sundus JavedDepartment of Biosciences, COMSATS University, Islamabad, Pakistan. sundus.javed@comsats.edu.pk.
COMSATS University Islamabad · PKDeenbandhu Chhotu Ram University of Science and Technology · INGeorge Mason University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has been long understood that the vaginal microflora is crucial in maintaining a normal physiological environment for the host and its involvement is deemed indispensable for reproductive success. A global concept of normalcy vs. dysbiosis of vaginal microbiome is debatable as women of different races have a unique vaginal microflora with regional variations. Vaginal microflora is a dynamic microenvironment affected by gestational status, menstrual cycle, sexual activity, age, and contraceptive use. Normal vaginal flora is dominated by lactobacilli especially in women of European descent vs. African American women. These microbes confer the host vagina protection from potentially pathogenic microbes that may lead to urinary tract infections and sexually transmitted diseases. Changes in the vaginal microbiota including reduced lactobacilli abundance and increased facultative and anaerobic organism populations result in bacterial vaginosis, that predisposes the host to several conditions like low birth weight and increased risk of contracting bacterial infections. On the other hand, the vaginal microbiome is also reshaped during pregnancy, with less microbial diversity with a dominance of Lactobacillus species. However, an altered vaginal microbiota with low lactobacilli abundance especially during pregnancy may result in induction of excessive inflammation and pre-term labor. Since the vaginal microbiome plays an important role during embryo implantation, it is not surprising that bacterial vaginosis is more common in infertile women and associated with reduced rates of conception. Probiotic has great success in treating bacterial vaginosis and restoring the normal microbiome in recent. This report, reviewed the relationships between the vaginal microbiome and women's reproductive health.

Indexed as

DysbiosisMicrobiotaVaginaFemaleHumansPregnancyVaginosis, BacterialBacterial vaginosisInfertilityLactobacillusPre-term birthVaginal dysbiosisVaginal microbiome

Identifiers

PMID34120200
OpenAlexW3172624471

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.