VAGINAL MICROECOLOGY IN WOMEN WITH THE NON-SPECIFIC GENITAL INFLAMMATORY DISEASES AND REPRODUCTIVE FUNCTION DISORDERS

Abstract

We conducted the microbiological examination of vaginal microbiota in 324 women with non-specific inflammatory diseases of the genital tract and with reproductive dysfunction. According the condition of microecological balance of indigenous microflora (lactobacilli concentration) of women we have identified three types of vaginal microbiota: "normocenosis", " dysbiosis", "deep dysbiosis" We marked deficiency oflactobacilli in every fourth women (28%) with infertility and miscarriage, and deep deficit in every second (53% in the third group) - sharp depression of the indigenous microbiota and its replacement by opportunistic (facultative anaerobic and obligate anaerobic), what indicates microecological trouble in the vaginal biotope and can be one of the causes of infectious and inflammatory diseases of genitals and other reproductive disorders. It was shown that the dominant microorganisms of pathogenic microbiota (UPM) of inflammatory diseases in women are coagulase-negative staphylococci (CNS), fungi of genus Candida, Escherihia coli and Enterococcus spp. During the analysis of UPM representatives material of groups with "normocenosis", "dysbiosis" and "deep dysbiosis" an important microecological indicator was calculated which characterizing microbiocaenosis as a whole - index of species richness (ISR) - the average number of species in the composition.

Keywords

• chronic inflammatory diseases of small pelvic organs
• vagina dysbiosis
• vagina normocenosis
• opportunistic microbiota
• coagulase negative staphylococcus
• index of species richness