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Human genital tracts microbiota: dysbiosis crucial for infertility

Journal

JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
Volume 45, Issue 6, Pages 1151-1160

Publisher

SPRINGER
DOI: 10.1007/s40618-022-01752-3

Keywords

Microbiota; Fertility; Lactobacillus; Dysbiosis; Genital tracts

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The human body is inhabited by trillions of microbes, which are influenced by various endogenous and exogenous factors. Disruption of the microbial balance can lead to multiple diseases and impact fertility, and sexual intercourse between partners can also affect each other's microbial composition.
Human body is colonized by trillions of microbes, influenced by several factors, both endogenous, as hormones and circadian regulation, and exogenous as, life-style habits and nutrition. The alteration of such factors can lead to microbial dysbiosis, a phenomenon which, in turn, represents a risk factor in many different pathologies including cancer, diabetes, autoimmune and cardiovascular disease, and infertility. Female microbiota dysbiosis (vaginal, endometrial, placental) and male microbiota dysbiosis (seminal fluid) can influence the fertility, determining a detrimental impact on various conditions, as pre-term birth, neonatal illnesses, and macroscopic sperm parameters impairments. Furthermore, unprotected sexual intercourse creates a bacterial exchange between partners, and, in addition, each partner can influence the microbiota composition of partner's reproductive tracts. This comprehensive overview of the effects of bacterial dysbiosis in both sexes and how partners might influence each other will allow for better personalization of infertility management.

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