.Vaginal bacterial symbionts like Lactobacilli preventspathogen by
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VMB dominated with Lactobacilli is healthier than a diverse VMB” was indeed a widely recognized dogma at an earlier time, due to the health benefits of Lactobacilli and dominance in approximately 70% of healthy women. However, this statement seemed to be challenged by two disputes uncovered by high throughput iners is considered to be pathogenic due to its pore forming ability in vaginal epithelial cells, presence of virulence factors such as inerolysin and cytolysin, absence of protective factors like H2O2, D(–) lactic acid, very less production of L(+) lactic acid and due to its reported associations with preterm birth as well as BV [178,179,180]. Similarity, L. jensenii produces only D(–) lactic acid and both L. gasseri and L. iners were found to be bility in pregnant women [178, 179]. It is only L. crispatus that is so far consistently been linked with good vaginal health, VMB stability and lower risk of developing VVI Some studies ulations of what is actually healthy, as high percentage of these asymptomatic cases belongs to Black and Hispanic