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4.1 Influence of vaginal microbiota on biochemical markers The stabilisation of the vaginal microbiota is largely dependent on the presence of Lactobacillus , with strains such as Lactobacillus crispatus and Lactobacillus gasseri playing a particularly significant role.The lactic acid produced by these bacteria maintains the acidic environment of the vagina, which inhibits the multiplication of pathogenic bacteria.In the event of a dysbiotic vaginal microbiota, as observed in cases of bacterial vaginosis or anaerobic bacteria, a localised pro-inflammatory response is initiated, accompanied by a notable elevation in the levels of inflammatory biochemical markers, including IL-1, IL-6 and TNF-

Current Pharmaceutical Design, 2011

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These may indicate rare but serious complications such as ileus or bowel obstruction