Skip to main content
. 2021 Feb 16;11(2):148. doi: 10.3390/life11020148

Table 1.

Major bacterial taxa found at each colonization site of reproductive age women, and their impact on fertility, according to the studies discussed in the review. ART = assisted reproductive technique.

Physiological Bacterial Vaginosis Infertility ART Outcome
Vagina
  • -

    dominated by Lactobacillus spp.

  • -

    Classified into five community state types (CST): CST I (Lactobacillus crispatus predominant), CST II (Lactobacillus gasseri predominant), CST III (Lactobacillus iners predominant), CST IV (non-Lactobacillus spp.). Type IV-A: low proportions of Lactobacillus iners or other Lactobacillus spp., various species of anaerobic bacteria including Anaerococcus, Corynebacterium, Finegoldia, or Streptococcus. Type IV-B: higher proportion of the genus Atopobium, Prevotella, Parvimonas, Sneathia, Gardnerella, Mobiluncus, Peptoniphilus and other taxa. CST V (Lactobacillus jenseri predominant) [28,36,37,38]

  • -

    Prevalence of Gardnerella vaginalis, Mycoplasma hominis, Atopobium vaginale and Mobiluncus curtisii [42,43,44,45]

  • -

    higher bacterial diversity than physiological conditions [29,46]

  • -

    (Chlamydia trachomatis) ascending through the cervix [50,51,52,53]

  • -

    higher percentage of Lactobacillus gasseri, Veillonella spp. and Staphylococci and lower content of Lactobacillus iners and crispatus [57]

  • -

    the diversity of bacterial species and the presence of Lactobacilli on the ET day improved the outcome [58]

Uterus
  • -

    Lactobacillus iners, Lactobacillus crispatus, Prevotella spp. [61]

-
  • -

    Lactobacillus spp. could improve fertility by inhibiting pathogenic bacteria [50,71]

  • -

    uterine microbiota lower in Lactobacillus spp., and non-Lactobacillus spp. dominated was associated with a lower ART success [60] and, on the contrary, Lactobacilli were associated with a negative impact ART outcome [62]