2013
DOI: 10.1111/jmp.12090
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Impact of a hormone‐releasing intrauterine system on the vaginal microbiome: a prospective baboon model

Abstract: Background Use of a levonorgestrel-releasing intrauterine system (LNG-IUS) in humans may alter vaginal microbial populations and susceptibility to pathogens. This study evaluated the time-dependent effects of an LNG-IUS on the vaginal microbiome of the baboon, a useful animal model for reproductive studies. Methods LNG-IUS were inserted into three reproductively mature, female baboons. The animals were evaluated for six months by physical examination and Gram-stained cytology. The vaginal microbiota was char… Show more

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Cited by 22 publications
(35 citation statements)
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“…Even though there was considerable intraspecific variation of vaginal microbiomes among NHPs in this study (alpha diversity, Supplementary Table S1) and others (Rivera et al, 2010;Hashway et al, 2014), interspecific differences exceed intraspecific diversity. Despite exhibiting the lowest richness, the human vaginal microbiome showed a significantly broader degree of dispersion in beta diversity (Supplementary Figure S6), suggesting the presence of individuals with highly distinct microbial compositions within this group.…”
Section: Discussionmentioning
confidence: 51%
“…Even though there was considerable intraspecific variation of vaginal microbiomes among NHPs in this study (alpha diversity, Supplementary Table S1) and others (Rivera et al, 2010;Hashway et al, 2014), interspecific differences exceed intraspecific diversity. Despite exhibiting the lowest richness, the human vaginal microbiome showed a significantly broader degree of dispersion in beta diversity (Supplementary Figure S6), suggesting the presence of individuals with highly distinct microbial compositions within this group.…”
Section: Discussionmentioning
confidence: 51%
“…The differences between humans and NHPs include the vaginal pH (acidic in humans (pH < 4.5)22 and acidic-alkaline in baboons (pH = 5.5–6.524), the anatomy of the utero-cervical junction (sharp anterflexio in women compared to “scarcely noticeable” ventroflexio in baboons)25, and increased diversity of microbial communities in baboons compared to humans24. Interestingly, microbial diversity in primates is determined by the size of the vagina (or baculum length)8.…”
Section: Discussionmentioning
confidence: 99%
“…Baboons have already been used on a wide variety of reproductive studies, including pregnancy [40, 41, 42, 43,] fetal development [44, 45,] pharmacokinetics of compounds in pregnancy [46, 47,] abortifactant drugs [48,]nutrient restriction and the maternal/fetal relationship [49,] genetics [50,] endometriosis [51, 52,] hormonal [14, 16, 21, 53, 54, 55, 56,] temporary contraception [57, 58,] embryonic stem cells and ART [13,] pathology [59, 60,] and permanent contraception [18.] Their temperament and similarities to human anatomy warrant their continued use for reproductive studies.…”
Section: Discussionmentioning
confidence: 99%