Health
Vaginal health will be one of the main concerns of any woman after reaching puberty. A healthy vagina contains normal bacteria called vaginal flora, which is important to the health and well being of all women.
Vaginal flora:
Vaginal flora of a normal asymptomatic reproductive-aged woman includes multiple aerobic or facultative species as well as obligates anaerobic species. Of these, anaerobes are predominant and outnumber aerobic species at an approx ratio of 10 to 1.
The function of and reason for bacterial colonization of the vagina remains unknown. Bacteria does exist in a symbiotic relationship with the host and are alterable, depending on the microenvironment. These organisms localize where their survival needs are met, and have exemption from the infection-preventing destructive capacity of the host.
Within this vaginal ecosystem, some microorganisms produce substances such as lactic acid and hydrogen peroxide that inhibit non-indigenous organisms. In addition, several other antibacterial compounds, termed bacteriocins, provide a similar role and include peptides such as acidocin and lactacin. Moreover, some species have the ability to produce proteinaceous adhesions and attach to vaginal epithelial cells.
For protection from many of these toxic substances, the vagina secretes leukocyte protease inhibitor. This protein protects local tissues against toxic inflammatory products and infection.
Vaginal pH:
Typically, the vaginal pH ranges between 4 and 4.5. Although not completely understood, it is believed to result from Lactobacillus species’ production of lactic acid, fatty acids, and other organic acids. In addition, amino acid fermentation by anaerobic bacteria results in organic acid production as does bacterial protein catabolism. Glycogen present in healthy vaginal mucosa is believed to provide nutrients for many species in the vaginal ecosystem. Accordingly, as glycogen content within vaginal epithelial cells diminishes after menopause, this decreased substrate for acid production leads to a rise in vaginal pH
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