Investigating Microbial Dynamics and Bacterial Vaginosis Susceptibility in Women who have Sex with Women

Abstract

Bacterial Vaginosis (BV) remains a prevalent gynecologic health concern, with emerging research indicating a potential association between women who have sex with women (WSW) and an increased susceptibility to BV infections. Recent studies have explored the microbial dynamics within the vaginal microbiota of WSW, revealing distinct patterns that may contribute to a higher incidence of BV in this population. The etiological factors underlying this susceptibility include disruptions in the balance of Lactobacillus species, crucial for maintaining vaginal health. However, the existing literature presents a complex interplay of socio-behavioral and biological factors influencing BV risk among WSW, necessitating further investigation. Future research should strive to gain a more comprehensive understanding of the specific mechanisms influencing microbial communities in the context of same-sex sexual activity among women, exploring potential preventive strategies and tailored interventions to mitigate BV risks in this population. Our review highlights the need for a refined and multidisciplinary approach to address the intricacies of BV susceptibility in women engaging in same-sex relationships.