Education > Article > Vaginal EcologiX: Your New Clinical Tool

Vaginal EcologiX: Your New Clinical Tool

Learn about your new clinical tool: Vaginal EcologiX Vaginal Health & Microbiome Profile


Vaginal EcologiX™ | Host-Microbiome Analysis

The vaginal microbiome is a key ecosystem, which is host to over 200 species of microorganisms. Unlike other microbiota sites, the vagina is extremely dynamic and is affected by numerous host factors including age, ethnic background, sexual intercourse, changes in hormone levels during pregnancy, menstruation and menopause, genital infections and personal hygiene.

Due to its extensive interaction and cross-talk with host immune responses, small fluctuations in the vaginal microbiota can impact vaginal health significantly. The disruption of homeostasis, termed dysbiosis, has been linked to a multitude of conditions, including bacterial vaginosis (BV), miscarriages, preterm delivery, pelvic inflammatory disease (PID) and increased risk of sexually transmitted infections (STIs).

Analysis and monitoring of the vaginal microbiota is therefore extremely important for health and can be used to inform intervention plans and lifestyle factors.

vaginal ecosystem
Figure 1: Dysbiosis in the vaginal microbiota. Disruption of vaginal Lactobacillus species may result in colonisation and overgrowth of strictly anaerobic bacteria including Prevotella bivia and Gardnerella. Overgrowth of strict anaerobes results in increased levels of pro-inflammatory cytokines, reduced production of lactic acid, reduced production of antimicrobial peptides and thus, pathogen colonisation and epithelial injury. Adapted from Aldunate et al (2015).
The Vaginal EcologiX™ Profile

Methodology:
The profile uses two technologies: quantitative real-time PCR is (q-RT-PCR) is used to quantify the abundance of microbial genes. Enzyme-linked immunosorbent assays (ELISA) are used for the quantification of host proteins

For microbiota composition analysis, the technology detects:

  • Abundance of four key Lactobacillus species (markers for vaginal health)
  • Abundance of strictly anaerobic bacteria (associated with dysbiosis)
  • Abundance of enteric bacteria including Escherichia coli and Staphylococcus aureus (associated with aerobic vaginitis)
  • Abundance of BV-associated bacteria including Gardnerella, Prevotella and Megasphaeraspecies
For host biomarker analysis, the technology detects:
  • pH
  • IL-1β (pro-inflammatory cytokine)

Dependent on microbiota composition and host biomarkers, the profile will report three different states:

  • Healthy vaginal microbiota (homeostasis)
  • Vaginal dysbiosis (microbiota profile and/or host marker profile)

 


Materials & Support

Female EcologiX

Downloads:
Sample report
Interpretive guide
Clinical matrix
Clinical considerations (logged-in only)

Consultations:
We offer complimentary consults with our clinical education team. You can book these from your account dashboard.

 


Relevant Education
Female Ecology: The Menopausal Vagina

Strategies to question, support, and address vaginal health in menopause.
1 hour webinar
→ watch

Female Ecology Mastercourse

Master female ecology in clinical practice with our online 6-week course.
9 hours over 6 classes
→ watch

Related Articles

Microbiome 101, Microbiome Basics, Vaginal Microbiome
The Vaginal Microbiome and it's Role in Conception

Vaginal EcologiX™ | Host-Microbiome Analysis The vaginal microbiome is a key ecosystem, which is host to over 200 species of microorganisms. Unlike other microbiota sites, the vagina is extremely dynamic and is ...

Hormones, Vaginal EcologiX™, Vaginal Microbiome
Menopause & The Microbiome

This article focuses on the interplay between the different microbiomes at this life stage with their associated symptoms and conditions. Gaining a deeper appreciation of the gut microbiota-brain axis, gut-vaginal ...

GI Microbiome, Supplements, Vaginal Microbiome
GOS – A Targeted Prebiotic in Your Microbiome Toolkit

With so many different types of prebiotics available, ranging from partially hydrolysed guar gum (PHGG) and galacto-oligosaccharide (GOS) to aronia berry and pomegranate, the clinical question of "which prebiotic?" is ...

1