The Uterus, The Fallopian Tues, and The Ovaries Are Apparently Not A Sterile Environments

In a fascinating look at the environment of the uterus and fallopian tubes at the time of hysterectomy, it is now discovered that the uterus is not a sterile environment. Dr. Shana Miles of Walter Reed Hospital. We have long ago known that the microbiologic environment of the vagina is extremely important to maintaining health. It has been shown that we all have unique types and number of bacteria in the vagina. They vary by age, by our health, by medical treatments such as antibiotic use, and the numbers and types of bacteria in the vagina even seem to have an ethnic component. And ways to improve the bacterial environment are part of routine gynecologic care, although we now have new ways to improve these colonies as well, including the MonaLisa Vaginal Procedure. In the paper Dr Miles presented at the ACOG Annual Clinical Meeting the results of cultures of the uterus, the fallopian tubes, and the ovaries were shown to have bacteria in 90% of the samples! It is true that the types of bacteria and fungi seen differed between what is know as the lower genital tract (the vagina and vulva) verses the upper tract which includes the uterus, the fallopian tubes, and the ovaries. Much work now will have to be done on the medical implications of these new findings.

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