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1 Introduction The vaginal microbial community is complex and dynamic, consisting of a group of bacteria typically characterized by abundant Lactobacilli that evolve during the life of the woman, depending on age, hormonal estrogen levels, sexual practices and the environment ( BV is a dysbiosis of the vaginal microbiota characterized by a shift from Lactobacilli dominance to that of a mixture of various anaerobic bacteria ( 2 Normal Healthy Vaginal Flora The vaginal ecosystem is colonized from the very first hours of the birth of a female and remains throughout her life until death ( 8 to 10 9 bacterial cells per mL ( 2.1 Composition of Normal Vaginal Flora The vaginal flora was first described by the German gynecologist Albert Dderlein in 1892, who reported a homogeneous vaginal flora of gram-positive bacilli in healthy women ( Lactobacillus genus by Beijerink in 1901 ( Lactobacilli ( Lactobacillus species with standing in the nomenclature, over 20 species have been found in the vaginal flora ( Lactobacilli , is classified into five groups named community state types, namely I, II, III, IV and V ( Lactobacillus

The effects of smoking on lung health include: Reduced Lung Function : Smoking damages lung tissue, making it less efficient at oxygen exchange

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