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doi: 10.1136/gutjnl-2024-332491 22 ZhaoJHuYPengJ

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Figure 1 2.3 Factors influencing vaginal microbiota The normal function of VMB is influenced by various factors, including ethnicity, genetic background, epigenetic changes, multiple pregnancies, lifestyle, hygiene habits, infections, antibiotic use, age at first sexual intercourse, number of sexual partners, smoking, and long-term use of contraceptives and hormonal medications ( Lactobacillus -dominated VMB occurred in 80.2% and 89.7% of cases, respectively, while in black and Hispanic women, it occurred in 59.6% and 61.9% of cases, respectively (Ravel et al., 2011)