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Reproductive tract infections research
Research Guide

What is Reproductive tract infections research?

Reproductive tract infections research is the scientific study of infections affecting the reproductive organs, focusing on microbial communities, diagnostic methods, treatment guidelines, and their impacts on reproductive health outcomes such as preterm delivery and infertility.

The field encompasses 102,015 works examining vaginal microbiomes, intrauterine infections, and sexually transmitted diseases in reproductive-age women. Studies like 'Vaginal microbiome of reproductive-age women' (Ravel et al., 2010) analyzed bacterial communities in 396 asymptomatic women across four ethnic groups. Research growth over the past five years is not specified in available data.

102.0K
Papers
N/A
5yr Growth
1.3M
Total Citations

Research Sub-Topics

Why It Matters

Reproductive tract infections research informs clinical guidelines and prevention strategies that reduce preterm delivery risks and HIV transmission in women. For instance, 'Intrauterine Infection and Preterm Delivery' (Goldenberg et al., 2000) established that intrauterine infections contribute to preterm births, which account for 70 percent of perinatal mortality and nearly half of long-term neurologic morbidity, with 10 percent of births being preterm but severe cases in 1 to 2 percent of infants. The CAPRISA 004 trial in 'Effectiveness and Safety of Tenofovir Gel, an Antiretroviral Microbicide, for the Prevention of HIV Infection in Women' (Abdool Karim et al., 2010) demonstrated tenofovir gel's efficacy in preventing HIV acquisition in sub-Saharan African women. CDC guidelines such as 'Sexually Transmitted Diseases Treatment Guidelines, 2006' (Skolnik, 2007) and 'Sexually transmitted diseases treatment guidelines (2015)' (Workowski and Bolan, 2015) standardize STI treatments nationwide, addressing complications like pelvic inflammatory disease.

Reading Guide

Where to Start

'Vaginal microbiome of reproductive-age women' (Ravel et al., 2010) because it provides foundational characterization of healthy vaginal bacterial communities in 396 women across ethnic groups, essential for understanding infection baselines.

Key Papers Explained

'DADA2: High-resolution sample inference from Illumina amplicon data' (Callahan et al., 2016) establishes computational tools for microbiome analysis, enabling precise studies like 'Vaginal microbiome of reproductive-age women' (Ravel et al., 2010), which profiles communities in asymptomatic women. This builds to 'Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns' (Domínguez-Bello et al., 2010) linking maternal microbes to neonatal health, and 'The Placenta Harbors a Unique Microbiome' (Aagaard et al., 2014) extending to intrauterine contexts. 'Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation' (Nugent et al., 1991) complements with diagnostic standardization.

Paper Timeline

100%
graph LR P0["Reliability of diagnosing bacter...
1991 · 3.3K cites"] P1["1993 Revised Classification Syst...
1993 · 4.4K cites"] P2["Sexually Transmitted Diseases Tr...
2007 · 3.1K cites"] P3["Delivery mode shapes the acquisi...
2010 · 4.6K cites"] P4["Vaginal microbiome of reproducti...
2010 · 4.0K cites"] P5["Sexually transmitted diseases tr...
2015 · 2.7K cites"] P6["DADA2: High-resolution sample in...
2016 · 33.0K cites"] P0 --> P1 P1 --> P2 P2 --> P3 P3 --> P4 P4 --> P5 P5 --> P6 style P6 fill:#DC5238,stroke:#c4452e,stroke-width:2px
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Most-cited paper highlighted in red. Papers ordered chronologically.

Advanced Directions

Recent preprints examine disrupted cervicovaginal microbiota in Chlamydia trachomatis infections and their reproductive outcomes, alongside cohort studies of vaginal microbiomes with STIs in 6217 Chinese women. News highlights Gates Foundation funding for randomized controlled trials on STI screening versus syndromic management in sub-Saharan Africa, targeting PID risks.

Papers at a Glance

# Paper Year Venue Citations Open Access
1 DADA2: High-resolution sample inference from Illumina amplicon... 2016 Nature Methods 33.0K
2 Delivery mode shapes the acquisition and structure of the init... 2010 Proceedings of the Nat... 4.6K
3 1993 Revised Classification System for HIV Infection and Expan... 1993 Clinical Infectious Di... 4.4K
4 Vaginal microbiome of reproductive-age women 2010 Proceedings of the Nat... 4.0K
5 Reliability of diagnosing bacterial vaginosis is improved by a... 1991 Journal of Clinical Mi... 3.3K
6 Sexually Transmitted Diseases Treatment Guidelines, 2006 2007 Humana Press eBooks 3.1K
7 Sexually transmitted diseases treatment guidelines (2015) 2015 Reproductive Endocrino... 2.7K
8 Intrauterine Infection and Preterm Delivery 2000 New England Journal of... 2.5K
9 Effectiveness and Safety of Tenofovir Gel, an Antiretroviral M... 2010 Science 2.4K
10 The Placenta Harbors a Unique Microbiome 2014 Science Translational ... 2.4K

In the News

Randomized Controlled Trial on STI Infections

Jul 2025 gcgh.grandchallenges.org

This Grand Challenge on Randomized Controlled Trial on Sexually Transmitted Infections (STIs) and Reproductive Tract Sequelae in Non-Pregnant Women aims to fill critical gaps in understanding of th...

Gates Foundation issues Grand Challenge for randomized controlled trial on sexually transmitted infections

Jun 2025 philanthropynewsdigest.org Candid

organizations to conduct a randomized controlled trial in sub-Saharan Africa comparing STI screening and standard of care syndromic management. The primary outcome of this study should be PID, with...

CFPs: Randomized Controlled Trial on STIs and Reproductive Tract Sequelae in Non-Pregnant Women Grand Challenge

Jun 2025 www2.fundsforngos.org fundsforNGOs

This Grand Challenge on Randomized Controlled Trial on Sexually Transmitted Infections (STIs) and Reproductive Tract Sequelae in Non-Pregnant Women aims to fill critical gaps in understanding of th...

Vaginal microbiome and sexually-transmitted pathogens in Chinese reproductive-age women: a multicentre cross-sectional and longitudinal cohort study

Nov 2025 nature.com

Sexually transmitted infections (STIs) are associated with vaginal dysbiosis, and co-infections are common but understudied. In this study, 6217 reproductive-age women are recruited from 38 study c...

New Funding to Catalyze Women's Health Research, ...

Aug 2025 gatesfoundation.org

Areas of breakthrough potential include research into the vaginal microbiome, first-in-class therapeutics for preeclampsia, and non-hormonal contraception. Included in the commitment are investment...

Code & Tools

Recent Preprints

Latest Developments

Recent developments in reproductive tract infections research include advances in understanding the vaginal microbiome's role in health and disease, with studies highlighting how a balanced microbiome can prevent infections and improve pregnancy outcomes (BBC, 11/26/2025; Frontiers, 08/2022). Additionally, research emphasizes the significance of microbiome dysbiosis in gynecological diseases (Frontiers, 02/18/2025) and ongoing investigations into sexually transmitted infections and their impact on reproductive health (WHO), 09/2025; CDC, 09/17/2025).

Frequently Asked Questions

What role does the vaginal microbiome play in reproductive tract infections?

The vaginal microbiome in reproductive-age women consists of bacterial communities that vary by ethnicity, with Lactobacillus dominance helping prevent urogenital diseases. 'Vaginal microbiome of reproductive-age women' (Ravel et al., 2010) characterized communities in 396 asymptomatic North American women across white, black, Hispanic, and Asian groups. Dysbiosis contributes to infections like bacterial vaginosis and increased STI susceptibility.

How does delivery mode affect the newborn microbiota?

Delivery mode shapes the initial microbiota acquisition across multiple newborn body habitats from maternal sources. 'Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns' (Domínguez-Bello et al., 2010) showed distinct microbial profiles in vaginally delivered versus cesarian-section newborns. This influences early child health outcomes related to maternal reproductive tract microbes.

What is the standard method for diagnosing bacterial vaginosis?

A standardized Gram stain interpretation improves reliability in diagnosing bacterial vaginosis from vaginal smears. 'Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation' (Nugent et al., 1991) evaluated intercenter variability and established morphotype scoring. This method enhances consistency in pregnant women assessments.

How do intrauterine infections link to preterm delivery?

Intrauterine infections are a major cause of preterm delivery, accounting for significant perinatal mortality. 'Intrauterine Infection and Preterm Delivery' (Goldenberg et al., 2000) reported preterm births represent 10 percent of all births but concentrate severe illness in 1 to 2 percent of infants. Infections drive 70 percent of perinatal mortality and half of neurologic morbidity.

What are key CDC guidelines for STI treatment?

CDC guidelines provide standardized treatments for sexually transmitted diseases. 'Sexually Transmitted Diseases Treatment Guidelines, 2006' (Skolnik, 2007) summarizes care standards issued in August 2006. The 2015 update in 'Sexually transmitted diseases treatment guidelines (2015)' (Workowski and Bolan, 2015) refines recommendations post-expert consultation.

What diagnostic tools are used in reproductive tract infection research?

DADA2 enables high-resolution inference of microbial samples from Illumina amplicon data. 'DADA2: High-resolution sample inference from Illumina amplicon data' (Callahan et al., 2016) provides a method for accurate microbiome analysis with 33,035 citations. It supports studies of vaginal and placental microbiomes in reproductive health.

Open Research Questions

  • ? How does cervicovaginal microbiota disruption influence Chlamydia trachomatis infection outcomes like pelvic inflammatory disease and infertility across countries?
  • ? What are the long-term reproductive sequelae of untreated STIs in non-pregnant women, including risks of PID?
  • ? How do co-infections of STIs and vaginal dysbiosis vary in large cohorts of reproductive-age women?
  • ? What host and microbial factors from metagenomic sequencing best diagnose lower respiratory tract infections in contexts overlapping reproductive health research?
  • ? How does the placental microbiome interact with intrauterine infections to affect preterm delivery mechanisms?

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