Page last updated: 2024-10-17

lactic acid and Vaginosis, Bacterial

lactic acid has been researched along with Vaginosis, Bacterial in 34 studies

Lactic Acid: A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed)
2-hydroxypropanoic acid : A 2-hydroxy monocarboxylic acid that is propanoic acid in which one of the alpha-hydrogens is replaced by a hydroxy group.

Vaginosis, Bacterial: Polymicrobial, nonspecific vaginitis associated with positive cultures of Gardnerella vaginalis and other anaerobic organisms and a decrease in lactobacilli. It remains unclear whether the initial pathogenic event is caused by the growth of anaerobes or a primary decrease in lactobacilli.

Research Excerpts

ExcerptRelevanceReference
" Significant reduction of malodorous vaginal discharge (whiff test) and lowest recurrence of BV were noted in the metronidazole plus lactic acid gel arm."5.12Metronidazole with Lactacyd vaginal gel in bacterial vaginosis. ( Co, JT; Dancel, LA; Decena, DC; Lelis, MA; Manalastas, RM; Padolina, CS; Palaypayon, EP; Sison, JM, 2006)
"Lactic acid gel was associated with fewer reported side effects."3.30Intravaginal lactic acid gel versus oral metronidazole for treating women with recurrent bacterial vaginosis: the VITA randomised controlled trial. ( Abdali, Z; Anstey Watkins, J; Armstrong-Buisseret, LK; Brittain, C; Daniels, J; David, M; Dean, G; Griffiths, F; Hepburn, TM; Jackson, L; Kai, J; Manley, A; Montgomery, A; Ozolins, M; Ross, JDC, 2023)
"Lactic acid gel was less cost-effective than metronidazole."3.11Lactic acid gel versus metronidazole for recurrent bacterial vaginosis in women aged 16 years and over: the VITA RCT. ( Abdali, Z; Anstey Watkins, J; Armstrong-Buisseret, L; Brittain, C; Daniels, J; David, M; Dean, G; Griffiths, F; Hepburn, T; Jackson, L; Kai, J; Manley, A; Montgomery, A; Ozolins, M; Ross, JD, 2022)
"'Metronidazole Versus lactic acId for Treating bacterial vAginosis' (VITA) is a UK-based randomised controlled trial assessing clinical and cost-effectiveness of topical lactic acid gel compared to oral metronidazole antibiotic for treating second and subsequent BV episodes."2.90Acceptability of and treatment preferences for recurrent bacterial vaginosis-Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial. ( Anstey Watkins, J; Brittain, C; Griffiths, F; Kai, J; Ross, JDC; Thandi, S, 2019)
" No adverse events related to the investigational product occurred."2.82Rationale and Safety Assessment of a Novel Intravaginal Drug-Delivery System with Sustained DL-Lactic Acid Release, Intended for Long-Term Protection of the Vaginal Microbiome. ( Remon, JP; Verstraelen, H; Vervaet, C, 2016)
"Lactic acid has properties that may make it effective for treating BV and/or restoring an optimal lactobacillus-dominated vaginal microbiota."2.72Lactic acid-containing products for bacterial vaginosis and their impact on the vaginal microbiota: A systematic review. ( Bateson, D; Bradshaw, CS; Doyle, M; Fairley, CK; Masson, L; Murray, GL; Plummer, EL; Slifirski, J; Tachedjian, G; Vodstrcil, LA, 2021)
"To evaluate the effect of treatment of bacterial vaginosis with the product Arilin rapid containing vaginal Metronidazole in high doses and a following vaginal application of lactic acid in a part of the patients."2.70[Treatment of bacterial vaginosis with high dosage metronidazole and lactic acid]. ( Andreeva, P; Kovachev, S; Nacheva, A; Slavchev, B; Vacheva, R, 2002)
"During bacterial vaginosis (BV), populations of lactobacilli which are generally dominant in the vagina of overtly healthy women are replaced by other facultative and anaerobic microorganisms."2.40Microbial interactions in the vaginal ecosystem, with emphasis on the pathogenesis of bacterial vaginosis. ( Onderdonk, AB; Pybus, V, 1999)
"Lactic acid (LA) is a major organic acid metabolite produced by vaginal lactobacilli that elicits anti-inflammatory effects from cervicovaginal epithelial cells and is dramatically depleted during BV."1.51Distinct Immune Responses Elicited From Cervicovaginal Epithelial Cells by Lactic Acid and Short Chain Fatty Acids Associated With Optimal and Non-optimal Vaginal Microbiota. ( Delgado-Diaz, DJ; Gugasyan, R; Hayward, JA; Hearps, AC; Tachedjian, G; Tyssen, D, 2019)
"Glycogen levels were significantly lower in both rhesus (median=0."1.38A comparison of lower genital tract glycogen and lactic acid levels in women and macaques: implications for HIV and SIV susceptibility. ( Gilbert, D; Kendrick, SR; Mirmonsef, P; Spear, GT; Veazey, RS; Wang, J, 2012)
"Bacterial vaginosis is a common condition associated with increased risk of sexually transmitted diseases, including human immunodeficiency virus infections."1.33Reversible deficiency of antimicrobial polypeptides in bacterial vaginosis. ( Ganz, T; Valore, EV; Wiley, DJ, 2006)
"3."1.31[Application of 2% clindamycin cream in the treatment of bacterial vaginosis and valuation of methylcellulose gel containing the complex of Chitosan F and PVP k-90 with lactic acid as carrier for intravaginally adhbited medicines in the cases of pregnanci ( Heimrath, J; Hirnle, G; Hirnle, L; Kłósek, A; Małolepsza-Jarmołowska, K; Woytoń, J, 2001)

Research

Studies (34)

TimeframeStudies, this research(%)All Research%
pre-19901 (2.94)18.7374
1990's2 (5.88)18.2507
2000's8 (23.53)29.6817
2010's16 (47.06)24.3611
2020's7 (20.59)2.80

Authors

AuthorsStudies
Armstrong-Buisseret, L2
Brittain, C4
Kai, J4
David, M3
Anstey Watkins, J3
Ozolins, M2
Jackson, L3
Abdali, Z2
Hepburn, T2
Griffiths, F4
Montgomery, A3
Daniels, J2
Manley, A2
Dean, G3
Ross, JD1
Kerry-Barnard, S1
Zhou, L1
Phillips, L1
Furegato, M1
Witney, AA1
Sadiq, ST1
Oakeshott, P1
Mahmoud, MY1
Wesley, M1
Kyser, A1
Lewis, WG1
Lewis, AL1
Steinbach-Rankins, JM1
Frieboes, HB1
Ross, JDC3
Hepburn, TM1
Armstrong-Buisseret, LK1
Thandi, S2
Roberts, T1
Delgado-Diaz, DJ1
Tyssen, D1
Hayward, JA1
Gugasyan, R1
Hearps, AC1
Tachedjian, G2
Happel, AU1
Kullin, B1
Gamieldien, H1
Wentzel, N1
Zauchenberger, CZ1
Jaspan, HB1
Dabee, S1
Barnabas, SL1
Jaumdally, SZ1
Dietrich, J1
Gray, G1
Bekker, LG1
Froissart, R1
Passmore, JS1
Nunn, KL1
Clair, GC1
Adkins, JN1
Engbrecht, K1
Fillmore, T1
Forney, LJ1
Plummer, EL1
Bradshaw, CS1
Doyle, M1
Fairley, CK1
Murray, GL1
Bateson, D1
Masson, L1
Slifirski, J1
Vodstrcil, LA1
Verstraete, G1
Vandenbussche, L1
Kasmi, S1
Nuhn, L1
Brouckaert, D1
Van Renterghem, J1
Grymonpré, W1
Vanhoorne, V1
Coenye, T1
De Geest, BG1
De Beer, T1
Remon, JP2
Vervaet, C2
Laghi, L1
Picone, G1
Cruciani, F1
Brigidi, P1
Calanni, F1
Donders, G1
Capozzi, F1
Vitali, B1
Beghini, J3
Linhares, IM3
Giraldo, PC3
Ledger, WJ2
Witkin, SS4
Nasioudis, D1
Bongiovanni, AM1
Abdelmaksoud, AA1
Koparde, VN1
Sheth, NU1
Serrano, MG1
Glascock, AL1
Fettweis, JM1
Strauss, JF1
Buck, GA1
Jefferson, KK1
Verstraelen, H1
Santos, CMA1
Pires, MCV1
Leão, TL1
Hernández, ZP1
Rodriguez, ML1
Martins, AKS1
Miranda, LS1
Martins, FS1
Nicoli, JR1
Garg, KB1
Ganguli, I1
Kriplani, A1
Lohiya, NK1
Thulkar, J1
Talwar, GP1
Atassi, F2
Servin, AL2
Malinova, M1
Mirmonsef, P1
Gilbert, D1
Veazey, RS1
Wang, J1
Kendrick, SR1
Spear, GT1
O'Hanlon, DE1
Moench, TR1
Cone, RA1
Andreeva, P1
Slavchev, B1
Kovachev, S1
Nacheva, A1
Vacheva, R1
MERFERT, K1
Tansupasiri, A1
Puangsricharern, A1
Itti-arwachakul, A1
Asavapiriyanont, S1
Decena, DC1
Co, JT1
Manalastas, RM1
Palaypayon, EP1
Padolina, CS1
Sison, JM1
Dancel, LA1
Lelis, MA1
Valore, EV1
Wiley, DJ1
Ganz, T1
Brassart, D1
Grob, P1
Graf, F1
Hirnle, L2
Małolepsza-Jarmołowska, K2
Kubis, AA1
Hirnle, P1
Donders, GG1
Desmyter, J1
Vereecken, A1
Pybus, V1
Onderdonk, AB1
Heimrath, J1
Woytoń, J1
Kłósek, A1
Hirnle, G1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase I Trial Evaluating the Safety of a Lactate Releasing Vaginal Ring for the Prophylaxis of Bacterial Vaginosis[NCT02314429]Phase 16 participants (Actual)Interventional2014-09-30Completed
The Human Microbiome in pPROM, Preterm Birth and the Neonatal Infant: a Prospective Longitudinal Pilot-study[NCT04489056]100 participants (Anticipated)Observational2020-07-27Recruiting
Host Response to Pessaries in Microbial Communities of the Postmenopausal[NCT02605135]84 participants (Actual)Observational2016-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for lactic acid and Vaginosis, Bacterial

ArticleYear
Lactic acid-containing products for bacterial vaginosis and their impact on the vaginal microbiota: A systematic review.
    PloS one, 2021, Volume: 16, Issue:2

    Topics: Administration, Intravaginal; Female; Humans; Lactic Acid; Microbiota; Publication Bias; Risk; Vagin

2021
The vaginal microbiome, vaginal anti-microbial defence mechanisms and the clinical challenge of reducing infection-related preterm birth.
    BJOG : an international journal of obstetrics and gynaecology, 2015, Volume: 122, Issue:2

    Topics: Female; Humans; Hydrogen-Ion Concentration; Lactic Acid; Lactobacillus; Microbiota; Premature Birth;

2015
Microbial interactions in the vaginal ecosystem, with emphasis on the pathogenesis of bacterial vaginosis.
    Microbes and infection, 1999, Volume: 1, Issue:4

    Topics: Antibiosis; Bacterial Physiological Phenomena; Ecosystem; Female; Humans; Hydrogen Peroxide; Hydroge

1999

Trials

8 trials available for lactic acid and Vaginosis, Bacterial

ArticleYear
Lactic acid gel versus metronidazole for recurrent bacterial vaginosis in women aged 16 years and over: the VITA RCT.
    Health technology assessment (Winchester, England), 2022, Volume: 26, Issue:2

    Topics: Adolescent; Cost-Benefit Analysis; Female; Humans; Lactic Acid; Metronidazole; Quality of Life; Tech

2022
Intravaginal lactic acid gel versus oral metronidazole for treating women with recurrent bacterial vaginosis: the VITA randomised controlled trial.
    BMC women's health, 2023, 05-09, Volume: 23, Issue:1

    Topics: Ambulatory Care Facilities; Drug-Related Side Effects and Adverse Reactions; Female; Humans; Lactic

2023
Acceptability of and treatment preferences for recurrent bacterial vaginosis-Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial.
    PloS one, 2019, Volume: 14, Issue:11

    Topics: Administration, Oral; Administration, Topical; Adult; Anti-Bacterial Agents; Female; Gels; Humans; L

2019
Metronidazole versus lactic acid for treating bacterial vaginosis (VITA): protocol for a randomised controlled trial to assess the clinical and cost effectiveness of topical lactic acid gel for treating second and subsequent episodes of bacterial vaginosi
    Trials, 2019, Nov-27, Volume: 20, Issue:1

    Topics: Administration, Intravaginal; Anti-Bacterial Agents; Comparative Effectiveness Research; Cost-Benefi

2019
Exploring potential of vaginal Lactobacillus isolates from South African women for enhancing treatment for bacterial vaginosis.
    PLoS pathogens, 2020, Volume: 16, Issue:6

    Topics: Adolescent; Adult; Bacteroidaceae Infections; Clindamycin; Drug Resistance, Bacterial; Female; Gardn

2020
Rationale and Safety Assessment of a Novel Intravaginal Drug-Delivery System with Sustained DL-Lactic Acid Release, Intended for Long-Term Protection of the Vaginal Microbiome.
    PloS one, 2016, Volume: 11, Issue:4

    Topics: Administration, Intravaginal; Adult; Delayed-Action Preparations; Drug Delivery Systems; Female; Hum

2016
[Treatment of bacterial vaginosis with high dosage metronidazole and lactic acid].
    Akusherstvo i ginekologiia, 2002, Volume: 41, Issue:5

    Topics: Administration, Intravaginal; Anti-Infective Agents; Female; Humans; Lactic Acid; Metronidazole; Vag

2002
Metronidazole with Lactacyd vaginal gel in bacterial vaginosis.
    The journal of obstetrics and gynaecology research, 2006, Volume: 32, Issue:2

    Topics: Adult; Anti-Infective Agents; Drug Combinations; Female; Humans; Hydrogen-Ion Concentration; Immune

2006

Other Studies

23 other studies available for lactic acid and Vaginosis, Bacterial

ArticleYear
Vaginal microbiota in ethnically diverse young women who did or did not develop pelvic inflammatory disease: community-based prospective study.
    Sexually transmitted infections, 2022, Volume: 98, Issue:7

    Topics: Adult; Female; Humans; Lactic Acid; Microbiota; Pelvic Inflammatory Disease; Prospective Studies; RN

2022
Lactobacillus crispatus-loaded electrospun fibers yield viable and metabolically active bacteria that kill Gardnerella in vitro.
    European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V, 2023, Volume: 187

    Topics: Anti-Bacterial Agents; Bacteria; Female; Gardnerella; Gardnerella vaginalis; Humans; Lactic Acid; La

2023
Distinct Immune Responses Elicited From Cervicovaginal Epithelial Cells by Lactic Acid and Short Chain Fatty Acids Associated With Optimal and Non-optimal Vaginal Microbiota.
    Frontiers in cellular and infection microbiology, 2019, Volume: 9

    Topics: Anti-Inflammatory Agents; Chemokines; Cytokines; Epithelial Cells; Fatty Acids, Volatile; Female; HI

2019
Amylases in the Human Vagina.
    mSphere, 2020, 12-09, Volume: 5, Issue:6

    Topics: Adult; alpha-Amylases; Female; Glycogen; Humans; Hydrogen-Ion Concentration; Lactic Acid; Lactobacil

2020
Thermoplastic polyurethane-based intravaginal rings for prophylaxis and treatment of (recurrent) bacterial vaginosis.
    International journal of pharmaceutics, 2017, Aug-30, Volume: 529, Issue:1-2

    Topics: Administration, Intravaginal; Drug Delivery Systems; Drug Liberation; Female; Humans; Lactic Acid; M

2017
Rifaximin modulates the vaginal microbiome and metabolome in women affected by bacterial vaginosis.
    Antimicrobial agents and chemotherapy, 2014, Volume: 58, Issue:6

    Topics: Acetic Acid; Adult; Anti-Bacterial Agents; Female; Gardnerella vaginalis; Humans; Lactic Acid; Lacto

2014
Differential expression of lactic acid isomers, extracellular matrix metalloproteinase inducer, and matrix metalloproteinase-8 in vaginal fluid from women with vaginal disorders.
    BJOG : an international journal of obstetrics and gynaecology, 2015, Volume: 122, Issue:12

    Topics: Adult; Basigin; Body Fluids; Brazil; Candidiasis, Vulvovaginal; Cross-Sectional Studies; Enzyme-Link

2015
Neutrophil Gelatinase-Associated Lipocalin Concentration in Vaginal Fluid: Relation to Bacterial Vaginosis and Vulvovaginal Candidiasis.
    Reproductive sciences (Thousand Oaks, Calif.), 2015, Volume: 22, Issue:8

    Topics: Acute-Phase Proteins; Adult; Biomarkers; Body Fluids; Candidiasis, Vulvovaginal; Case-Control Studie

2015
α-Amylase in Vaginal Fluid: Association With Conditions Favorable to Dominance of Lactobacillus.
    Reproductive sciences (Thousand Oaks, Calif.), 2015, Volume: 22, Issue:11

    Topics: Acute-Phase Proteins; Adult; alpha-Amylases; Candidiasis, Vulvovaginal; Case-Control Studies; Epithe

2015
Comparison of Lactobacillus crispatus isolates from Lactobacillus-dominated vaginal microbiomes with isolates from microbiomes containing bacterial vaginosis-associated bacteria.
    Microbiology (Reading, England), 2016, Volume: 162, Issue:3

    Topics: Bacteriophages; DNA, Bacterial; Female; Genetic Variation; Genome, Bacterial; Humans; Lactic Acid; L

2016
Selection of Lactobacillus strains as potential probiotics for vaginitis treatment.
    Microbiology (Reading, England), 2016, Volume: 162, Issue:7

    Topics: Anti-Infective Agents; Apoptosis; Bacterial Adhesion; Biofilms; Candida albicans; Candidiasis, Vulvo

2016
Metabolic properties of lactobacilli in women experiencing recurring episodes of bacterial vaginosis with vaginal pH >or= 5.
    European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2010, Volume: 29, Issue:1

    Topics: Adult; Female; Humans; Hydrogen-Ion Concentration; Lactic Acid; Lactobacillus; Recurrence; Vagina; V

2010
Individual and co-operative roles of lactic acid and hydrogen peroxide in the killing activity of enteric strain Lactobacillus johnsonii NCC933 and vaginal strain Lactobacillus gasseri KS120.1 against enteric, uropathogenic and vaginosis-associated pathog
    FEMS microbiology letters, 2010, Volume: 304, Issue:1

    Topics: Anti-Bacterial Agents; Antibiosis; Drug Synergism; Enterobacteriaceae; Female; Gardnerella vaginalis

2010
[Lactobor Intim vaginal gel for the treatment and prevention of bacterial vaginosis].
    Akusherstvo i ginekologiia, 2009, Volume: 48 Suppl 2

    Topics: Anti-Bacterial Agents; Female; Humans; Hydrogen-Ion Concentration; Lactic Acid; Vagina; Vaginal Crea

2009
A comparison of lower genital tract glycogen and lactic acid levels in women and macaques: implications for HIV and SIV susceptibility.
    AIDS research and human retroviruses, 2012, Volume: 28, Issue:1

    Topics: Animals; Disease Susceptibility; Female; Glycogen; HIV Antibodies; HIV Infections; HIV-1; Humans; La

2012
In vaginal fluid, bacteria associated with bacterial vaginosis can be suppressed with lactic acid but not hydrogen peroxide.
    BMC infectious diseases, 2011, Jul-19, Volume: 11

    Topics: Adolescent; Adult; Anaerobiosis; Anti-Bacterial Agents; Bacteria; Colony Count, Microbial; Female; H

2011
[Therapy of nonspecific colpitis in medical practice].
    Die Medizinische, 1958, Dec-06, Volume: 32, Issue:49

    Topics: Carbohydrates; Female; Humans; Lactic Acid; Stilbenes; Vaginitis; Vaginosis, Bacterial; Vulvovaginit

1958
Satisfaction and tolerability of combination of lactoserum and lactic acid on the external genitalia in Thai women.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2005, Volume: 88, Issue:12

    Topics: Adult; Aged; Drug Combinations; Female; Genitalia, Female; Humans; Hydrogen-Ion Concentration; Immun

2005
Reversible deficiency of antimicrobial polypeptides in bacterial vaginosis.
    Infection and immunity, 2006, Volume: 74, Issue:10

    Topics: Adult; Antimicrobial Cationic Peptides; beta-Defensins; Body Fluids; Cytokines; Female; Gardnerella

2006
Lactobacillus strains isolated from the vaginal microbiota of healthy women inhibit Prevotella bivia and Gardnerella vaginalis in coculture and cell culture.
    FEMS immunology and medical microbiology, 2006, Volume: 48, Issue:3

    Topics: Anti-Bacterial Agents; Bacterial Adhesion; Coculture Techniques; Female; Gardnerella vaginalis; HeLa

2006
[Acute, hemorrhagic, overgrowing vaginal inflammation caused by Streptococcus agalacitae--case study].
    Ginekologia polska, 2006, Volume: 77, Issue:10

    Topics: Acute Disease; Administration, Intravaginal; Anti-Bacterial Agents; Chitosan; Female; Humans; Inflam

2006
Vaginitis.
    The New England journal of medicine, 1998, May-21, Volume: 338, Issue:21

    Topics: Female; Gentian Violet; Humans; Lactic Acid; Lactobacillus; Phenazines; Staining and Labeling; Vagin

1998
[Application of 2% clindamycin cream in the treatment of bacterial vaginosis and valuation of methylcellulose gel containing the complex of Chitosan F and PVP k-90 with lactic acid as carrier for intravaginally adhbited medicines in the cases of pregnanci
    Ginekologia polska, 2001, Volume: 72, Issue:12

    Topics: Administration, Intravaginal; Adult; Anti-Bacterial Agents; Anti-Infective Agents; Chitin; Chitosan;

2001