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Vaginal Microbiome Check

Type

Blood Testing

Biomarkers

33

Duration

30 min

Results

5 days

Comprehensive vaginal microbiome test analyzing vaginal pH, STIs, opportunistic bacteria, beneficial bacteria, and opportunistic fungal pathogens.

Digestive and gut health blood tests evaluate markers related to gastrointestinal function, inflammation, and infection. These may include calprotectin (a stool marker for intestinal inflammation that helps distinguish IBS from IBD), H. pylori testing (the bacterium that causes stomach ulcers and is linked to gastric cancer), bile acid levels, and various antibody tests. Gut health is increasingly recognized as central to overall wellness, with the gut microbiome influencing immune function, mental health, nutrient absorption, and systemic inflammation. Testing can help identify treatable conditions causing chronic digestive symptoms.

Key Details

Tests
Varies by panel
Fasting Required
Varies
Sample Type
Blood draw and/or stool sample
Turnaround
3–7 business days
Common Use
IBS/IBD differentiation, gut health assessment

Who Is This For?

Anyone with chronic digestive symptoms like bloating, pain, diarrhea, or constipation. People suspected of having inflammatory bowel disease (Crohn's or ulcerative colitis). Those with a history of stomach ulcers or H. pylori infection. Anyone interested in optimizing their gut health as part of a broader wellness strategy.

What's Included

Specific markers vary by panel
May include H. pylori antibodies, celiac markers, or stool analysis

Preparation Required

Preparation varies by specific test. Blood-based tests generally don't require fasting. Stool-based tests require a sample collection kit provided by the lab. Some tests may require stopping certain medications (e.g., proton pump inhibitors for H. pylori) — check with your provider.

Biomarkers Tested

33
Vaginal pH pH

Maintaining a slightly acidic vaginal pH is crucial for vaginal health as it helps to keep harmful bacteria, fungi, and viruses at bay. A high pH can disrupt the delicate balance of bacteria, leading to infections such as bacterial vaginosis, while a low pH can cause irritation and inflammation of vaginal tissues.

Trichomonas vaginalis detected/not detected

Trichomoniasis is a sexually transmitted infection that may cause a yellowy green, ‘frothy’ discharge that is often accompanied by an unpleasant odour and vaginal or vulval itching.

Chlamydia trachomatis detected/not detected

Chlamydia is a very common sexually transmissible infection. If left untreated, chlamydia can cause pelvic inflammatory disease in women, which can lead to chronic pain and infertility.

Neisseria gonorrhoeae detected/not detected

Gonorrhea is a sexually transmitted infection caused by the bacteria Neisseria gonorrhoeae. Untreated gonorrhea can lead to long-term health concerns and, in some cases, infertility.

Herpes Simplex Virus-1 detected/not detected

HSV-1 can cause genital herpes, but most cases of genital herpes are caused by herpes type 2.

Herpes Simplex Virus-1 detected/not detected

HSV-1 can cause genital herpes, but most cases of genital herpes are caused by herpes type 2.

Enterococcus faecalis detected/not detected

E. faecalis is commonly found in the gut. In some cases E. faecalis can overgrow in the vagina and cause an infection, leading to symptoms such as abnormal vaginal discharge, odour, itching, and pain during sex or urination.

Escherichia coli detected/not detected

E. coli is commonly found in the intestines. However if E. coli migrates to the vaginal area, it can cause an infection known as E. coli vaginitis. Symptoms can include abnormal vaginal discharge, odor, itching, and pain during sex or urination.

Klebsiella pneumoniae detected/not detected

K. pneumoniae is commonly found in the gut. In some cases K. pneumoniae can overgrow in the vagina and cause an infection, leading to symptoms such as abnormal vaginal discharge, odor, itching, and pain during sex or urination.

Proteus mirabilis detected/not detected

P. mirabilis is commonly found in the gut. In some cases P. mirabilis can overgrow in the vagina and cause an infection, leading to symptoms such as abnormal vaginal discharge, odour, itching, and pain during sex or urination.

Pseudomonas aeruginosa detected/not detected

While P. aeruginosa is not a typical inhabitant of the vagina, it can occasionally cause an infection. P. aeruginosa vaginal infections can occur in women who are immunocompromised or have undergone certain medical procedures. Symptoms may include abnormal vaginal discharge, odour, itching, and pain during sex or urination.

Streptococcus agalactiae detected/not detected

Group B Streptococcus (GBS)is a frequent cause of bacterial infections in newborns which they can acquire from their mothers during delivery.In pregnant women, GBS can sometimes cause an infection in the vagina, leading to symptoms such as abnormal vaginal discharge, odour, itching, and pain during sex or urination.

Staphylococcus aureus detected/not detected

S. aureus vaginal infections are rare, but can occur in women who are immunocompromised or have undergone certain medical procedures. Symptoms may include abnormal vaginal discharge, odour, itching, and pain during sex or urination.

Gardnerella vaginalis detected/not detected

Gardnerella vaginalis is part of the normal vaginal microbiota, but in some cases it can overgrow and cause an infection called bacterial vaginosis (BV) with symptoms such as abnormal vaginal discharge, odour, itching, and pain during sex or urination.

Atopobium vaginae detected/not detected

Atopobium vaginae is part of the normal vaginal microbiota, but in some cases it can overgrow and contribute to the development of bacterial vaginosis (BV).

Prevotella species detected/not detected

While a normal part of the vaginal microbiota, Prevotella species can occasionally overgrow and contribute to the development of bacterial vaginosis (BV). Prevotella species are often found in higher numbers in women with BV than in those without the infection.

Megasphaera species detected/not detected

While Megasphaera species are part of the normal vaginal microbiota, they can occasionally overgrow and contribute to the development of bacterial vaginosis (BV).

Ureaplasma species detected/not detected

While Ureaplasma species are part of the normal vaginal microbiota, they can occasionally overgrow and contribute to infections including BV, UTIs and STIs. Ureaplasma species have been associated with adverse pregnancy outcomes, such as preterm birth and low birth weight, and can also cause infertility in some cases.

Mycoplasma species detected/not detected

While Mycoplasma species are part of the normal vaginal microbiota, they can overgrow and contribute to infections including BV, UTIs and STIs. Mycoplasma genitalium is a common STI that can cause urethritis in both men and women.

Total Lactobacillus CFU/mL

A decrease in the total number of Lactobacillus species or a shift in the types of bacteria present in the vaginal microbiota can lead to various types of vaginal infections, including bacterial vaginosis (BV) and yeast infections.

Lactobacillus crispatus detected/not detected

L. crispatus produces lactic acid to maintain an acidic pH in the vagina, preventing overgrowth of harmful bacteria and maintaining a healthy bacterial balance. Research suggests that it may be particularly effective in preventing and treating bacterial vaginosis.

Lactobacillus gasseri detected/not detected

L. gasseri helps maintain an acidic pH in the vagina maintaining a healthy bacterial balance. L. gasseri also produces antimicrobial substances that can help to prevent vaginal infections. It may help prevent recurrent UTIs and reduce the risk of preterm birth.

Lactobacillus iners detected/not detected

L. iners helps to maintain vaginal health by producing lactic acid. However some research suggests that high levels of Lactobacillus iners may be associated with a higher risk of vaginal infections, such as BV and UTIs.

Lactobacillus jensenii detected/not detected

L. jensenii plays a key role in maintaining an acidic pH in the vagina. L. jensenii has also produces antimicrobial substances that can help to prevent and treat vaginal infections and may be particularly effective in reducing the risk of preterm birth.

Lactobacillus rhamnosus detected/not detected

L. rhamnosus produces lactic acid to maintain an acidic pH and prevent overgrowth of harmful bacteria. It also produces antimicrobial substances that can help prevent and treat vaginal infections, UTIs, and reduce the risk of premature birth.

Lactobacillus salivarius detected/not detected

L. salivarius produces lactic acid to maintain an acidic pH and prevent overgrowth of harmful bacteria. It may also produce antimicrobial substances that can help prevent and treat vaginal infections, although further research is needed.

Lactobacillus vaginalis detected/not detected

L. vaginalis produces lactic acid to maintain an acidic pH and prevent overgrowth of harmful bacteria. It may also produce antimicrobial substances that can help prevent and treat vaginal infections, although more research is needed.

Candida albicans detected/not detected

Candida albicans is a type of yeast that normally inhabits the vagina, but can sometimes overgrow and cause a yeast infection. This can occur due to factors such as antibiotic use, hormonal changes, or a weakened immune system. Symptoms may include itching, burning, and discharge.

Candida glabrata detected/not detected

C. glabrata is a type of yeast that can cause vaginal yeast infections, particularly in women who are immunocompromised or have had antibiotics. Symptoms can include itching, burning, and discharge. C. glabrata can be more resistant to certain treatments compared to other Candida species.

Candida krusei detected/not detected

C. krusei can cause vaginal yeast infections, typically in women who have compromised immune systems or have received previous antifungal treatment. Symptoms may include itching, burning, and discharge. Treatment can be more challenging as C. krusei is often resistant to certain antifungal medications.

Candida parapsilosis detected/not detected

C. parapsilosis can cause vaginal yeast infections, particularly in women who have received previous antifungal treatment. Symptoms may include itching, burning, and discharge. Treatment typically involves antifungal medications.

Candida tropicalis detected/not detected

C. tropicalis can cause vaginal yeast infections, particularly in women with weakened immune systems or those who have received previous antifungal treatment. Symptoms may include itching, burning, and discharge.

Bacterial vaginosis (BV) detected/not detected

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance of bacteria in the vaginal microbiota. Symptoms include foul-smelling discharge, itching, burning, and discomfort during sex.

Frequently Asked Questions