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The cervical microbiota constitutes an important protective barrier against the invasion of pathogenic microorganisms. A disruption of microbiota within the cervical milieu has been suggested to be a driving factor of sexually transmitted infections. These include  Chlamydia trachomatis  which frequently causes serious reproductive sequelae such as infertility in women. In this study, we profiled the cervical microbial composition of a population of 70 reproductive-age Malaysian women; among which 40 (57.1%) were diagnosed with genital  C .  trachomatis  infection, and 30 (42.8%) without  C .  trachomatis  infection. Our findings showed a distinct compositional difference between the cervical microbiota of  C .  trachomatis -infected subjects and subjects without  C .  trachomatis  infection. Specifically, significant elevations of mostly strict and facultative anaerobes such as  Streptococcus ,  Megasphaera ,  Prevotella , and  Veillonella  in the cervical microbiota of  C .  trachomatis -positive women were detected. The results from the current study highlights an interaction of  C .  trachomatis  with the environmental microbiome in the endocervical region.

plos one

Diversity of endocervical microbiota associated with genital Chlamydia trachomatis infection and infertility among women visiting obstetrics and gynecology clinics in Malaysia