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Objectives. To evaluate the possibility of D-lactate investigation in the diagnosing and assessment of treatment efficacy in case of inflammatory and dysbiotic states of the lower genital tract. Material and methods. D-lactate concentration has been studied in the material taken from the vagina in 26 women with bacterial vaginosis, 21 women with nonspecific vaginitis, 23 women with normal vaginal biocenosis. Results. The etiologic component of the lower genital tract inflammation (vaginitis) in women of the reproductive age in the majority of cases is represented by a nonspecific bacterial flora: Ent. faecalis (38% of the total number of cases of positive cultures), St. epidermidis (31,7%), Str. haemalyticus (19%), U. Urealyticum (11,3%). The median of D-lactate concentration in the material obtained from the posterior vaginal vault in women without any signs of inflammation and with normal microbiocenosis is 24,8 (22,6; 31,2) μmol / (l×g). The median of D-lactate concentration in female patients with the diagnosed vaginal inflammation and bacterial vaginosis, regardless of

D-lactate as a marker of dysbiotic and inflammatory diseases of the lower genital tract in women