Your vaginal microbiome results show that your vagina consists of 27.84% lactobacillus (beneficial and protective), 59.37% pathogenic bacteria, and 12.79% commensal and pathobionts. These results put you in the vaginal community state type IV-A. This community state type may indicate a bacterial imbalance in the vaginal microbiome and low levels of the beneficial Lactobacillus bacteria relative to other bacteria present. This community type is at higher risk of harmful bacteria growth, recurrent infections, HPV, STDs, and fertility complications. I recommend you bring these results to the attention of your practitioners in case further investigation is required.

The results show a dominance of Gardnerella vaginalis. Gardnerella vaginalis is one of the primary microbes thought to be responsible for bacterial vaginosis (BV). Usually when your healthy flora is compromised in some way. G. vaginalis produces what is referred to as vaginolysin, a toxin, that only affects humans. G. vaginalis causes BV by displacing the normal healthy vaginal flora.

Based on history discussed in your consultation and the nature of the symptoms I recommend working alongside an intimate practitioner who help and work with you on the long term in identifying the best treatment with all your symptoms in mind.