Association of the Cervicovaginal Microbiome With Contraceptive Methods in Hispanic Women Living in Puerto Rico [ID: 1376364] : Obstetrics & Gynecology

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Annual Clinical and Scientific Meeting Abstracts Supplement: GYNECOLOGY: Contraception

Association of the Cervicovaginal Microbiome With Contraceptive Methods in Hispanic Women Living in Puerto Rico [ID: 1376364]

Oliveras-Alsina, Nicole; Navarrete-Cortés, Marilís MD; Romaguera, Josefina MD; Tosado-Rodríguez, Eduardo MS

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Obstetrics & Gynecology 141(5S):p 9S, May 2023. | DOI: 10.1097/01.AOG.0000929800.76612.51

Abstract

INTRODUCTION: 

Recent studies have demonstrated an association linking the cervicovaginal microbiome with susceptibility to infectious diseases and overall cervical health. We aimed to evaluate the effect of contraceptive methods used by Hispanic females living in Puerto Rico on their cervical microbiome.

METHODS: 

An analysis of 85 women, aged 21–45, grouped by the contraceptive method used at time of sampling, was performed. The methods included birth control pills, intrauterine devices (IUDs), injectable progesterone, male condoms, and female sterilization. The control group did not use any contraception. Swabs collected from the posterior fornix underwent DNA extraction and sequencing of the 16S rRNA gene, being characterized for microbial diversity, and taxonomic composition. IRB approval was obtained.

RESULTS: 

Women using male condoms or sterilization had the highest microbiome richness, and those using IUDs and female sterilization had the highest microbiome diversity. Birth control pills and male condoms had the least effect on the microbiota as participants had a dominance of Lactobacillus. Injectable progesterone and IUDs use were associated with increased levels of Gardnerella. The IUDs group has a noticeable presence of Clostridium when compared to other groups. The female sterilization group is copious in Atopobium and Streptococcus. The injectable progesterone group has an elevated abundance of Megasphaera.

CONCLUSION: 

Preliminary analyses indicate that contraceptive methods may affect the cervicovaginal microbiome, injectable progesterone and IUDs being the methods most associated with vaginal dysbiosis. These findings allow information about the microbiome of Hispanic women living in Puerto Rico to guide further investigations that could contribute to better gynecologic care.

Erratum

The corresponding author's name is missing from the byline in the abstract by Oliveras-Alsina et al1 in the May 2023 supplement. The incorrect byline is: “Nicole Oliveras-Alsina, Marilís Navarrete-Cortés, MD, Josefina Romaguera, MD, and Eduardo Tosado-Rodríguez, MS.” The correct byline is: “Nicole Oliveras Alsina, Marilís Navarrete Cortés, MD, Eduardo L. Tosado Rodríguez, MS, Josefina Romaguera Agrait, MD, and Filipa Godoy Vitorino, PhD.”

Obstetrics & Gynecology. 142(4):996, October 2023.

© 2023 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

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