16c. Fertility - Microbes & Fertility Flashcards

1
Q

What affect can periodontal disease have on female fertility?

A

Lengthen conception time by approx. 2 months

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2
Q

Why can periodontal disease lengthen female conception time?

A

Prevents ovulation
Increases inflammatory markers (IL-1)
IL-1 inhibits GnRH production

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3
Q

Which bacteria has been implicated in premature delivery?

A

Fusobacterium nucleatum

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4
Q

Where does the seminal microbiome originate from?

A

GIT
Mouth
Vagina

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5
Q

What are the functions of the seminal microbiome?

A

Aid conception
Support health of the offspring
Modulate immune responses

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6
Q

Which bacteria is dominant in the seminal microbiome?

A

Lactobacillus
(like the VMB)

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7
Q

What is the seminal microbiome negatively impacted by?

A

Antibiotics
Antifungals
STIs
Prostatitis
Lubricants
Smoking
Alcohol
Obesity
Poor penile hygiene practices

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8
Q

Which bacteria is implicated in male fertility?

A

Ureaplasma urealyticum

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9
Q

Which bacteria is implicated in low quality semen quality?

A

E. coli
Prevotella
Chlamydia
Gonorrhoea
Bacteroidetes

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10
Q

Why can bacteria cause low quality semen quality?

A

They generate oxidative stress and sperm damage

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11
Q

Which bacteria is dominant in the vaginal microbiome?

A

Lactobacillus

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12
Q

Why is dominant Lactobacillus good in the vaginal microbiome?

A

Creates an acidic, hospitable environment which prevents the overgrowth of potential pathogens

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13
Q

Which strain of Lactobacillus is associated with a higher implantation rate in women undergoing IVF?

A

Lactobacillus crispatus

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14
Q

Which bacteria, coupled with low Lacto, can increase the chance of miscarriage?

A

Ureaplasma
Gardnerella

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15
Q

Which VMB bacteria have been negatively associated with fertility?

A

Mycoplasma
Ureaplasma
Chlamydia

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16
Q

What factors can negatively affect the vaginal microbiome?

A

STIs
Alcohol
Smoking
Poor vaginal/oral hygiene
Increased blood glucose levels
Copper IUD coil
Low A, D, C, E
Low oestrogen

17
Q

Why is cervical fluid important?

A

Fuel source to feed Lactobacilli
Rich in glycogen

18
Q

How can the vaginal microbiome be positively impacted?

A

Reducing infections
Improving blood glucose levels
Improving oestrogen levels
Supporting Lactobacillus growth (pre/probiotics)