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INTIMATE CARE


cleaner was seen as better, we now have recognized, that chemical “sterilization” harms all microbiomes – including the vaginal. Caretaking the vaginal microbiome may look


like as follows: avoiding excess vaginal hygiene like harsh soaps, vaginal showers and chemical cosmetics, only using microbiome-friendly products, thinking twice about taking antibiotics, consciously choosing contraceptive methods, stress management and not smoking. It could also mean ensuring the gut


microbiome is healthy and avoiding the transfer of unwanted invaders from the anus to the vagina. Like with other interventions, it is wise to adopt a holistic approach that factors in the individual situation of each woman.


Microbiome-friendly product development, marketing and customer happiness Until recently, most women, who were looking for relief from itching, vaginal dryness or unwanted smells, were not aware that intimate care products, which are claimed to help these conditions, contain microbiome-disrupting chemicals that might actually worsen their problems.


With missing regulations in the cosmetic


industry, brands can advertise health-promoting ingredients and products, with no scientific data to back up these claims. So far, the focus has been to make products stable and good smelling, instead of minimal and mild. Luckily, the beauty space is becoming more scientific. This goes hand in hand with increasingly health-conscious customers who see through unsubstantiated marketing claims and demand science-backed products that leave the microbiome untouched. With the growing awareness of the


microbiome’s importance, the demand for scientific-based products will rise and the cosmetic industry will have to adapt. Manufacturers, who are formulating their products with the microbiome in mind, are the forerunners in the growing market of high- quality, microbiome-friendly personal care products. They could even use their products to educate consumers and build their trust to actually get what is promised: healthy products that respect microbial wellbeing.


Conclusion and future perspectives While no-one ‘normal’, healthy vaginal microbiome exists for all women, this article discussed several common underlaying factors that can assist women all over the world, in preventing dysbiosis, naturally balancing the vaginal flora and keeping it healthy. By spreading this knowledge and breaking taboos once and for all, women can feel empowered to take care of their unique and beautiful bodies – top to bottom. In order to bring clarity and help women


navigate the unregulated jungle of intimate personal care products, MyMicrobiome developed a registered certification mark for microbiome-friendly care products. Among others, the world´s first microbiome-friendly lubricant from Australia has been certified in 2022. MyMicrobiome is an independent control body that rigorously tests products and single


www.personalcaremagazine.com


ingredients in vitro for their impact on the key microbes found on respective body areas, like standard 21.10 for the vaginal area. In case the balance and diversity of the microbiome is sustained, the product is awarded the ‘Microbiome-friendly’ seal. This certification mark entails a competitive


advantage for the manufacturer and creates trust with the customer. 41% of European consumers are influenced by third-party verified certifications when purchasing goods, including personal care products.26 We should strive to keep interventions on


the microbiome to a minimum. By supporting the cosmetic industry to create and certify microbiome-friendly products, MyMicrobiome acts as a change maker in this previously unmonitored market – for a better, microbiome- friendly world.


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9. Torcia MG. Interplay among Vaginal Microbiome. Immune Response and Sexually Transmitted Viral Infections. International Journal of Molecular Sciences. 2019 Jan; 20(2):E266


10. Ravel J, Brotman RM. Translating the vaginal microbiome: gaps and challenges. Genome Med. 2016 Apr; 1;8(1):35


11. García-Velasco JA, Menabrito M, Catalán IB. What fertility specialists should know about the vaginal microbiome: a review. Reprod. Biomed. Online. 2017, Jul;35(1):103-112


12. Baliga S, Muglikar S, Kale R. Salivary pH: A diagnostic biomarker. J. Indian Soc. Periodontol. 2013, Jul;17(4):461-5


13. Fallingborg J. Intraluminal pH of the human gastrointestinal tract. Dan. Med. Bull. 1999, Jun;46(3):183-96


14. Ravel Ju, Gajer P, Abdo Z, Forney LJ et al. Vaginal microbiome of reproductive- age women. PNAS. 2010, Jun; 108(supplement_1):4680-4687


15. Chen X, Lu Y, Chen T, Li R. The Female Vaginal Microbiome in Health and Bacterial Vaginosis. Frontiers in Cellular and Infection Microbiology. 2021 Apr; 11:631972


16. van de Wijgert JHHM, Jespers V. The global health impact of vaginal dysbiosis. Res. Microbiol. 2017 Nov-Dec; 168(9-10):859-864


17. Salah RM, Allam AM, Magdy AM, Mohamed ASh. Bacterial vaginosis and infertility: cause or association? Eur. J. Obstet. Gynecol. Reprod. Biol. 2013 Mar; 167(1):59-63


PC


References 1. Wizemann TM, Pardue ML (eds.). Committee on Understanding the Biology of Sex and Gender Differences, Board on Health Sciences Policy. Gender Differences. Exploring the Biological Contributions to Human Health: Does Sex Matter? Washington, D.C.: National Academy Press. 2001


2. National Institutes of Health, office of Research on Women’s Health. NIH Inclusion Outreach Toolkit: How to Engage, Recruit, and Retain Women in Clinical Research. https:// orwh.od.nih.gov/toolkit/recruitment/history


3. Blair ML. Sex-based differences in physiology: what should we teach in the medical curriculum? Adv. Physiol. Educ. 2007 Jan; 31(1):23-25


4. Westergaard D, Moseley P, Sørup FKH et al. Population-wide analysis of differences in disease progression patterns in men and women. Nat. Commun. 2019; 10(1),666


5. Verstraelen H, Vieira-Baptista P, De Seta F, Ventolini G, Lonnee-Hoffmann R, Lev-Sagie A. The Vaginal Microbiome: I. Research Development, Lexicon, Defining “Normal” and the Dynamics Throughout Women’s Lives. J. Low. Genit. Tract. Dis. 2022, Jan;26(1):73-78


6. Lloyd-Price J, Abu-Ali G, Huttenhower C. The healthy human microbiome. Genome Med. 2016, Apr; 8(1):51


7. Mendling W. Vaginal Microbiota. Adv. Exp. Med. Biol. 2016; 902:83-93


8. Buchta V. Vaginal microbiome. Ceska Gynekol. 2018 Winter; 83(5):371-379


18. Gupta P, Singh MP, Goyal K. Diversity of Vaginal Microbiome in Pregnancy: Deciphering the Obscurity. Front. Public Health. 2020 Jul;8:326


19. World Health Organization. Caesarean section rates continue to rise, amid growing inequalities in access, Rising rates suggest increasing numbers of medically unnecessary, potentially harmful procedures. June 16 2021


20. Neu J, Rushing J. Cesarean versus vaginal delivery: long-term infant outcomes and the hygiene hypothesis. Clin. Perinatol. 2011 Jun;38(2):321-31


21. Salminen S, Gibson GR, McCartney AL, Isolauri E. Influence of mode of delivery on gut microbiota composition in seven year old children. Gut. 2004 Sep; 53(9):1388-9


22. Grönlund MM, Lehtonen OP, Eerola E, Kero P. Fecal microflora in healthy infants born by different methods of delivery: permanent changes in intestinal flora after cesarean delivery. J. Pediatr. Gastroenterol. Nutr. 1999 Jan; 28(1):19-25


23. Negele K, Heinrich J, Borte M, von Berg A, Schaaf B, Lehmann I, Wichmann HE, Bolte G. LISA Study Group. Mode of delivery and development of atopic disease during the first 2 years of life. Pediatr. Allergy Immunol. 2004 Feb;15(1):48-54


24. Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig SSK, McCulle SL et al. Vaginal microbiome of reproductive-age women. Proc. Natl. Acad. Sci. USA. 2011, Mar 15;108 Suppl 1:4680–7


25. Ma B, Forney LJ, Ravel J. Vaginal microbiome: rethinking health and disease. Annu. Rev. Microbiol. 2012;66:371–89


26. GlobalData. 2021 Q3 Consumer Survey May 2023 PERSONAL CARE


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