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Based on bacterial species composition and relative abundance, the vaginal microbiota can be classified into five distinct community state types (CSTs), a framework first introduced in 2011 (2, 15).
CST IV is a heterogeneous community characterized by a reduced abundance of Lactobacillus and generally the highest median vaginal pH. It is dominated by anaerobic bacteria, including Gardnerella, [Prevotella](brain://api.thebrain.com/wzsofVOsh4ANI-lTZFbXX…