Open research questions in Reproductive tract infections research
275 unresolved questions extracted from the limitations and future-work sections of 1,038 Reproductive tract infections research papers in our library. Each links back to the study that raised it.
What the literature leaves open
investigate causal relationships between sex and clinical outcomes, - conduct multicenter studies to increase generalizability, - examine the role of sex in immune responses and disease manifestations
Sex-Related Differences in Clinical Characteristics and Outcomes Among Patients Clinically Managed for Suspected Bacterial Infection in the Emergency Department · 2026 · DOIThe complexity of the cervicovaginal microbiome and its relationship to HPV infection. The need for robust methods to characterize the microbiome and its association with HPV. The challenge of interpreting the results in the context of the complex interactions between the microbiome, HPV, and the host immune system.
further research is needed to understand the relationship between the cervicovaginal microbiome and HPV-associated disease risk, - the study suggests that the cervicovaginal microbiome may play a critical role in the transition from transient HPV infection to persistent infection and subsequent progression to cervical intraepithelial neoplasia and invasive carcinoma
Further studies are needed to investigate the potential role of the BV-like phenotype in endometrial inflammation, - Studies should explore the effects of exogenous hormonal intervention on the BV-like phenotype, - Research should investigate the mechanisms underlying the observed alterations in lipid metabolism
Inflammatory landscape of Gardnerella vaginalis-associated bacterial vaginosis in rats: an integrated multi-omics analysis · 2026 · DOILimited understanding of the pathogenic mechanisms of bacterial vaginosis. Lack of a comprehensive characterization of the inflammatory landscape of BV. Need for a well-established animal model to study BV.
Inflammatory landscape of Gardnerella vaginalis-associated bacterial vaginosis in rats: an integrated multi-omics analysis · 2026 · DOIInvestigating the long-term outcomes of patients with psittacosis pneumonia, - Examining the efficacy of different treatment protocols for psittacosis pneumonia, - Studying the molecular mechanisms underlying the development of AKI in psittacosis pneumonia, - Developing more effective diagnostic tools for psittacosis pneumonia
Systemic inflammation, multi-organ injury, and acute kidney risk in psittacosis pneumonia: a biomarker-driven clinical characterization · 2026 · DOIThe study identifies the challenge of analyzing the microbiome-immune associations due to the complexity of the data. The study highlights the challenge of removing contaminants from the sequencing data. The study notes the challenge of interpreting the results due to the limited sample size and the complexity of the data.
Negative extraction controls were not subjected to shotgun sequencing, - The study had a limited sample size, - The study was conducted at a single tertiary academic medical center, - The study excluded participants with severe chronic or immunocompromising conditions
The lack of a standardized method for genotyping T. vaginalis. The complexity of T. vaginalis genetics and its correlation with drug resistance. The need for further research to establish a unified classification system for T. vaginalis.
Biomolecular Characterization of Trichomonas vaginalis from Spain: Evaluating Genetic Correlation with Drug Resistance and Endobionts · 2025 · DOIinvestigation of alternative classification models for T. vaginalis, - study of the mechanisms of drug resistance in T. vaginalis, - investigation of the effects of Mycoplasma on T. vaginalis, - development of new molecular tools for genotyping T. vaginalis
Biomolecular Characterization of Trichomonas vaginalis from Spain: Evaluating Genetic Correlation with Drug Resistance and Endobionts · 2025 · DOIThe aetiology of bacterial vaginosis is unclear. The development of effective therapeutic interventions for bacterial vaginosis is challenging. The understanding of the role of bacteriophages in bacterial vaginosis is limited.
Recent Advances in the Role of Bacteriophages in the Aetiology and Therapy of Vaginal Dysbiosis in the Form of Bacterial Vaginosis and the Prevention of Preterm Birth · 2025 · DOIThe veracity of claims of virginity has been doubted, - Male partners of women with BV might have been less than conscientious in taking high doses of metronidazole, - Only a few studies recorded observed consumption and/or counted return of unused medications
Recent Advances in the Role of Bacteriophages in the Aetiology and Therapy of Vaginal Dysbiosis in the Form of Bacterial Vaginosis and the Prevention of Preterm Birth · 2025 · DOIFurther studies could explore the factors influencing STI testing intention among different populations, - Research could investigate the effectiveness of interventions aimed at increasing STI testing among medical students
Exploring psychosocial factors influencing sexually transmitted infection intention testing among medical students: a cross-sectional study in two universities · 2024 · DOIOne of the challenges is the high diversity and interpersonal variability of the vaginal and endometrial microbiomes. Another challenge is the lack of consensus on a core microbiota. The paper also identifies the challenge of distinguishing between the effects of different factors, such as age, hormonal changes, and lifestyle, on the vaginal and endometrial microbiomes.
The Role of the Vaginal and Endometrial Microbiomes in Infertility and Their Impact on Pregnancy Outcomes in Light of Recent Literature · 2024 · DOIThere is a lack of comprehensive knowledge on the human-associated microorganisms and their contribution to physiological states and predisposition to certain diseases. The current scientific knowledge is contradictory and shares some limitations regarding the relationship between an altered vaginal or endometrial microbiome and various gynecological and pregnancy-related conditions. The paper identifies the need for further research on the role of the vaginal and endometrial microbiomes in infertility and pregnancy outcomes.
The Role of the Vaginal and Endometrial Microbiomes in Infertility and Their Impact on Pregnancy Outcomes in Light of Recent Literature · 2024 · DOINevertheless, these observations are limited by the small sample size and the lack of a control group without pleural effusion; thus, any relationship between pleural effusion and disease severity remains observational and requires validation in future comparative studies.
Purpose The vaginal microecological parameters as a critical immune barrier, yet their age-dependent interaction with Human papillomavirus (HPV) infection remains poorly understood.
Age-specific vaginal microecological dysbiosis associated with HPV infection: a large-scale cross-sectional study with targeted functional sequencing validation · 2026 · DOIAlthough liver and heart involvement are recognized, the incidence, risk factors, and predictors for acute kidney complications are not well known.
Systemic inflammation, multi-organ injury, and acute kidney risk in psittacosis pneumonia: a biomarker-driven clinical characterization · 2026 · DOIiners biology remains poorly understood, in part, due to a lack of genetic editing tools.
The findings underscore the importance of site-specific microbial analyses in gynecologic oncology and support further investigation into the microbiome as a possible biomarker for early detection and a target for preventive strategies.
BACKGROUND: The human microbiome plays an emerging role in cancer biology, yet its contribution to endometrial cancer (EC) remains poorly defined.
Few studies have been conducted with women from sub-Saharan Africa to assess whether vaginal bacteriome are associated with preterm birth risk.
The vaginal bacteriome of pregnant Rwandan and Kenyan women, unique regional genera associations with preterm birth · 2026 · DOIWhile microbiota is known to influence Neisseria gonorrhoeae colonisation and transmission, anatomical site-specific microbiota dynamics in MSM remain unclear.
Changes in anorectal and oropharyngeal microbiota following infection of Neisseria gonorrhoeae in men who have sex with men: a prospective cohort study · 2026 · DOIaureus) is a predominant pathogen in AV, but its molecular epidemiology, virulence profiles, and antimicrobial resistance in vaginal infections remain poorly defined.
Prevalence and characterization of Staphylococcus aureus isolated from patients with aerobic vaginitis in Shenzhen, Southern China · 2026 · DOIHowever, the relationship between return to estrus and the vaginal microbiota in post-weaning sows remains poorly understood.
Unraveling the relationship between the vaginal microbiome and return to estrus in post-weaning sows · 2026 · DOI
Most-cited papers in Reproductive tract infections research
- SEROLOGICAL EVIDENCE OF AN ASSOCIATION OF A NOVEL CHLAMYDIA, TWAR, WITH CHRONIC CORONARY HEART DISEASE AND ACUTE MYOCARDIAL INFARCTION · The Lancet · 1988 · 1,039 citations
- Postexposure Doxycycline to Prevent Bacterial Sexually Transmitted Infections · New England Journal of Medicine · 2023 · 458 citations
- Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy · Human Reproduction · 2014 · 456 citations
- The vaginal microbiome: new information about genital tract flora using molecular based techniques · BJOG An International Journal of Obstetrics & Gynaecology · 2011 · 391 citations
- Definition of a type of abnormal vaginal flora that is distinct from bacterial vaginosis: aerobic vaginitis · BJOG An International Journal of Obstetrics & Gynaecology · 2002 · 389 citations
- Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020 · MMWR Morbidity and Mortality Weekly Report · 2020 · 381 citations
- Towards a deeper understanding of the vaginal microbiota · Nature Microbiology · 2022 · 365 citations
- Young Age at First Sexual Intercourse and Sexually Transmitted Infections in Adolescents and Young Adults · American Journal of Epidemiology · 2005 · 353 citations
- Predictive value for preterm birth of abnormal vaginal flora, bacterial vaginosis and aerobic vaginitis during the first trimester of pregnancy · BJOG An International Journal of Obstetrics & Gynaecology · 2009 · 350 citations
- Prevalence of Sexually Transmitted Infections Among Female Adolescents Aged 14 to 19 in the United States · PEDIATRICS · 2009 · 325 citations
Most recent work
- The reproductive tract microbiome and female fertility: dysbiosis, disease links, and emerging therapeutic strategies · Fertility and Sterility · 2026
- Integrating microbiome insights into cervical cancer · Frontiers in Medicine · 2026
- Host, microbial, and environmental drivers of vaginal microbiota composition · Fertility and Sterility · 2026
- Design considerations for incorporating serological monitoring into trachoma prevalence surveys · medRxiv · 2026
- Vulvovaginal candidiasis and antifungal susceptibility pattern of isolated Candida spp. among women in Aden Governorate, Yemen · BMC Infectious Diseases · 2026
- Systems analysis of the HPV–microbiome–biofilm triad · Frontiers in Cellular and Infection Microbiology · 2026
- The Role of the Vaginal Microbiome in Gynecological Diseases: Mechanistic Insights and Emerging Interventions · Biology · 2026
- Female reproductive microbiome in fertility care · Fertility and Sterility · 2026
- Age-specific vaginal microecological dysbiosis associated with HPV infection: a large-scale cross-sectional study with targeted functional sequencing validation · Frontiers in Cellular and Infection Microbiology · 2026
- Standardizing vaginal microbial profiling: evaluating swab materials, storage conditions, and host DNA depletion strategies · BMC Microbiology · 2026
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