The Urogenital Lactobacillus Axis Across Menopause: Connections Between the Vagina, Bladder, and Urinary Metabolome
Nazema Y. Siddiqui, Nicole M Diaz, Lindsey A. Burnett, Jasmine Zemlin, Li Ma, Lisa Karstens
The paper examines how vaginal estrogen affects the urinary microbiome and metabolome in postmenopausal women, finding that it increases lactobacilli and alters metabolite profiles.
bioRxiv · Sep 22, 2026 · PreprintSystems Biology