From the Research
Enterococcus faecalis is not considered part of the normal vaginal flora in healthy women. The normal vaginal microbiome is predominantly composed of Lactobacillus species, which help maintain vaginal health by producing lactic acid and maintaining an acidic environment that inhibits the growth of potential pathogens 1. When E. faecalis is found in significant numbers in the vagina, it typically represents an alteration of the normal vaginal flora and may be associated with bacterial vaginosis or other vaginal infections. Some key points to consider:
- The presence of E. faecalis in the vagina can be an indicator of an underlying infection or imbalance in the vaginal microbiome 2.
- If E. faecalis is detected in vaginal cultures, clinical correlation is necessary to determine if treatment is required, taking into account symptoms, the concentration of bacteria found, and other clinical factors 3.
- Treatment would depend on these factors, and antibiotics such as amoxicillin or ampicillin are often effective against E. faecalis, though antibiotic susceptibility testing should guide therapy due to increasing resistance patterns 4, 5.
- Maintaining good hygiene, avoiding douching, and using condoms during sexual activity can help preserve normal vaginal flora and prevent dysbiosis that might allow E. faecalis to flourish. It's also worth noting that while E. faecalis can be part of the normal intestinal flora, its presence in the vagina is not typical and may indicate an issue that needs medical attention 1.