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We read with interest the article by Hickey et al. Lactobacillus species were dominant in the vaginal microbiota of most girls before the onset of menarche in the early-middle stages of puberty as the production of estrogen during puberty causes a change in the vaginal flora to lactobacillus predominance 2. This is of significant interest given that G. Several limitations of this study may have confounded the G.

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This study, like others 6— 9 EEl, has the limitation of self-reporting of sexual history by vulnerable adolescents who may be reluctant to fully disclose their girls want to fuck in Um El Ghanem behavior, particularly when their parents are aware of their participation in a study.

In the National Violence against Women Survey, nearly 1 in 6 women reported a history of sexual assault 10 ; a significant racial disparity exists Other factors known to influence reliable sexual histories include poor understanding of the questions, reporting behavior according to perceived expectations, inability to recall prior sexual experiences, and miscommunication between the interviewer and interviewee Did this include other types of sexual activity i.

Eant this include a history of female sexual partners in addition to males? A study of women funny dating profiles have sex with women found that digital-vaginal sex girl sharing of handsome married Dallas Texas male seeks love interest toys was associated with a higher risk of colonization with G.

In the absence of a clear definition of sexual contact and gender of sexual partners in the Hickey study, it is possible that women with G. Despite these limitations, the Hickey study is still the first prospective longitudinal girls want to fuck in Um El Ghanem to use modern sequencing techniques to characterize changes in the vaginal microbiota of adolescent women as they progress through puberty to menarche. Although Gbanem Hickey study undoubtedly Ghahem to obtain the most accurate representation of young adolescent women who truly had no history of partnered sexual activity, this may not be possible.

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The use of Y chromosomal DNA Yc DNA as a biomarker for heterosexual sex 16 in future vaginal microbiome studies of adolescent women could potentially alleviate some of the self-reporting limitations.

However, Yc DNA is detectable only up to 15 days postcoitus 17 which would necessitate more frequent samplingit girls want to fuck in Um El Ghanem not detected reliably in women using condoms correctly 18and testing would not provide data with regard to recent sexual activity with women.

The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Accuracy of self-report of sexual activity among adolescent girls: National Center for Biotechnology InformationU. Journal List mBio v. Published online Jun Christina A.

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Muzny and Jane R. Author information Copyright and License information Disclaimer.

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Corresponding author. Address correspondence to Christina A.

Muzny, ude. Schwebke, ude. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-ShareAlike 3.

A brief look at the history of cross-dressing in the Arab world

This article has been cited by other articles in PMC. Vaginal microbiota of adolescent girls prior to the onset of menarche resemble those of reproductive-age women.

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Commensal and pathogenic microbial Flora in humansp 73— In Medical microbiology6th ed. Mosby Elsevier, Philadelphia, PA.

Diagnosis and clinical manifestations of bacterial vaginosis.

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Am J Obstet Gynecol Hill GB. The microbiology of bacterial vaginosis.

Catlin BW. Gardnerella vaginalis: Clin Microbiol Rev 5: Bacterial vaginosis in virginal and sexually active adolescent females: Bacterial vaginosis BV candidate bacteria: PLoS One 7: Sexually transmissible infectious agents in sexually active and virginal asymptomatic i girls.

Pediatrics Microbiology of the lower genital tract in postmenarchal adolescent girls: J Pediatr Tjaden NJ, Thoennes N.

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Extent, nature, and consequences of rape victimization. Accessed 1 May Rape victimization and high risk sexual behaviors: West J Emerg Med Assessing the accuracy of adherence and sexual behaviour data in the MDP vaginal microbicides trial using a mixed methods and triangulation model.

PLoS One 5: Effect of sexual activity on vaginal colonization with hydrogen peroxide-producing lactobacilli and Gardnerella vaginalis.

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Sex Transm Dis Prevalence of Gardnerella vaginalis and Atopobium vaginae in virginal women. Ghanm predominate among the vaginal microflora of prepubertal girls. Clin Infect Dis 20 Suppl 2: Polymerase chain reaction detection of Y chromosome sequences in vaginal fluid: Condom use and vaginal Y-chromosome detection: Support Center Support Center.

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