Vaginal lactobacilli are strongly associated with vaginal health in menopause.
Disruption in the vaginal microbiome correlates with vaginal symptoms of menopause.
Lactobacilli decrease along with menopause-related hormonal and epithelial changes.
Hormone replacement therapy can restore vaginal lactobacilli following menopause.
Probiotic therapies show promise in reinstating vaginal homeostasis in menopause.