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Topical or systemic hormone replacement therapy and probiotics restore vaginal Lactobacillus dominance and homeostasis with increased acidity(), and improves vaginal symptoms in post menopausal Hustler g71501. In some cases, there is a decrease in the prevalence of anaerobic gram negative rods and vaginal pH while the aerobic isolates including Lactobacilli remain fairly constant().

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Roman practice required a living mother to be in her tenth month of pregnancy before resorting to the procedure, reflecting the knowledge that she could not survive the delivery.