28/04/2026
One of the most overlooked pieces of fertility after 40 is the vaginal microbiome.
As hormones shift, we often see a decline in Lactobacillus. These are the protective bacteria that help maintain the right pH and support a healthy environment for implantation.
When this balance is disrupted, it can increase inflammation and make it more difficult for an embryo to implant and develop.
This isn’t something you typically feel or notice.
In my practice, about 9 out of 10 of my clients over 40 have some level of vaginal dysbiosis when we test (most without symptoms).
The good news is that this is something we can test for and improve with the right approach.
Fertility is not just about egg quality.�It’s about the environment the embryo is entering.
Comment HEALTH and I’ll send you my free uterine lining guide 💛✨
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References:
PMID: 41010324, 37221898, 40925897, 40323322, 40363959