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Scientists create ‘vagina on a chip’ to advance sexual health research

Medical conditions affecting people with vulvas are notoriously understudied, but recent developments in the field suggest that things might finally be about to change.

Scientists at the Wyss Institute at Harvard University have created the world’s first ‘vagina on a chip,’ a development that could prove significant in bridging several knowledge gaps on women’s sexual health.

It comes amid growing furore towards prevailing bias in the medical sphere, which still sees gynaecology chronically under-researched and misunderstood.

That’s despite the ongoing pervasiveness of female-specific illnesses like endometriosisperimenopause, and polycystic ovary syndrome (PCOS).

Seeking to confront these systemic failings, the scientists at Harvard designed a small device containing live human cells that replicates the cellular environment of the vaginal canal.

The model was grown inside of silicone rubber chips the size of a stick of gum, forming channels that respond to fluctuating oestrogen levels and bacteria.

So far, it’s been able to mimic key features of the vaginal microbiome, the swarming communities of bacteria that play a crucial role in the organ’s health.

What’s so promising about this tech is that it offers a controlled environment that’s outside the human body, meaning researchers can test and retest how different bacteria (and eventually new treatments) affect the vagina – without requiring anyone to participate in these experiments.

‘This is just the start,’ says co-author Aakanksha Gulati. ‘We just started to understand one disease called bacterial vaginosis, but we could do so much more with these chips.’

As Gulati mentions, her team’s hope is that the chip could help scientists test drug-based treatments for bacterial vaginosis, a common condition that is also notoriously difficult to treat.

Additionally, while other types of cells like vaginal immune cells have not yet been studied, the bioengineers are planning to integrate them into future research, and beyond testing existing and new treatments for bacterial vaginosis, they are working to connect the vagina on a chip to one that resembles the cervix, so as to better represent the female reproductive system.

‘In the vagina, we knew that bacteria are crucial more than a hundred years ago,’ Dr. Ahinoam Lev-Sagie (who was not involved in the study) tells the New York Times.

‘We do the research for many years, but we still lag behind. We’re hopeful that this new preclinical model will drive the development of new treatments for BV as well as new insight into female reproductive health.’

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