Vaginal Microbiome

An at-home swab test that profiles vaginal bacteria and yeast species, including several Lactobacillus and Candida species, plus pH. Suited to women wanting a detailed look at their vaginal microbiome rather than a quick screen for a single infection.

  • At-home test
  • Doctor reviewed
  • Female
Sample
Swab
Collection
At-home swab sample by post
Results in
25 days
Biomarkers
26
Doctor reviewed
Yes
Tests for
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Trichomonas vaginalis
  • pH
  • Atopobium vaginae
  • Bacteroides fragilis
  • BVAB2
  • Candida albicans
  • Candida glabrata
  • Candida parapsilosis
  • Candida tropicalis
  • Enterococcus faecalis
  • +14 more

Test specifications

Sample type
swab
Collection method
at-home swab sample by post
Turnaround time
25 days
Biomarkers tested
26
At-home test
Yes
Doctor reviewed
Yes
Gender focus
Female

What's tested

26 biomarkers as listed by Blue Horizon Medicals.

STI Urine

  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Trichomonas vaginalis

Urine chemistry

  • pH
  • Atopobium vaginae
  • Bacteroides fragilis
  • BVAB2
  • Candida albicans
  • Candida glabrata
  • Candida parapsilosis
  • Candida tropicalis
  • Enterococcus faecalis
  • Escherichia coli
  • Gardnerella vaginalis
  • Lactobacillus crispatus
  • Lactobacillus gasseri
  • Lactobacillus iners
  • Lactobacillus jensenii
  • Megasphaera 1
  • Megasphaera 2
  • Mobiluncus curtisii
  • Mobiluncus mulieris
  • Prevotella bivia
  • Staphylococcus aureus
  • Streptococcus agalactiae
  • Ureaplasma urealyticum

About this test

This test profiles the vaginal microbiome from an at-home swab sample, identifying 25 individual bacteria and yeast species, including four Lactobacillus species and four Candida species, alongside a vaginal pH reading. Lactobacillus species are commonly discussed in relation to vaginal microbiome stability, and Candida species are associated with thrush; testing them individually, rather than as grouped categories, gives more detail than a single combined result.

We compare this test against other microbiome tests we track, most of which are gut microbiome tests rather than vaginal ones. Within that group its 26 biomarkers sit above the median of 24, and it's priced at £367.25 against a group median of £228.50, a significant premium. Blue Horizon's own Oral Microbiome Test (£299, 33 biomarkers) covers more markers for less, while several gut-focused tests from Selph, YorkTest and Randox Health cost considerably less.

It scores well for clinical depth given the number of species covered, and for documentation, since the biomarker list, sample type and collection method are all published clearly. It scores poorly for value for money given the price premium, and turnaround, at around 25 days, is far slower than most tests on the site, which pulls down its overall convenience despite the at-home collection. Results are reviewed by a doctor, and Blue Horizon has traded since 2009 with a Trustpilot score of 4.2 from 395 reviews, using UKAS ISO 15189 partner labs.

Who is it for?

This suits women who want a detailed, species-level look at their vaginal microbiome, including specific Lactobacillus and Candida species, and who are prepared to wait around 25 days and pay a premium price for that level of detail.

If price matters more than vaginal-specific detail, Blue Horizon's own Oral Microbiome Test (£299, 33 biomarkers) or Selph's Advanced Gut Bacteria, Worm and Parasite Test (£249, 24 biomarkers) cover more markers for less, though they test different body sites. For sudden or severe symptoms, see a GP rather than waiting for a postal test.

How it works

You collect your own vaginal swab sample at home and post it to the lab; full instructions and packaging are provided. The lab identifies bacteria and yeast species alongside pH, with results back in around 25 days. A doctor reviews the results before you receive them.

Pros & cons

Pros

  • Identifies 25 individual species, including four Lactobacillus and four Candida species, rather than grouping them.
  • Fully at-home collection with a swab sample sent by post.
  • A doctor reviews your results.
  • Includes a pH reading alongside the microbial profile.

Cons

  • Turnaround is around 25 days, far longer than most tests on the site.
  • Priced 61% above the median for the microbiome tests we track.
  • Blue Horizon's own Oral Microbiome Test covers more markers for less.

Our editorial score

Compare Health Test Score At-home vaginal microbiome test with a 25-day turnaround
Editorial confidence: 10.0/10

This at-home swab test profiles 26 vaginal bacteria and yeast species plus pH, priced at £367.25. Against the microbiome tests we track it's priced well above the £228.50 median, though it does cover more species than most of the cheaper gut microbiome tests in that group. The standout drawback is turnaround: results take around 25 days, far longer than most tests on the site.

Score breakdown

  • Clarity and documentation 9.0/10

    The listing publishes a detailed description, the full biomarker list, a stated turnaround, clear collection options, the sample type; it does not state what the report looks like.

  • Clinical depth 9.4/10

    26 biomarkers against a median of 24 across the 8 tests in its comparison group.

  • Collection convenience 7.0/10

    A swab sample you take at home, no needle; results in around 25 days, slower than similar tests.

  • Results and follow-up 7.0/10

    Results are reviewed by a doctor; the provider does not describe the report format.

  • Trust signals 7.5/10

    Trustpilot 4.2 from 395 reviews; accredited lab (UKAS ISO 15189 partner labs); trading 17+ years.

  • Value for money 2.2/10

    £367.25 against a comparison-group median of £228.50 (+61%).

Calculated 13 September 2026 from the facts we hold about this test and provider, using our published scoring formula. Scores are not hand-edited.

Compare with similar tests

This test belongs to our Gut microbiome test comparison group. See how it stacks up against equivalent tests from other providers.

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Gut Bacteria, Worm and Parasite Test

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A 7-marker stool test screening for common gut bacteria and parasites by PCR and microscopy, for people with gut symptoms who want a lower-cost first check before considering a wider panel.

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Oral Microbiome Test

Deep 33-marker oral microbiome test, priced above peers

This saliva test analyses the bacteria living in your mouth, covering 33 markers of oral microbiome balance. It suits people interested in oral and general health via their microbiome rather than blood-based screening.

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7.3 / 10

Gut Microbiome Test

Mid-priced gut microbiome test, fewer markers than peers

An at-home stool test analysing 10 markers of gut bacteria composition, including fibre-digesting and probiotic bacteria, for people wanting a general picture of their gut microbiome balance.

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7.3 / 10