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DNA-based cell typing in menstrual effluent identifies cell type variation by sample collection method: toward noninvasive biomarker development for women’s health

Vlasac IM, Stolrow HG, Thayer ZM, et al.Epigenetics · 2025DOI 10.1080/15592294.2025.2453275

In plain language

Twelve healthy women collected menstrual effluent at home on day 2 of their period in three ways, with a menstrual cup, a pad liner and a vaginal swab, and DNA methylation was used to estimate which cell types each sample contained. Collection method shaped the result: cup samples held the most immune cells, swabs the most epithelial cells, and pads captured immune, epithelial and stromal cells.

Key numbers

12
Healthy participants
36
Samples: cup, pad and swab from each woman
3
Collection methods compared

What it means

How menstrual effluent is collected changes what it contains, so studies need to choose and report their method with care. Pads, the only option that needs no insertion, still captured all three main cell groups, which matters for at-home and adolescent research.

What it does not show

A small feasibility study in healthy women with no disease comparison, and cell proportions were estimated computationally rather than counted directly. It did not test any diagnostic question.

Figures

Figure 2 from Cell types in menstrual effluent by method: Estimated cell type proportions in menstrual effluent collected with a menstrual cup, a pad and a vaginal swab, using four DNA methylation methods: cup samples held the most immune cells and swab samples the most epithelial cells.
Figure 2. Estimated cell type proportions in menstrual effluent collected with a menstrual cup, a pad and a vaginal swab, using four DNA methylation methods: cup samples held the most immune cells and swab samples the most epithelial cells.Figure 2 from Vlasac et al., Epigenetics (2025), CC BY 4.0.

Figures reproduced unchanged from Vlasac IM et al., Epigenetics, 2025, under CC BY 4.0. Captions written by Qvin.

How to cite

Vlasac IM, Stolrow HG, Thayer ZM, Christensen BC, Rivera L. DNA-based cell typing in menstrual effluent identifies cell type variation by sample collection method: toward noninvasive biomarker development for women’s health. Epigenetics. 2025;20(1):2453275. doi:10.1080/15592294.2025.2453275

Reviewed by the Qvin science team, .