-Background: Recent studies have shown the importance of the microbiota in women's health. In contrast, a dysbiosis condition can be a predisposing condition of viral infections by Human Papilloma Virus (HPV). The persistence of HPV-related lesions in patients with dysbiosis, could represent the antechamber of cervical cancer. The aim of this study is to evaluate whether long-term administration of oral lactobacilli may allow the restoration of eubiosis in women with HPV-infections with consequently viral clearance. -Methods: A total of 160 women affected HPV-infections were enrolled at Department of Gynecological Obstetrics of “San Paolo” Hospital, Italy between February 2021 and February 2022.Women were randomized in two groups, in treatment with oral Lactobacillus Crispatus M247 (group 1, n = 80) versus controlled group, with only follow-up (Group 2 n= 80).-Results: After a median follow up of 12 months (range 10-30 months) the chance to solve HPV-related cytological anomalies was higher in treatment with oral probiotic long-term users (group 1) versus group with placebo (group 2) (60.5% vs 41,3%, p = 0.05). Furthermore, a total HPV-clearance was shown in 9,3% in patients with only follow-up compared to a percentage of 15,3 % in group that assumed oral Lactobacilli long term users (p = 0.34). So, the percentual of patients assessed with HPV-DNA test documented at the end of the study period is not significatively different by the control group.-Conclusions: Despite the limitations of our analysis, we find a higher percentage of clearance of PAP-smear abnormalities, in patients who have took oral Lactobacilli long term than the control group. These results represent a confirm that the eubiosis re-establishment could be the first step to eradicate efficiently HPV-infection. Larger studies are need yet but we believe that future researchs should act in this direction.Trial registration: This word is retrospectively registered.