Document Type
Original Article
Abstract
Background: Vaginitis is a common gynecological condition that affects many women of reproductive age, including bacterial vaginitis, yeast infection, and trichomonas vaginalis. While intrauterine devices (IUDs) can be an effective method of contraception, they may also influence the vaginal environment by increasing the pH, making it more alkaline, making it more hospitable to bacteria, increasing the amount of cervical mucus, decreasing the diversity of bacteria in the vagina leading to overgrowth of certain types and potentially increase the risk of vaginitis. Additionally, IUDs may facilitate the movement of microorganisms from the lower genital tract to the upper genital tract, potentially leading to infections and complications.
Patients and Methods: Vaginal swabs were collected from women exhibiting signs and symptoms of vaginitis who had an intrauterine device (IUD) inserted before the symptoms appeared after ensuring the IUD was in place using transabdominal or transvaginal sonography. These swabs were subsequently analyzed in a laboratory setting to isolate and identify the causative organisms responsible for the infection. The incidence of these organisms was assessed.
Results: A study was conducted on 503 women who had an intrauterine device (IUD) inserted for a specific period and reported various symptoms. The participants' ages were distributed as follows: 25% (n=125) were between 19 and 25 years old, 53.5% (n=269) were between 26 and 39 years old, and 21.5% (n=108) were between 40 and 45 years old. The average age of the participants was 32.06 years, with a standard deviation of 8.16 years. The average duration of IUD use was 4.85 years, with a standard deviation of 2.5 years. The participants reported a variety of symptoms, including vaginal discharge (8.34%, n=42), dyspareunia (painful intercourse) (8.54%, n=43), foul odor (8.36%, n=42), itching (8.15%, n=41), and watery discharge (66.6%, n=335).
Conclusions: The study shows that the incidence of Bacterial vaginosis was among the highest (27.0%) in the assessed sample. The second was the yeast infection (20.0%). Trichomonas Vaginalis came in third place(6.0%). The remaining sample (47.0%) shows a lack of ongoing infection.
Keywords
Intrauterine Device; Vaginitis; Microbial Agent
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Soliman, Ahmed Samy; Mohammed, Bahaa Eldeen El Mohammady; Hasheesh, Mahmoud Abdel lateef; and Abdelhady, Ibrahim Hamdy Tawfeeq
(2024)
"Incidence of Causative Organisms of Vaginitis in Females with Intrauterine Device,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
5, Article 17.
DOI: https://doi.org/10.58675/2682-339X.2419
