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Related Experiment Videos

Bacterial vaginosis increases in pessary users.

B Alnaif1, H P Drutz

  • 1Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, USA.

International Urogynecology Journal and Pelvic Floor Dysfunction
|September 27, 2000
PubMed
Summary

Pessary use for genital prolapse increases bacterial vaginosis (BV) risk by 4.37 times. Smoking further elevates this risk, highlighting the impact of foreign bodies and lifestyle on vaginal flora.

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Area of Science:

  • Gynecology
  • Microbiology
  • Urogynecology

Background:

  • Pessary devices are commonly used for managing pelvic organ prolapse.
  • Changes in vaginal flora can lead to conditions like bacterial vaginosis (BV).
  • Smoking is a known factor influencing various health conditions.

Purpose of the Study:

  • To investigate the association between pessary use and alterations in vaginal flora.
  • To determine the impact of smoking on vaginal flora in women using pessaries.
  • To assess the risk of developing bacterial vaginosis (BV) in relation to pessary use and smoking.

Main Methods:

  • A case-control study comparing 44 pessary users with 176 age-matched controls.
  • Vaginal cultures were performed on all participants attending a genitourinary clinic.
  • Statistical analysis included calculating odds ratios (OR) and confidence intervals (CI) for BV development.

Main Results:

  • Pessary users had a significantly higher prevalence of bacterial vaginosis (32%) compared to controls (10%).
  • Pessary use was associated with an increased odds ratio of 4.37 for developing BV.
  • Smoking independently increased the odds ratio for BV to 3.78, compounding the risk with pessary use.

Conclusions:

  • Pessary use, while effective for genital prolapse, is associated with increased risk of bacterial vaginosis due to the presence of a foreign body.
  • Smoking acts as an independent risk factor, further exacerbating the likelihood of developing BV in pessary users.
  • These findings underscore the importance of considering both device use and lifestyle factors in managing vaginal health.

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