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[Bacterial vaginal fluor in intrauterine contraception]
Fortschritte Der Medizin
|November 8, 1979
Summary
Intrauterine device (IUD) users with vaginal discharge showed higher bacterial counts and diversity. This discharge can harbor pathogens, potentially leading to genital tract inflammation, necessitating prompt diagnosis and treatment.
Area of Science:
- Gynecology
- Microbiology
- Public Health
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Vaginal discharge in IUD users can be a sign of underlying infection.
- The relationship between IUD use, vaginal discharge, and bacterial flora requires further investigation.
Purpose of the Study:
- To bacteriologically examine vaginal swabs from IUD users with and without vaginal discharge.
- To compare bacterial isolates and diversity between groups.
- To understand the clinical significance of vaginal discharge in IUD users.
Main Methods:
- Bacteriological examination of vaginal swabs from 100 IUD users.
- Categorization into a group with vaginal discharge (n=51) and a control group without (n=49).
- Analysis of bacterial isolates, culture diversity, and identification of anaerobic cultures.
Main Results:
- IUD users with vaginal discharge had significantly higher numbers and diversity of bacterial isolates.
- Nulliparous IUD users with discharge showed a higher prevalence of anaerobic cultures.
- Vaginal discharge serves as a reservoir for pathogenic bacteria.
Conclusions:
- Vaginal discharge in IUD users is associated with increased bacterial load and diversity.
- This discharge may contribute to inflammatory diseases of the female genital tract.
- Bacteriological diagnosis and effective treatment of vaginal discharge are crucial for IUD users.