بررسي عوامل ميكروبي در استفاده¬كنندگان روش¬هاي هورموني و جراحي پيشگيري از بارداري

Abstract

Introduction: Vaginitis is one of the most common gynecologic problems to which a considerable percentage of out-patient treatments is devoted annually. The purpose of this study was to investigate the prevalent microbial factors in hormonal and surgical contraceptive method users who referred to medical and health centers in Hamadan, Iran. Methods: In this descriptive /analytic, 160 women referring to family planning clinics were selected based on a quota sampling procedure. In addition to the detailed history and demographic characteristics of the subjects, samples of their vaginal discharge for wet mount examination, gram staining and culturing were obtained. SPSS was used to analyze the data descriptively and analytically. Results: The results revealed that majority of the users of natural methods (50%) and surgical methods (72/5%) had positive clinical signs, but 65% of hormonal and 80% of condom users did not have any clinical symptoms. The findings indicate statistically significant differences between clinical signs and contraception methods (P=0.00). Trichomoniasis, vaginalis had the highest prevalence of 5% in surgical method users and 2.5% in hormonal method users, while no case was reported in users of condom and natural methods. Gardnerella was reported in 7.5% of surgical method users, in 5% of hormonal method users and in 2.5% of natural method and condom users. The prevalence of candidiasis in hormonal method users, surgical method and condom users, and natural method users was 7.5%, 5% and 2.5%, respectively. E. coli was also reported in 7.5% of hormonal method and condom users and in 2.5% of natural method users. Conclusion: Noting the high prevalence of bacterial vaginosis, trichomoniasis and candidiasis in the subjects, it is suggested that women using contraception methods be regularly followed-up for clinical examination and counseling.