Crisis of Vaginitis;Candida albicans in Intrauterine Device (IUD)

Abstract

Abstract Introduction/Objective Fungal infection is usually caused by an overgrowth of yeast typically found in the vaginal flora. The major pathogen C. albicans is the best-characterized member of the Candida clade. Candida species are common inhabitants of the female genital tract, and the use of intrauterine devices (IUDs) has been associated with pelvic inflammatory diseases. This study explored the relationship between insertion (IUDs) and candidiasis. Methods/Case Report 350 female patients using IUDs suffering from vaginitis from The Delta region, Egypt, were enrolled in this study. The median age was 20 to 43 years old. Vaginal swabs and IUDs were collected. Patients were classified according to the period of using IUDs as the following. Group 1: 46 users of IUDs for a period of one month to one year. Group 2: 85 users for one year to 5 years. Group 3: 171 users for five years to 10 years. Group 4: 52 users for 10 years to 20 years. The cultural characters identified the isolated organisms (morphological characters of the purified fungal isolates were carried out according to the organism's colony characters and biochemical tests). Results (if a Case Study enter NA) : 292 patients were positive for Candida albicans. We observed that 38 (5.59 %), 41 (11.2 %), 163 (7.6 %), and 48 (5.93 %) cases have positive Candida albicans for group1, group2, group2, and group4 respectively. There was a statistically significant difference between the occurrence of Candidiasis and IUDs in all studied groups P-value was ≤ 0.05. Conclusion In Egypt, women who use intrauterine devices have a higher chance of developing vaginitis. The findings indicated that women who used IUDs for longer periods of time had a higher risk of developing candidiasis. We advocate for the regulation of IUDs and the education of women on how to recognize the symptoms of candidiasis vaginosis and how to properly treat it.