Abstract
Objectives: This study aimed to assess clinical, microbial changes in IUD users and other contraceptive methods in referent to urban health centers in Hamadan city, Iran. Methods: Detailed history and gynecological examination were conducted on women (IUD users, n = 100) or other contraceptive methods (controls, n = 160) in the health centers. Results: Frequencies of the different vaginal pathogens, high indices of infection by bacterial vaginosis (12.0%) candida albicance (7.0%) and low indices of trichomoniasis (5.0%) were found in present study, but none of them in both groups was significant. Menorrhagia was more frequent among women with IUD than that among women without IUD (P < 0.05). A trend of erosion cervix and dysmenorrhea being more frequent among women with IUD was also found (P < 0.05). Conclusions: IUD is the safety in general; however, an increase occurred in the frequency of vaginitis.
Highlights
The insertion of intrauterine devices (IUD) is one of the most prevalent and effective reversible methods of contraception worldwide, and millions of IUDs are inserted yearly. It is used far less often than experts believe it should be. This is believed to be the result of the concerns of clinicians for the risk of complications linked to its use, pelvic inflammatory disease (PID) and subsequent sequels [1] [2]
Bacterial vaginosis is the most common vaginal infection among reproductive-age women and several studies have demonstrated a higher prevalence of this infection among IUD users in different countries [2] [6] [7]
It has been suggested that the presence of bacterial vaginosis in IUD insertion could lead to an increased risk of complications in the first trimester of use [4]
Summary
The insertion of intrauterine devices (IUD) is one of the most prevalent and effective reversible methods of contraception worldwide, and millions of IUDs are inserted yearly. It is used far less often than experts believe it should be. How to cite this paper: Shobeiri, F. and Nazari, M. Bacterial vaginosis is the most common vaginal infection among reproductive-age women and several studies have demonstrated a higher prevalence of this infection among IUD users in different countries [2] [6] [7]. This study aimed to assess clinical, microbial changes in IUD users and other contraceptive methods in referent to urban health centers in Hamadan city, Iran
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