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Article Type

Original Study

Abstract

Objective The aim of this study was to improve women health through studying the causes of vaginitis and evaluating the risk factors causing the infection. Background Vaginitis is an inflammation of the vagina. It affects all age groups from adolescents to postmenopausal women and is the most common gynecological problem faced by the primary care providers. It affects women's daily activities through changes in the amount and odor of vaginal discharge, dyspareunia, dysuria, and may get complicated with cervicitis, salpingitis, endometritis, urinary tract infections, and pelvic inflammatory disease. Patients and methods The study was carried out in two randomly selected family healthcare centers in urban and rural areas in Tanta district, El-Gharbia governorate, conducted from the beginning of May 2014 till April 2015. A cross-sectional analytical study was conducted involving 160 cases, including women who experienced vaginal symptoms during child-bearing and postmenopausal period. Women who had chronic diseases or psychological problem or were taking systemic therapy were excluded. After selecting the cases, 240 women who did not have vaginal symptoms were selected as controls. Questionnaire was designed to obtain full history and analysis of vaginal complaint, speculum vaginal examination, and laboratory examination of discharge. Results The mean age of the studied group was 29.47 ± 6.9 years. Results of the cases showed that 38.8% had fungal infection, 31.3% had bacterial vaginosis, and 8% had trichomoniasis. The study showed a statistical significant difference between cases of different types of vaginitis with regard to age of patients, intrauterine device use, previous attack, vaginal douche, menstrual hygienic pads, drying after vaginal wash, and using of public water closet. Conclusion and recommendation The study showed that there is relationship between bacterial vaginosis, trichomoniasis and the use of intrauterine devices and hormonal contraception and bad menstrual hygiene, and mixed infections and did not dry vagina after wash risk factor. Health education programs are recommended.

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