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Subject Area

Internal Medicine

Article Type

Original Study

Abstract

Objective To determine the prevalence of bacterial vaginosis (BV) among chronic copper T380 intrauterine device (IUD) users. Background There are two gold standards used to diagnose BV: Amsel clinical criteria and laboratory-based Nugent gram-staining evaluation. IUD may affect the normal vaginal microbiota system causing BV. Materials and methods The present study was conducted at Al Amiriyah General Hospital, Family Planning Clinic, Gynecology Department, after informed consent was taken from them. It was approved by the research ethics committee at Faculty of Medicine, Menoufia University. One hundred female patients came for routine checkup on their intrauterine contraceptive device and fulfilled the inclusion criteria. Samples of the vaginal discharge were obtained with two dry cotton-wool-tipped swabs from the lower third of the vaginal wall. For the first swab, wet mount preparation for examination of clue cells, measurement of vaginal pH, and Whiff test were performed to fulfill Amsel criteria. The second swab was gram stained by a microbiologist and assessed using Nugent's criteria. The outcome measures positive culture of aerobic BV and positive Amsel criteria. Results It was found that age group above 30 years old had the highest prevalence of BV and there was no statistically significant relation between use of douche and Amsel criteria. Conclusion There was a statistically significant association between diagnosis of BV and age group above 30 years using copper IUD for more than 1 year.

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