الفهرس 
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Abstract
SUMMARY
B
acterial vaginosis, trichomoniasis, and vulvovaginal candidiasis are the most common infectious causes of vaginitis. Bacterial vaginosis occurs when the normal lactobacilli of the vagina are replaced by mostly anaerobic bacteria. Diagnosis is commonly made using the Amsel criteria, which include vaginal pH greater than 4.5, positive whiff test, milky discharge, and the presence of clue cells on microscopic examination of vaginal fluid.
Symptoms and signs of trichomoniasis are not specific; diagnosis by microscopy is more reliable. Features of trichomoniasis are trichomonads seen microscopically in saline, more leukocytes than epithelial cells, positive whiff test, and vaginal pH greater than 5.4.
Most patients with vulvovaginal candidiasis are diagnosed by the presence of vulvar inflammation plus vaginal discharge or with microscopic examination of vaginal secretions in 10 percent potassium hydroxide solution.
Our objective was to find if there is an association between IUD, combined oral contraceptives (COC), and DMPA usage and TV, BV and vaginal candidiasis. and to compare each method with the control group which didn’t use any contraceptive method.
We enrolled 400 women divided equally into 4 groups (A,B C, and D) IUD users, COCs users, DMPA users and control group respectively. We took a full history from each women in the study then we collected the vaginal secretion from each women and pH, whiff test and examination of the vaginal discharge under microscopy were all done to diagnose the type of infection present.
We found that there was an association between IUD, COCs and DMPA usage and the studied three types of the vaginal infections TV, BV and vaginal candidiasis and this association was highly significant as the (p- value) was 0.001.
When we compared each of the three groups A,B and C with group D (women not using contraceptive methods). There was no a statistically significant value as (p> 0.005) except for the comparison between the usage of COCS and vaginal candidiasis as the p-value was 0.001.
There was an association between usage of IUD, COCs and DMPA and infections with TV, BV and vaginal candidiasis.