الفهرس 
Subjects and methodsOnly 14 pages are availabe for public view
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Abstract
SUMMARY AND CQNCLUSIQN
Three hundred, sUccessive women of the same socioeconomic
cla8s(10w class) attending the outpatient clinic
of Kafer El-Sheilch general hospital were investigated
for vaginal infection by gynaecological clinical examination
and microscopic eXamination of the vaginal
discharge •
Women were divided into three groups, each group
containing 100 women. The first group included women
wearing plastic (Lippes) 100ps.The second group included
women wearing copper T200 IUDs. The third group
incilludedwomen who were not wearing intrauterine contraceptive
devices (oontrol group).
This work was done to study the type, incidence and
symptomatology of vaginal infection especially N.S.V.,
Monilial vaginitis and triohomonal vaginitis in a.80ciation
with the plastic loop and copper T
devices.
we found that the incidence of vaginitis among all
women (JOO) was 64.7%. Vaginitis’ among the control group
was 59% and among women with IUDs was 67.5% (P)O.Os).
Vaginitis among women wearing copper T
IUDs was 66%
and among those wearing plastic looJewas 69% (P)0.05).
On studying the different types of vaginitis namely;
•
Haemophilus vaginalis vaginitis, Monilial vaginitis
and Trichomonal vaginalis vagini tis with IUDs ’ we
found that N.S.V. occurred in 29.3% of all women
0(0). It was found in 26%of the control group, in
31%womenwearing IUDs (p> 0.05). It was found in
JO% of womenwearing copper -T200 IUD and in 32%of
womenwearing lippe sloop ( P> 0.05). Haemophilus
vaginalis vaginitis accounted for 45.4 of all cases
of vaginitis.
Monilial vaginitis occured in 17. Jfo of all women
(JOO) • It was found in 16%in the control group and
in 18% of womenwearing IUDs (P> 0.05). It was
found in 18% of womenwearing copper-T200 IUD and in
18% of womenwearing lippe. loop (p> 0.05). Monilial
vaginitis accounted for 26.8% of all ca.e. of vaginitis.
Trichomonal vaginitis was found in 14.3% of all
women (JOO).’ It was found in 14% of the control group
and in 14.5;in womenwearing IUD. (P> 0.05). It was
found in 14% of womenwearing copper-T200 IUD and in
15% of those wearing l1ppes loop (P >0.05). Trichomonal
vaginitis accounted for 22.2% of all cases of vaginitis.
Mixed vaginitis accounted for 5.6% of all cases
of vaginitis. Our stUdy showed that the incidence of
vaginitis among womenwith and without IUD” had no
significant relation to the age of the patient nor
to her parity and nor to the duration of IUDs’
The study of the vaginal discharge showed that the
PH value in cases of N.S.V. ranged from 5 to 5.5,in
cases of T.V.V., it ranged from 5 to 6.5 and in monilial
vaginitis it ranged from 4 to 4.5. The PH. value
of the normal vaginal dischaI”f!JIrangedfro. 4 to 4.5
All the above values of vaginal PH. were statistically
significant (P( 0.05) regarding each type, of vaginitis.
Regarding the SymptolllSIlI1d signs of different types
of vaginitis, we found that pruritus vulvae, vaginal
discharge, dysuria and dyspareunia, in this order of
frequency were the main symptoms in monilial vaginitis.
Offensive vaginal discharge, pruritus vulvae, dyspareunia
and dysuria, in this order of frequency were
the main symptoms of trichomonal vaginitis. Bad odor
vaginal discharge, bUrning sensation, dyspareunia and
dysuria, in this order of frequency were the main
symptoms of N.S.V.
we found that the presence of IUDs, whether plastic
or copper- containing did not appear to affect the PH
value of the vaginal secretion, nor increase or decrease
the incidence of N.S.V., trichomonal nor monilial infections
whatever the duration of IUDs retention.
concluded that:-
1- The uaaga of the intrauterine contraceptive
J
,
. J
devices does not affect the incidence of
vagini tis.
2- Neither the intrauterine contraceptive device
nor its types affect various types of vaginj,
.~
itis es;ecially nonspecific vaginitis, monilial
vaginitis and trichomonal vaginitis as
we studied.
Also, we concluded that IUDs ca~ be used with
J- The duration of usage of the intrauterine
device does not affect the incidence of
vaginitis.
safety without fear of theeommenst types of vaginitis
mainly N.S.V., 1.V.V and monilial vaginitis.