کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6144548 1594910 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The effect of pessaries on the vaginal microenvironment
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
The effect of pessaries on the vaginal microenvironment
چکیده انگلیسی

ObjectiveThe objective of the study was to evaluate the differences in vaginal culture, microscopy, and Gram stain between postmenopausal women who wear pessaries and those who do not to explain pessary-related, bothersome vaginal discharge.Study DesignPostmenopausal women not using exogenous estrogen who had either been wearing a pessary for at least 3 months or who were undergoing their first pessary fittings were approached for enrollment. Symptoms were assessed, and vaginal fluid was collected for culture, microscopy, and Gram stain. A cross-sectional analysis was performed, comparing the new and return pessary wearers. The new pessary users were also sampled at 2 weeks, 3 months, and 6 months after fitting.ResultsWomen who wore pessaries were more likely to be bothered by discharge (30.0% vs 2.1%, P < .001). They were also more likely to show microscopic evidence of vaginal inflammation and vaginitis. Prospective data showed that these changes developed during the first 2 weeks of pessary use. Aerobic and anaerobic organisms were nearly identical in women with and without bothersome vaginal discharge in the cross-sectional analysis and at all time points in the prospective analysis.ConclusionPessary-related, bothersome vaginal discharge develops early and may be due to an inflammatory process in the vagina.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Obstetrics and Gynecology - Volume 212, Issue 1, January 2015, Pages 60.e1-60.e6
نویسندگان
, , , , , ,