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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. |