Abstract:
:The copper intrauterine contraceptive device (IUCD) is strongly associated with bacterial vaginosis (BV). Hormonal influences may play a role in the control of vaginal flora. It is unclear whether use of the progesterone-incorporated intrauterine system (IUS; Mirena) is associated with abnormal vaginal flora or genital symptoms. One hundred and seventy-two women were assessed for symptoms and abnormal vaginal flora prior to and at intervals after insertion of either a copper IUCD or an IUS. Women were significantly more likely to have developed an abnormal vaginal discharge 4-6 weeks after insertion of an IUCD compared with an IUS (27% cf. 14%, P = 0.04), although this trend was not significant six months postinsertion. More women with an IUCD developed BV compared with an IUS at 4-6 weeks and six months. However, there were insufficient numbers of women with BV to demonstrate any significant difference between the vaginal flora of the two groups.
journal_name
Int J STD AIDSjournal_title
International journal of STD & AIDSauthors
Neale R,Knight I,Keane Fdoi
10.1258/ijsa.2008.008391subject
Has Abstractpub_date
2009-06-01 00:00:00pages
423-4issue
6eissn
0956-4624issn
1758-1052pii
20/6/423journal_volume
20pub_type
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