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Bacterial flora of the cervix in women using different methods of contraception.

Abstract：

:Bacteriologic culture samples were taken from the cervix in three groups of 10 healthy, sexually active women using barrier contraception, oral contraceptives, or a levonorgestrel-releasing intrauterine contraceptive device. Culture samples for Candida albicans and Trichomonas vaginalis were taken, a cytologic vaginal smear was obtained, and an amine sniff test was performed; these were in addition to a routine gynecologic examination. Multiple bacteria were isolated from the cervix in women using oral contraceptives or an intrauterine contraceptive device, whereas lactobacilli alone dominated the flora of women using barrier contraception. Significantly more anaerobic bacteria were isolated from the cervix in oral contraceptive and intrauterine contraceptive device users when compared with the barrier method users. Symptoms and findings evident of anaerobic vaginosis were associated with the occurrence of anaerobic bacteria in the cervix of three patients using the intrauterine contraceptive device. The results showed that the cervical bacterial flora in sexually active healthy women is rich in anaerobes that can be regarded as a normal finding in women using oral contraceptives or intrauterine contraceptive devices. Barrier contraception with a condom prevents this anaerobic shift and maintains a lactobacilli-dominated flora in the cervix.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Haukkamaa M,Stranden P,Jousimies-Somer H,Siitonen A

doi

10.1016/0002-9378(86)90594-6

subject

Has Abstract

pub_date

1986-03-01 00:00:00

pages

520-4

issue

3

eissn

0002-9378

issn

1097-6868

pii

0002-9378(86)90594-6

journal_volume

154

pub_type

杂志文章

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