Vaginal yeast colonization in nonpregnant women: a longitudinal study.

Abstract:

OBJECTIVE:We sought to investigate the prevalence and risk factors for vaginal yeast colonization over a 1-year period. METHODS:We conducted a longitudinal cohort study of 1,248 asymptomatic young women by collecting demographic and behavioral data at baseline, 4, 8, and 12 months. RESULTS:Seventy percent of women were colonized by vaginal yeast at one or more visits, but only 4% were colonized at all 4 visits. Using an adjusted generalized estimating equation model, factors associated with vaginal yeast colonization were marijuana use in the previous 4 months, depomedroxyprogesterone acetate use in the past 4 months, sexual intercourse in the previous 5 days, and concurrent colonization with lactobacilli and group B streptococcus. Symptoms of pruritus and vulvovaginal burning were associated with yeast colonization, but antifungal use was not. CONCLUSION:Recent sexual intercourse and use of injection contraceptives are risk factors for yeast colonization. Rates of antifungal use did not show an association with yeast colonization. The reporting of antifungal use by women lacking yeast colonization suggests that self-diagnosis is inaccurate. LEVEL OF EVIDENCE:II-2.

journal_name

Obstet Gynecol

authors

Beigi RH,Meyn LA,Moore DM,Krohn MA,Hillier SL

doi

10.1097/01.AOG.0000140687.51048.73

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

926-30

issue

5 Pt 1

eissn

0029-7844

issn

1873-233X

pii

104/5/926

journal_volume

104

pub_type

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