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2007, Number 3

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Arch Med Fam 2007; 9 (3)

Cervicovaginitis posterior a la aplicación del dispositivo intrauterino: Experiencia en una Unidad de Medicina Familiar

Pascual-Confesor T, Sainz-Vázquez L, Ortiz M.A, Soler-Huerta E, Gil-Alfaro I, Mendoza-Sánchez HF.

Language: Spanish
References: 12
Page: 133-136
PDF size: 156.20 Kb.


ABSTRACT

Objective: Determining the sociodemographic characteristics and the frequency of cervicovaginitis in new users of an intrauterine device (IUD). Design: Descriptive cohort. Methods: A cohort was made up of 43 women who were seen at the clinic for application of an IUD in the Family Medicine Unit (FMU) Reproductive Health Module 66, Mexican Institute of Social Security (IMSS) in Xalapa, Veracruz, Mexico during the period from February to September, 2005. Patients were aged from 18–45 years, without cervicovaginitis, and excluding pregnant women. Patients who had their IUDs removed prior to 2 months of use were eliminated from the study. Gynecologic examination, pH measurement, amine test, fresh smear on glass slide, and Gram staining were carried out on study participants prior to admittance, and after 1 month and 2 months of follow-up, to discard or confirm cervicovaginitis. Absolute and relative frequencies of variables were obtained by utilizing the Excel 2003 statistical package, Statística 6.1 version and Harvard Graphics 4.0. software Results Of the 43 women included, none was lost, there was predominance of homemakers aged 20–24, married, with an active sexual life beginning orior to the age of 20 years, who were monogamous, members of nuclear families, and low family poverty. Frequency of cervicovaginitis at the end of the first month of IUD insertion was 14%, and at the end of the second month, of 2%, with a predominance of bacterial etiology (71%). Conclusions: We identified sociodemographic characteristics, frequency of cervicovaginitis, and the importance of detecting infections prior to IUD placement.


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