Abstract
Aim: To evaluate microbiological colonisation of intrauterin devices IUDs in patients without the diagnosis of pelvic inflammatory disease PID .Material and Methods: The cultures of IUDs of 40 patients, admitted to Bülent Ecevit University Gynecology and Obstetrics Department and had no pelvic infection signs, were evaluated.Results: The culture results of IUDs removed due to abnormal uterine bleeding, pelvic pain, cervical localisation revealed that only 5 12,5% of patients had microbiological colonisation.Conclusion: The role of IUDs on pelvic infections has been known. The data in the past studies revealed that IUDs cause bacterial colonisation without pelvic inflammatory disease. However, in our study there was no bacteria colonisation in patients without PID. The other risk factors early sexual function, frequency of coitus, hygien and geographical regionvariations should be considered as reasons of PID.
References
- Chiou CF (1), Trussell J, Reyes E, Knight K, Wallace J, Udani J, Oda K, Borenstein J.Economic analysis of contraceptives for women. Contra- ception. 2003;68:3-10.
- World Health Organization. Medical eligibility criteria for contraceptive use. 3rd ed. Geneva: WHO; 2004.
- Eshenbach DA, Harnisch JP, Holmes KK: Pathogenesis of acute pelvic inflammatory disease : Role of contraception and other risk factors. Am J Obstet Gynecol 128:838, 1977.
- Daling JR, Weiss NS, Metch BJ, Chow WH, Soderstrom RM: Primary tubal infertility in relation to the use of an intrauterine device. New Engl J Med 312:941, 1985.
- Alvarez F, Guiloff E, Brache V, et al. New insights on the mode of action of intrauterine contraceptive devices in women. Fertil Steril1988;49:768-73.
- Intrauterine contraception. In: Speroff L,Darney PD, eds. A clinical guide for contraception,4th ed. Philadelphia, PA: Lippincott Williams and Wil- kins; 2005:221-57.
- Critchley HO, WangH,Jones RL, et al. Morphological and functional fe- atures of endometrial decidualization following long-term intrauterine levonorgestrel delivery. Hum Reprod1998;13:1218-24.
- Ashwani R, BhaleRao, Shobha VS, Shroff RR, Purandare M. Cytology in CuT users. J Obstet Gynae Ind 1988;38:717-21.
- Agarwal K, Sharma U, Acharya V. Microbial and cytopathological study of intrauterine contraceptive device users. Indian J Med Sci. 2004;58: 394-9.
- Bariş II (1), Arman Karakaya Y. Effects of contraception on cervical cyto- logy: data from Mardin City. Turk Patoloji Derg. 2013;29:117-21.
- Harma M I, Harma M, Ulukanlıgil M, Aslan G. Enfeksiyon dışı Sebeplerle Çıkartılan Rahim içi Araçlarda Bakteri Kolonizasyonunun İncelenmesi. Jinekoloji ve Obstetrik Dergisi 1999 ; 13; 176-180.
Pelvik İnflamatuar Hastalık Harici Sebeplerle Çıkartılan Rahim İçi Araçlarda Mikrobiyal Kolonizasyon Durumu
Abstract
Giriş: Pelvik inflamatuar hastalık PİH tanısı almayan hastalarda diğer nedenlerle çıkartılan rahim içi araçlar RİA da mikrobiyal kolonizasyonunun incelenmesiGereç ve Yöntemler: Bülent Ecevit Üniversitesi Kadın Hastalıkları ve Doğum Kliniği’ne başvuran pelvik inflamasyon bulguları olmayan 40 hastadan herhangi bir nedenle çıkarılan RİA’ların kültür incelemesi yapıldı.Bulgular: Düzensiz kanama, ağrı veya servikal yerleşim nedeniyle çıkartılan RİA’ların kültür incelemesinde sadece 5 hastada %12.5 üreme olmuştur.Sonuç: RiA’nın pelvik inflamasyondaki rolü bilinmektedir. Daha önce yapılan çalışmalarda RİA’ların pelvik inflamatuar hastalık oluşturmadan bakteriyel kolonizasyon oluşturduğuna dair veriler vardır. Fakat bizim çalışmamızda PİH tanısı olmayan hastalarda bakteriyel kolonizasyon saptanmamıştır. Burada PİH oluşumunda diğer risk faktörlerinin erken yaşta başlayan cinsel ilişki, koit sıklığı, hijyen önemli olabileceği ve coğrafi bölgesel faklılıklar gösterebileceğini dikkate almak gerekir.
References
- Chiou CF (1), Trussell J, Reyes E, Knight K, Wallace J, Udani J, Oda K, Borenstein J.Economic analysis of contraceptives for women. Contra- ception. 2003;68:3-10.
- World Health Organization. Medical eligibility criteria for contraceptive use. 3rd ed. Geneva: WHO; 2004.
- Eshenbach DA, Harnisch JP, Holmes KK: Pathogenesis of acute pelvic inflammatory disease : Role of contraception and other risk factors. Am J Obstet Gynecol 128:838, 1977.
- Daling JR, Weiss NS, Metch BJ, Chow WH, Soderstrom RM: Primary tubal infertility in relation to the use of an intrauterine device. New Engl J Med 312:941, 1985.
- Alvarez F, Guiloff E, Brache V, et al. New insights on the mode of action of intrauterine contraceptive devices in women. Fertil Steril1988;49:768-73.
- Intrauterine contraception. In: Speroff L,Darney PD, eds. A clinical guide for contraception,4th ed. Philadelphia, PA: Lippincott Williams and Wil- kins; 2005:221-57.
- Critchley HO, WangH,Jones RL, et al. Morphological and functional fe- atures of endometrial decidualization following long-term intrauterine levonorgestrel delivery. Hum Reprod1998;13:1218-24.
- Ashwani R, BhaleRao, Shobha VS, Shroff RR, Purandare M. Cytology in CuT users. J Obstet Gynae Ind 1988;38:717-21.
- Agarwal K, Sharma U, Acharya V. Microbial and cytopathological study of intrauterine contraceptive device users. Indian J Med Sci. 2004;58: 394-9.
- Bariş II (1), Arman Karakaya Y. Effects of contraception on cervical cyto- logy: data from Mardin City. Turk Patoloji Derg. 2013;29:117-21.
- Harma M I, Harma M, Ulukanlıgil M, Aslan G. Enfeksiyon dışı Sebeplerle Çıkartılan Rahim içi Araçlarda Bakteri Kolonizasyonunun İncelenmesi. Jinekoloji ve Obstetrik Dergisi 1999 ; 13; 176-180.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2015 |
| Published in Issue | Year 2015 Volume: 12 Issue: 6 |