Abstract
A total of 150 women in 3 equal groups, each using a different contraceptive method (group I used Norplant, group II used the IUD and group III used combined OC pills) were investigated for the presence of vaginal candidiasis before and at various time intervals (3, 6 and 12 months) after starting to use the particular contraceptive method. The incidence of vaginalCandida albicans infection increased significantly among pill and IUD users, but with a much lower intensity among the latter cases. In Norplant users the increase was slight and insignificant. The explanation of these findings within the context of changes in local vaginal milieu is discussed.
Resumé
150 femmes, réparties en 3 groupes égaux utilisant chacun une méthode contraceptive différente (le groupe I utilisait Norplant®, le groupe II un DIU et le groupe III un contraceptif oral combiné), ont été observées afin de détecter la présence d'une candidose vaginale avant et à intervalles réguliers (3, 6 et 12 mois) après le début de l'emploi de l'une de ces méthodes contraceptives. L'infection vaginale à candida albicans a une incidence plus élevée mais une intensité moindre chez les utilisatrices de pilule et de DIU. Parmi les utilisatrices de Norplant, I'augmentation était légère et néglibeable. La discussion porte sur l'explication de ces résultats dans le contexte des modifications du milieu vaginal local.
Sumario
Un total de 150 mujeres en tres grupos iguales, cada uno usando un método anticonceptivo diferente (el grupo I usó Norplant, el grupo II usó DIU y el grupo III usó anticonceptivos orales combinados) fueron investigadas para la presencia de candidiasis vaginal, antes y luego de varios intervalos (3, 6 y 12 meses) después del comienzo del usó del método anticonceptivo aconsejado. La incidencia de infección vaginal por Candida albicans aumentó significativamente entre las usuarias de pastillas y de DIU pero, con mucho menos intensidad en las segundas. En usuarias de Norplant el aumento fue leve e insignificante. Se explican estos hallazgos en el contexto de cambios en el medio vaginal.
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Toppozada, M., Amer, S. & El-Ghazzawi, E. Effect of subdermal levonorgestrel contraceptive implants on vaginal candidiasis. Adv Contracept 2, 117–122 (1986). https://doi.org/10.1007/BF01849220
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DOI: https://doi.org/10.1007/BF01849220