Relationship between personal and medical factors with bacterial vaginosis recurrence in women referred to gynecologic clinics Tamin Ejtemaie, Mashhad, 2015

Document Type : Original Article

Authors

1 Instructor, Faculty member of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 MSc Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Instructor, Faculty member of Internal-Surgery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Assistant Professor, Department of Pharmacology, Pharmacological Research Center of Medicinal Plants, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Gynecologist, 17 Shahrivar Tamine Ejtemaie Hospital of Mashhad, Mashhad, Iran.

Abstract

Introduction: Different factors have been identified for bacterial vaginosis recurrence. But still the main cause of recurrent bacterial vaginosis remains a mystery. This study was performed with aim to determine the relationship between personal and medical factors with recurrent bacterial vaginosis in women referred to the gynecologic clinics of Mashhad.
Methods: This cross-sectional study was conducted on 61 women with recurrent bacterial vaginosis symptoms who had at least 3 times of bacterial vaginosis  symptoms during last year and referred to gynecologic clinics of 17 Shahrivar and Bahar Tamin Ejtemaie hospitals of Mashhad in 2015. Data collection tools included demographic – medical questionnaire and Amsel clinical criteria (To diagnose vaginosis recurrence). Data analysis was performed by SPSS software (version 16) and binary logistic regression. PResults: According to the results of binary logistic regression, there was significant relationship between husband's job (OR = 0.15, %95CI= 0.02-0.93, P= 0.005), family income (OR = 2.07, %95CI= 1.23-3.87, P= 0.024), the number of intercourse per week (OR = 2.15, %95CI= 1.03-3.70, P= 0.015), the time of changing the smell of the discharge in the menstrual cycle (OR = 1.76, %95CI= 0.23-2.71, P= 0.004) and vaginal douches (OR = 1.59, %95CI= 0.52-2.44, P= 0.041) with bacterial vaginosis recurrence. But, there was no significant association between other variables with vaginosis recurrence (P> 0.05).
Conclusion: Factors such as occupation, income, intercourse numbers and vaginal douche are effective in the recurrence of bacterial vaginosis, so it is recommended that these factors be considered in educational programs for couples.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 19, Issue 33
November 2016
Pages 7-14

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