DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20211371

Colposcopic and microbiological correlation in patients with vaginal infections: a prospective study

Reena Sharma, Manjit Kaur Mohi, Khush Preet Kaur, Geeta Walia

Abstract


Background: Objective of the study was to evaluate the association of abnormal vaginal flora with pathological colposcopic and microbiological findings.

Methods: The present study was conducted in outpatient’s department of Obstetrics and Gynaecology, Government Medical College, Patiala. We studied 300 cases with symptoms and signs of vaginal infections in reproductive age group (15-49 years). After taking detailed history and examination, samples of vaginal discharge were collected for microbiological analysis and patients were subjected to colposcopy. Recorded data was analysed to find out any association of abnormal vaginal flora with pathological colposcopic and microbiological analysis.

Results: The prevalence rate of vaginal infections was 31% among patients who reported to us with symptoms and signs of vaginal infections. The most common micro-organism detected was B. vaginosis (BV) in 14%, C. albicans (C) in 12% and T. vaginalis (T) in 3.33%. The normal colposcopic findings were observed in 81.33% and abnormal colposcopic findings were noted in 18.67% of the patients which were vaginal hyperaemia in 9%, chronic cervicitis in 5.33%, small iodine negative area in 2.33%, keratosis in 1.33% and cervical polyp in 0.67% of the patients.

Conclusions: We concluded that vaginal discharge is a common gynaecological complaint and vaginal infections are an important cause of the vaginal discharge thus leading to significant proportion of female morbidity in reproductive age group. So, vaginitis and vaginal discharge highlights the importance of microbiological investigations to find out the causative organisms and the specific findings due to particular micro-organism can be correlated colposcopically and specific treatment can be provided.


Keywords


Colposcopy, Colposcopic findings, Vaginal infections

Full Text:

PDF

References


Goroll AH, Mulley AG. Approach to the patient with vaginal discharge. In primary care Med office evaluation and management of the adult patients, 6th Ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins. 2009;860-863.

Baliga BS. In principles and practice of colposcopy, 1st ed. India: Jaypee brothers Med Publishers (P) Ltd. 2004:6,53,73,79-82,144.

Palo GD. Colposcopic appearance of benign cervical diseases. CME J Gynae Oncology. 2005;10:41-5.

Suchet HJ. Clinical and colposcopical aspects of bacterial vaginosis. Rev Fr Gynecol Obstet. 1993;88(3):199-201.

Berek JS. Genitourinary infections and sexually transmitted diseases. In: Berek and Novak’s Gyne, 14th ed. India: Wolters Kluwer Health (P) Ltd. 2007;541.

Go VF, Quan VM, Celentano DD, Moulton LH, Zenilman JM. Prevalence and risks factors for reproductive tract infections among women in rural Vietnam. Southeast Asian J Trop Med Public Health. 2006;37(1):185-9.

Devi BS, Swarnalatha N. Prevalence of RTI/STI among reproductive age women (15-49 years) in urban slums of Tirupati town, Andhra Pradesh. Health Population Issues. 2007;30(1):56-70.

Rabiu KA, Adewunmi AA, Akinlusi FM, Akinola OI. Female reproductive tract infections: Understandings and care seeking behaviour among women of reproductive age in Lagos, Nigeria. BMC Women’s Health. 2010;10(8):1-7.

Sharma S, Gupta BP. The prevalence of reproductive tract infections and sexually transmitted diseases among married women in the reproductive age group in a rural area. Indian J Community Med. 2009;34(1):62-4.

Msuya SE, Mbizvo E, Stray PB, Sundby J, Sam NE, Hussain A. Reproductive tract infections among women attending primary health care facilities in Moshi, Tanzania. East African Med J. 2002;79(1):16-21.

Georijevic AV, Sisovic JR, Djukic SV, Bujko MJ. Colposcopic and cytologic findings among women with abnormal vaginal flora. J Lower Genital Tract Dis. 2002;6(3):155-61.

Prasad JH, Abraham S, Kurz KM, George V, Lalitha MK, John R. Reproductive tract infections among young married women in Tamilnadu, India. Int Family Planning Per. 2005;31(2):73-82.

Tchoudomirova K, Bassiri M, Savova JD, Mardh PA. Gynaecological and microbiological findings in women attending for general health check-up. J Obst Gynae. 1998;18(6):556-60.

Xueqiang F, Yinghzi Z, Yangfang Y, Yutoa D, Huiqing L. Prevalence and risk factors of trichomoniasis, bacterial vaginosis, and candidiasis for married women of child bearing age in rural Shandong. JPN. J Infect Dis. 2007;60:257-61.

Nigam P, Mukhija RD. Pattern of sexually transmitted diseases at Gorakhpur. J Obst Gynae. 1986;7:70-3.