TRAKYA UNIVERSITESI TIP FAKULTESI DERGISI, sa.3, ss.197-202, 2009 (SCI-Expanded)
Objectives: We investigated the association between the frequency of Trichomonas vaginalis and using intrauterine contraceptive device (IUD). Patients and Methods: A total of 1058 vaginal swab samples were collected. The study population included 402 symptomatic and 656 asymptomatic women, between 18-45 years of age. Specimens were taken with a speculum and sterile cotton swabs from the posterior fornix of the vagina. Wet mount preparations were examined first, and then inoculated into Trypticase-yeast extract-maltose medium. Results: T vaginalis was determined in 35 (3.31%) samples out of 1058 specimens using both diagnostic methods (direct examination and/or culture). While a total of 402 women were symptomatic, 656 women were asymptomatic. Among 190 IUD users, the frequency of T vaginalis was determined as 6.84%, and among 868 non-users, this ratio was determined as 2.53%. Moreover, while among 100 symptomatic women with IUD, 11 women were positive for T vaginalis (11%), of the 302 symptomatic women without IUD, 17 were positive (5.63%) for T vaginalis. Significant correlation was determined between the use of IUD and the presence of T vaginalis (p<0.05). Conclusion: These results showed that IUD use may increase the growth of T vaginalis in the vaginal mucosa. To reduce the incidence of this pathogen in IUD users, they should be followed up closely.