Etiopathogenesis of vaginal discharge among married women in reproductive age group residing in rural area of Bhojipura District, Western Uttar Pradesh
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20192638Keywords:
Etiopathogenesis, Etiology, Microflora, Reproductive age group, Risk factors, Vaginal dischargeAbstract
Background: Vaginitis is one of common medical problem in women that often results in frequent medical consultations. Aim was to study the clinico-epidemiological profile and etiopathogenesis of various causes of vaginal discharge among females in age group 18-45 years residing in rural area of Bhojipura district.
Methods: This Hospital based cross sectional study was conducted over a period of one year (March 2011 to February 2012) among 150 females aged 18-45 years presenting with the complaint of vaginal discharge. Information on sociodemographic data was obtained with the aid of questionnaires. Samples were obtained with two dry cotton-wool tipped swabs from vaginal fornices and were sending to department of microbiology.
Results: The prevalence rate of vaginal discharge was found to be 24.6% among females in reproductive age group attending the outpatient department from rural background. Out of 150 patients who were enrolled for study 86 (57.30%) were diagnosed with non-infective discharge while 64 (42.60%) patients with infective discharge. Bacterial vaginosis was detected in 25 (39.1%), Candida albicans was detected in 23 (35.9%), T. vaginalis in 4 (6.3%) and mixed infections were found in 12 (18.7%). According to vagina flora morphology 85 (56.6%) had normal morphology, 30 (20%) had shift from normal flora and 35 (23.3%) had definitive bacterial vaginosis. About 20.5% females with Candida based etiology were diabetic.
Conclusions: Some common reproductive tract infections can be diagnosed and managed at primary level health facilities. This promotes community awareness through behavior change communication which includes safer sex practices, awareness of HIV and appropriate and timely health care seeking behavior.
References
Patel V, Pednekar S, Weiss H, Rodeigues M, Barros P, Nayak B, et al. Why do women complain of vaginal discharge? A population survey of infectious and psychological risk factors in a South Asian community. Int J Epidemiol. 2005;34:853-62.
Reproductive health strategy to accelerate progress towards the attainment of international development goals and targets. World Health Organization. 2008. WHO/RHR/04.8.
Singh S, Singh SK. Reproductive morbidity among the Rural women in Maharashtra. M.P.S. Seminar. 2006:1-8.
National AIDS Control Organization, MOHFW, Govt. of India. National guidelines on prevention, management and control of reproductive tract infections including sexually transmitted November 2006. Available at: http: //www.naco.gov.in/upload/ STI%20RTI20% services / National –Guidelines-on-PMC-of RTI-IncludingSTI%201.pdf.
Dixon-Mueller R, Wasserheit J. The culture of silence: reproductive tract infections among women in the third world. In Dixon -Mueller R Wasserheit J. eds. A study New York: International Women’s Health Coalition. 1991.
Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol. 1991;29(2):297-301.
Dean AG, Arner TG, Sunki GG, Friedman R, Lantinga M, Sangam S, et al. Epi Info™, a database and statistics program for public health professionals. CDC, Atlanta, GA, USA; 2011.
Singh AJ. Vaginal discharge: Its causes and associated symptoms as perceived by rural north Indian women. Indian J Community Med. 2007;32:22-6.
Kulkarni RN, Durge PM. A study of leucorrhoea in reproductive age group women of Nagpur city. Indian J Public Health. 2005;49(4):238-9.
Patel V, Pednekar S, Weiss H, Rodeigues M, Barros P, Nayak B, et al. why do women complain of vaginal discharge? A population survey of infectious and psychological risk factors in a South Asian community. Int J Epidemiol. 2005;34:853-62.
Tiwari PV, Neelam, Kulkarni KS. A study of lucol in leucorrhoea, pelvic inflammatory disease and dysfunctional uterine bleeding. Ancient Sci Life. 2001;21(2):139-49.
Tanksale VS, Sahasrabhojanee, Patel V, Nevreker P, Menezes S, Mabey D. The reliability of a structured examination protocol and self-administered vaginal swab: a pilot study of gynaecological outpatient in Goa, India. Sex Transm Infect. 2003;79:251-3.
Sharma AK, Ranjan R, Mehta G. Prevalence and determinants of reproductive tract infection among women. J Commun Dis. 2004;36(2):93-9.
Rathore M, Vyas L, Bhardwaj AK. Prevalence of reproductive tract infections among ever married women and socio cultural factors associated with it. J Indian Med Assoc. 2007;105(2):71-2.
Pant B, Singh JV, Bhatnagar M, Garg SK, Chopra H, Bajpai SK. Social correlates in reproductive tract infections among married women in rural area of Meerut. Indian J Community Med. 2008;33(1):52-3.
