High Prevalence of Vulvovaginal Candidiasis and Other Vaginal Infections among Women in Tight Fitting Underwears: A Threat to Future Reproductive Function | Chapter 17 | Emerging Research in Medical Sciences Vol. 1
Background:
Vulvovaginal Candidiasis (VVC) is a common infection of the female genital
tract. It is estimated that about 75% of women will experience VVC infection at
least once in their life-time, however, lifestyle habits have been implicated
in the higher susceptibility to VVC infection in some women than others. The
aim of this cross sectional study was to assess the effect of tight fitting and
loose under-wears made of nylon and cotton on the prevalence of VVC and other
vaginal infections among non-pregnant women in southern Nigeria.
Methodology: The study was carried
out in seven health centers between January and July 2009 in Uyo Metropolis,
Nigeria. One hundred and ninety one (76.4%) of the 250 participants who were
selected by sequential randomization met the inclusion criteria and
participated in the study. Self administered structured questionnaire was used
to assess the regular pattern of dressing and associated gynaecological
problems of participants for a year prior to the study period. Vaginal smear/swab
was taken from each participant for microscopy, culture and sensitivity.
Results: Prevalences of VVC
infection in women who regularly wear nylon tight synthetic pants (NTSP) and
cotton tight cotton pants (CTCP) were 76.8% and 42.9% respectively. Incident
vaginal symptoms in regular users of NTSP versus (vs) CTCP were as follows:
Acute vaginal discharge (VD) 82.64% vs 25.7%, recurrent abnormal VD 25.7% vs
1.43%, green-yellow VD 10.7% vs 7.14%, yellow VD 7.43% vs 28.57%, acute vaginal
itching 66.12% vs 21.43%, recurrent vaginal itching 6.61% vs 2.86%, and vaginal
soreness 19% vs 2.86%. Proportions of women who regularly wear NTSP vs CTCP
with positive cultures for different micro-organisms were as follows: Candida
albicans 76.86% vs 42.80%, Trichomonas vaginalis 23.86% vs 17.14% and Neiseria
gonorrhea 4.96% vs 2.86%.
Conclusion: Regular wearing of NTSP
is associated with higher prevalence of VVC and other vaginal infections than
regular wearing of CTCP.
Author(s) Details
Christopher E. Ekpenyong
Department of Physiology,
College of Health Sciences, University of Uyo, Uyo, Nigeria.
View Volume: https://doi.org/10.9734/bpi/erms/v1
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