Hubungan Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) Non Hormonal dengan Kejadian Vaginitis

https://doi.org/10.22146/jkr.39582

Eka Mega Sari(1*), Shinta Prawitasari(2), Ahsanudin Attamimi(3)

(1) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, UGM
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, UGM
(3) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, UGM
(*) Corresponding Author

Abstract


Background: Colonies of microorganism in reproductive normal women vaginal is influenced by several factors. Changes in the composition of these factors cause of some problems such as infection and inflammation. The use of intrauterine devices could be expected to lead to vaginitis.

Objective: To determine whether the use of intrauterine device increase the incidence of vaginitis, either by Bacterial Vaginosis (BV), Vulvovaginal Candidiasis (VVC), and Trichomonas Vaginalis (TV) .

Method: Cross Sectional Study on the differences incidence of vaginitis in intrauterine device user and hormonal user.

Result and Discussion: At the intrauterine devices and hormonal contraception users, there are significant difference incidence of BV (OR 10,11;95% CI 1,80-56,78) ; p=0,009 (p<0,05) dan VVC (OR 29,78 (1,64-2540,69); p=0,022 (p<0,05), but not TV (OR 3,68;95% CI 0,11-117,63); p=0,460 (p>0,05).

Conclusions: The use of an intrauterine device increase the incidence BV and VVC but not  TV.

Keywords: Intrauterine Device; Hormonal Contraception; Vaginitis


Keywords


Intrauterine Device; Hormonal Contraception; Vaginitis; Alat Kontrasepsi Dalam Rahim; Kontrasepsi Hormonal

Full Text:

PDF


References

  1. Dagli SS, Demir T. 2015. Comparison of cervico-vaginal colonization among sexually active women by intrauterine device use. J Infect Dev Ctries; 9(9):930-935
  2. Aldunate M, Srbinovski D, Hearps AC, Latham CF, Ramsland PA, Gugasyan R et al. 2015. Antimicrobial and immune modulatory effects of lactic acid and short chain fatty acids produced by vaginal microbiota associated with eubiosis and bacterial vaginosis. Front. Physiol; 6:164
  3. 3. Petrova MI, Lievens E, Malik S, Imholz N, Lebeer S. 2015. Lactobacillus species as biomarkers and agents that can promote various aspects of vaginal health. Front. Physiol; 6(81):1-18
  4. Thulkar J, Kriplani A, Agarwal N, Vishnubhatla S. 2010. Aetiology & risk factors of recurrent vaginitis & its association with various contraceptive methods. Indian J Med Res; 131: 83-87
  5. Donders GG, Berger J, Heuninckx H, Bellen G, Cornelis A. 2011. Vaginal flora changes on Pap smears after insertion of levonorgestrel-releasing intrauterine device. Contraception; 83: 352–356
  6. Buhling KJ, Zite NB, Lotke P, Black K. 2014. Worldwide use of intrauterine contraception: a review. Contraception. Elsevier; 89: 162–173
  7. Callegari LS, Darney BG, Godfrey EM, Sementi O, MD, Dunsmoor-Su R, Prager SW. 2014. Evidence-Based Selection of Candidates for the Levonorgestrel Intrauterine Device (IUD). J Am Board Fam Med ; 27(1): 26–33
  8. Caddy S, Yudin MH, Hakim J, Money DM. 2014. Best Practices to Minimize Risk of Infection With Intrauterine Device Insertion. J Obstet Gynaecol Can; 36(3): 266–274
  9. Al-Kattan SAA, Burhan DT, Burhan ST. 2013. Biofilm Formation on Intrauterine Device and Associated Infections.The Iraqi Postgraduate Medical Journal; 12(4):562-567
  10. Jabuk SIA. 2014. Prevalence of aerobic bacterial vaginosis among Intrauterine Contraceptive Device users women in Hilla city. Journal of Babylon University; 22(9): 2424-2431
  11. Fosch SE, Yones C, Trossero M, Grosso O. 2013. The influence of different contraceptive methods on vaginal microbiota: Clinical study. Health;5(7A4): 19-24
  12. FSRH. 2012. Management of Vaginal Discharge in Genitourinary Medicine Settings. Faculty of Sexual and Reproductive Healthcare Clinical Guidance: 1-12
  13. Mayo Clinic. 2014. Vaginitis. Mayo Foundation for Medical Education and Research: 1-7



DOI: https://doi.org/10.22146/jkr.39582

Article Metrics

Abstract views : 6805 | views : 14657

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kesehatan Reproduksi Indexed by:

 

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043