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Vulvovaginal candida in a young sexually active population: prevalence and association with oro-genital sex and frequent pain at intercourse

机译:年轻的性活跃人群中的外阴念珠菌:患病率与口腔生殖器性行为和性交时的频繁疼痛相关

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摘要

>Objective: To study the prevalence of vulvovaginal candida among sexually active adolescents. To determine past and present symptoms, including pain at intercourse and potential behavioural risk factors associated with vulvovaginal candidiasis. >Methods: At an adolescent centre, 219 sexually active women who underwent genital examination, also completed a questionnaire on a history of genital symptoms and infections, sexual and hygiene habits, and the use of contraceptives. Symptoms and clinical signs were registered. Vaginal samples were analysed for candida species and urine for Chlamydia trachomatis. >Results: Candida culture was positive in 42% of the women and only 15% were asymptomatic. A history of recurrent candidiasis was given by 22%. Frequent pain at intercourse was reported by 24% and frequent oro-genital sex by 42% of the women. Frequent pain at intercourse was significantly associated with both the growth of candida and a history of recurrent candidiasis. Oro-genital sex was an independent risk factor for the growth of candida. >Conclusion: In sexually active adolescents, who underwent genital examination, candida cultures were positive in 42%. The habit of frequent oro-genital sex was associated with the growth of candida. Pain at intercourse was associated with the growth of candida and recurrent candidiasis.
机译:>目的:研究性活跃青少年中外阴念珠菌的患病率。确定过去和现在的症状,包括性交时的疼痛和与念珠菌性念珠菌病相关的潜在行为危险因素。 >方法:在一个青少年中心,有219名接受过生殖器检查的性活跃妇女,还完成了一份有关生殖器症状和感染史,性和卫生习惯以及使用避孕药具的问卷。记录症状和临床体征。分析阴道样品的念珠菌种类和尿液中的沙眼衣原体。 >结果: 42%的女性念珠菌培养呈阳性,只有15%无症状。 22%的患者有念珠菌复发的病史。据报道,有24%的妇女在性交时经常感到疼痛,而有42%的人经常进行口交。性交时的频繁疼痛与念珠菌的生长和复发念珠菌病的发生均显着相关。生殖器性行为是念珠菌生长的独立危险因素。 >结论:在接受过生殖器检查的性活跃青少年中,念珠菌培养阳性率为42%。频繁的口-生殖器性行为的习惯与念珠菌的生长有关。性交时疼痛与念珠菌的生长和念珠菌复发有关。

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