[Active therapy in cases of cervix erosion following electrosurgery].
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595 women, knitting-industry workers, were examined. This number constituted 47% of all employees of the knitting plant. 125 of those women were pregnant. Among non-pregnant women 35% exhibited reproductive organ pathologies. Of pregnant women 61% exhibited pregnancy complications. The prevalent pathologies of reproductive organs were uterine cervix erosion--37.8%, vaginitis--23.9%, and menstruation disturbances--12.8%. Of pregnancy complications anaemia--47.8%, early gestoses--27.8%, and vaginitis--6.6% prevailed. The working women indicated a statistically significant dependence between the posture at work and prevalence of gynecopathies. Most pathologies affected women walking at work, whereas, least pathologies were observed in those working at sitting posture.
The prevalence of certain characteristics of genital discharge like (a) watery variety in sexually transmitted disease (STD) clinic 34% and in gynaecology clinic 26.6%, (b) fishy odour in STD clinic 29.2% and in gynaecology clinic 12.2% and (c) pH > 4.5 in STD clinic 53.6% and in gynaecology clinic 43% was notable. On the other hand, occurrence of "clue cells" (in STD clinic 41.4% and in gynaecology clinic 39.5%) did not show difference in the aforesaid clinics. The preponderance of watery discharge in the STD clinic appears to be related to G vaginalis (in STD clinic 26.8% and in gynaecology clinic 9.3%). It is intriguing to note that G vaginalis was isolated from leucorrhoea (in STD clinic 19.5% and in gynaecology clinic 9.3%) and inapparent (in 10%) cases and normal (in 4.2%) cases. Single infection with G vaginalis in one particular case had profuse watery discharge, pH > 4.5 and there was occurrence of "clue cells". Likewise, in multiple infections revealing G vaginalis (29 cases) as one of the potential agents, 78.5% had profuse, 53.8% watery discharge of which 53.5% had "clue cells" and 81% had pH > 4.5. In mixed type of infections, the U urealyticum (53.8%) and M hominis (30.6%) were conspicuous in bacterial vaginosis. Cervicitis, erosion cervix or urethral syndrome were unrelated to G vaginalis. All cases of G vaginalis infection responded to metronidazole with remission of leucorrhoea in 25.9% cases.
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