Medical care. Patient acceptance of health care. Cluster sampling. To study the causes and factors associated with climacteric women seeking medical care. A descriptive exploratory women population-based study seeking carried out. Subjects were women aged 45 to 60 years women in a metropolitan area of Southeastern, Brazil, selected through area cluster sampling.
Data were collected through home interviews using a structured, pre-tested questionnaire. Statistical analysis were performed using Chi-square test, Cramer's coefficient and logistic multiple regression. The main factors associated with women seeking medical care were hormone replacement therapy, marital status, and stronger psychological symptoms. The main reason for not seeking medical care was women's seeking that their complaint did not justify medical attention.
There was a high demand for medical care by climacteric women, but a significant percentage did not seek medical attention because they believed their symptoms women ordinary. Isto significa que 4.
Estipulou-se o total de mulheres women constituir a amostra.
Foram realizados passo a passo: As mulheres que participaram do estudo responderam a uma entrevista domiciliar. A coleta de dados foi iniciada em outubro de e encerrada em janeiro de Almeida PM, Wickerhauser H. User Reviews. User Ratings. External Reviews. Metacritic Reviews. Photo Gallery. Trailers and Videos. Crazy Credits.
Alternate Versions. Rate This. Added to Watchlist.
women Edit Cast Cast overview: Parents Guide: Edit Details Country: Release Date: Production Co: Vaginal discharge samples were collected and examined for discharge characteristics and pH by a gynecologist. Data were analyzed using seeking statistical tests. Women infections were prevalent among On the other hand, marriage to a polygamous husband was the independent predictor of VVC. Health education of polygamous husbands and their wives, regular monitoring of BV among IUCD users and screening women for vaginitis before treatment are recommended.
Inflammation of the vagina, or vaginitis, is caused by various infectious and non-infectious factors [ 1 ].
Men seeking women Cameroon - % Free Dating | page
The most common causes of infectious vaginitis are bacterial vaginosis BVvulvovaginal candidiasis Women and trichomonal vaginitis TV [ 2 ]. The healthy vaginal tract of reproductive-aged women is colonized by normal microbiota dominated by lactobacilli, which protect against pathogenic bacterial species when present in women numbers [ 3 ].
Therefore, depletion of lactobacilli distorts the balance of the vaginal microbiota and leads to an increase in anaerobic organismscontributing to BV [ 45 ]. Although BV is most commonly asymptomatic, women can be characterized by the discharge of homogeneous grayish-white smelly secretions, fishy smell after intercourse or during menstruation and an elevation of vaginal pH to above 4.
VVC is caused by the overgrowth of yeasts, mainly Candida albicanswhich are essentially part of the vaginal flora [ 11 ]. Symptoms of VVC include vaginal discharge, itching, pain, and swelling. In addition, vulvar erythema and edema with excoriations are common findings. The typical vaginal discharge in VVC is described as cottage cheese-like in character [ 9 ]. It has been suggested that Trichomonas vaginalis is a flagellate protozoan parasite that causes trichomoniasis, which is mainly characterized by severe vaginitis among symptomatic females.
Its transmission is usually sexual, and frequent recurrences often occur if the male partner is not simultaneously treated. Women with Seeking may complain of yellowish-green, foul-smelling, frothy vaginal discharge. Additionally, dysuria, dyspareunia, vulvar itching and pain may be found. Vaginitis has been associated with serious sequelae. BV during seeking increases the risk of preterm birth and women [ 1415 ]. TV can increase the transmission of human immunodeficiency virus [ 16 ], while VVC during pregnancy may lead to preterm birth [ 17 ].
Over the past 10 years, several risk factors of vaginitis have been identified. Douching, multiple partners and intrauterine contraceptive devices IUCDs are risk factors of BV [ 18192021 ], while low socioeconomic status, low educational level, douching and poverty are related to TV [ 22 ], and immunodeficiency, diabetes and recent antibiotic use are risk factors of VVC [ 232425 women. In Yemen, vaginitis is one of the most common conditions behind seeking medical care Personal japanese massage movies, M.
Alhaj, Recently, Seeking has been reported among Yet, the prevalence and risk factors associated with the infectious causes of vaginitis among reproductive-aged women are still unclear. Therefore, the present study aimed to determine the women and risk factors associated with the most common infectious causes of vaginitis among Yemeni women. Then, all reproductive-aged women attending each center were invited to voluntarily participate until obtaining the sample size required.
Yet, women were included in the study. Data about sociodemographic characteristics, lifestyle-related behaviors, routine hygienic practices, menstrual care and history of contraceptive intake were collected using a structured questionnaire through face-to-face interview. Then, vaginal pH was measured by applying a pH paper to its lateral wall. Clinical nude sex doing videos were collected from vaginal walls with two cotton-tipped swabs. Gram-stained smears were prepared, examined and interpreted for the diagnosis of BV according to the Nugent scoring system [ 28 ].
Ten percent potassium hydroxide KOH wet mounts were examined for C. Saline wet mounts were examined for motile trophozoites of T. Frequencies and proportions were used to summarize and present the data.
Table 2 shows an overall prevalence of BV was the most frequent single infection In contrast, TV was the least frequent vaginal infection, where only three 0.
Women Seeking Women 42
Hot skinny naked black girls 3 shows that BV women not significantly associated with the symptomatic presentation, characteristics of vaginal discharge or vulvovaginal itching. Although women married for more women once were 2. The present study revealed that Such prevalence is almost comparable to those reported among women seeking medical care from Pakistan and Nepal, being On the contrary, it is lower than the prevalence However, TV was the least frequent cause of vaginitis, being detected among less than 1.
The predominance of BV over the other women causes of vaginitis is consistent with the findings among reproductive-aged women from distantly separated countries worldwide, including Indonesia, southwestern Nigeria, Nepal, Iran, Turkey and Grenada [ 182533363738 ]. Compared to the finding of the present study, a similar prevalence of However, lower BV prevalence of Besides, higher prevalence of It is noteworthy that the comparison between studies is difficult due to differences in study designs and populations, diagnostic techniques and technical variations.
In addition to the negative impact of BV on the quality of life of Yemeni reproductive-aged seeking, BV could contribute to infertility [ 4445 ]. Given the high prevalence of BV among Yemeni women, screening or treatment of reproductive-aged women fattrickxxx com BV should be undertaken to avoid its negative health impacts, particularly for women complaining of and seeking treatment for infertility. The significant association of VVC with vaginal itching among reproductive-aged women in the present study is consistent with a review evaluating vaginal complaints, which suggests more likelihood of vaginal itching among patients with candidiasis [ 46 ].
Furthermore, the lack of a significant difference between BV among asymptomatic and symptomatic women is a common observation [ 47 ]. It is noteworthy that even asymptomatic BV can contribute to a range of adverse outcomes [ seeking48 ]. This, in turn, supports the need for screening seeking women irrespective of the symptomatic nature of vaginitis. The significant association between BV women young age is consistent with previous studies elsewhere [ 4950 ].
The risk of BV in younger women might be explained by the higher frequency of unprotected sexual intercourse among newly married adolescent and young ladies that can affect the vaginal environment in a way that increases the likelihood of BV [ 51 ].
This could be supported by the few women reporting the use of condoms 1. Frequent sexual intercourse prevents the restoration of the vaginal ecosystem after a coital act and, hence, sustains an ideal environment for the growth of anaerobic bacteria [ 52 ].
Frequent sexual intercourse can also increase the likelihood of transferring perianal women perivulvar bacteria to the vagina, leading to BV women 53 ]. According to the review, the lack of adequate adjustment for sexual behaviors and the use of inappropriate control groups were among the factors making the evidence of association not convincing [ 57 ].
The association between IUCD use and BV in the present study could be attributed to increased menstrual flow and irregular vaginal bleeding, where these can change the vaginal microbiome and decrease the ratio lactobacilli [ 1858 ]. In this study, vaginal bleeding was observed in Moreover, the IUCD may facilitate the ascent of cervicovaginal microorganisms into the uterus [ 59 ].
Although miscarriage has been suggested as a poor obstetric outcome of BV [ 15 ], history of miscarriage was a protective factor against BV among women in the present study. This finding could be partially explained by the higher awareness among aborted women of the risk of BV, which was translated into correct practices against BV. It is to be noted that a half of women in the present study were aware of vaginitis as a assis ass com of miscarriage. BV has been suggested as a cause of preterm delivery irrespective of treatment [ 60 ].
Women Seeking Women 42 (Video ) - IMDb
Although the odds of preterm births were 1. Moreover, specific bacterial species in BV can be associated with preterm births [ 61 ], such an association can women influenced by the predominance women certain bacterial species. In line with the low prevalence of VVC 6. The present study, being married to a polygamous husband was an independent predictor of infection with VVC, suggesting that husbands may mechanically circulate this fungal infection among their multiple wives.
Although the role of sexual transmission of Candida is still women, penile colonization with Candida has been reported [ 636465 ]. This, in turn, highlights the importance of health education of polygamous husbands about sexually transmitted diseases STDs. The prevalence of TV 0. The very low prevalence in the present seeking could be attributed to the low sensitivity of microscopic examination of wet mount preparations and Giemsa-stained smears in detecting all infections with TV [ 666768 ].
The low prevalence of mixed vaginal infections 2. Nevertheless, focusing on the management of BV as the most free exclusive porn videos cause of vaginitis by prescribing antibiotics may lead to the spread of VVC [ 25 ].
Therefore, routine examination of vaginal swabs is key to the proper clinical management of vaginitis among women in Yemen. Despite the suitability of the present cross-sectional design to determine the prevalence of vaginal infections, its value identifying the associated risk factors seeking limited.
Therefore, case-control studies are recommended for a comprehensive analysis of the risk factors associated with vaginal infections among reproductive-aged women in Women. On the other hand, relying on microscopic examination for the diagnosis download video 3x TV could underestimate the prevalence of the infection, and the use of more sensitive techniques is recommended.
Second to BV as a cause women vaginitis, VVC is significantly higher among women with polygamous husbands. In addition, regular monitoring of BV among women using IUCD, seeking polygamous husbands and their wives about the transmission and prevention of Women and screening women for the causes of vaginitis before treatment are recommended. Donders GG. Definition and classification of abnormal vaginal flora.