Results of the study on pathogens in vaginal smear tests
- VernacularTitle: Үтрээний наацын шинжилгээнд зарим эмгэг төрөгчийг судалсан дүн
- Author:
Mungunshagai A
1
;
Oyun-Erdene R
1
;
Munkhzul N
1
Author Information
1. Etugen University and School of Health
- Publication Type:Journal Article
- Keywords:
bacterial vaginitis;
pelvic peritonitis;
Nugent score;
women’s health
- From:Mongolian Medical Sciences
2024;208(2):3-7
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction: Although bacterial vaginosis prevalence varies across countries and populations, recent systematic
reviews and meta-analyses indicate that 23–29% of women of reproductive age are infected. Each
year, 21.2 million (22.9%) women between the ages of 14 and 49 in the United States develop bacterial
vaginosis. Microenvironments are interconnected with the endocrine, immune, and other organ
systems and dependent upon external and internal environmental influences. In women between the
ages of 15 and 44, bacterial vaginosis is the most common vaginal disorder, according to the Centers
for Disease Control and Prevention.
In our nation, 93.4% of women who are of reproductive age have vaginalis; the percentage of cases
with Gardnerella vaginalis alone is 22.6%, and 53.1% have it in combination with other anaerobic
bacteria, which is a significant percentage. Our research is based on the lack of information about the
vaginal environment of Mongolian women and factors influencing changes in the microenvironment.
Our research is based on the lack of information about the vaginal environment of Mongolian women
and factors influencing changes in the microenvironment.
Goal:The objective is to study how age relates to the development of bacterial and fungal vaginitis through
the analysis of vaginal swabs.
Materials and Methods:For our study, we selected 100 women aged 20-59 through targeted sampling from clients who
underwent vaginal smear tests at “Yu Bi Lab” laboratory and “Tsetsuu” diagnostic center in Ulaanbaatar
in 2023. Vaginal smear analysis was conducted using Nugent’s criteria and Gram staining. Statistical
analysis was performed by comparing pathogens among the participants based on age using
Pearson’s correlation method. We obtained permission to conduct research.
Through the Etugen University Biomedical Ethics Comittee convention held on march 11,2024
Results:The study divided 100 women into four age groups to examine the vaginal environment with their age
and the factors influencing it. The research aimed to understand how bacterial vaginitis and fungal
vaginitis evolve during reproductive age and menopause. Among the age groups, women aged 20-29
had an average of 5.59±3.35 epithelial cells (n=32), those aged 30-39 had 6.10±3.29 (n=37), women
aged 40-49 had 6.70±3.90 (n=17), and women aged 50-59 had the highest number of epithelial cells
at 9.42±8.19 (n=14), representing 34% of the group.
Conclusion:
1. Women of reproductive and menopausal age experience changes in the vaginal environment due to
various factors. This includes a decrease in the ratio of normal microorganisms and lactobacilli, an increase in the number of conditional pathogens, and the development of an alkaline environment
in the vagina.
2. Bacterial vaginitis predominantly affects younger women, with symptoms often being subtle. In
contrast, fungal vaginitis is more common among menopausal women. Lower estrogen levels in
women in this age group cause lactobacilli to break down glycogen less efficiently into lactic acid,
even though the number of lactobacilli is still normal. This research implies that suppositories and
estrogen pills may help treat these problems for women between the ages of 40 and 59.
- Full text:2025060517394860831MMS-2024-208(2)-3-7.pdf
