Bacterial vaginosis among women with tubal factor infertility in Nigeria.
OBJECTIVE
To determine the prevalence of bacterial vaginosis among women with tubal factor infertility.


METHODS
A cross-sectional prospective study of women with tubal factor infertility was conducted at a Nigerian teaching hospital between March and September 2014. An equal number of fertile women attending the family planning clinic were recruited as controls. Interviews were conducted to collect data on sociodemographic characteristics, history and characteristics of vaginal discharge, knowledge, and practices. Bacterial vaginosis was diagnosed using the Amsel criteria. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to determine predisposing factors.


RESULTS
Overall, 178 women with tubal factor infertility were recruited. Bacterial vaginosis was noted in 50 (28.1%) of these women, compared with 14 (7.9%) of 178 fertile women (P < 0.001). Patients with tubal factor infertility had an increased risk of bacterial vaginosis when they were of low socioeconomic class (OR 11.89; 95% CI 5.20-27.69), practiced vaginal douching (OR 19.15; 95% CI 7.26-47.75), used vaginal drying agents (OR 17.04; 95% CI 6.91-43.24), had an early sexual debut (OR 32.08; 95% CI 12.02-88.89), and had a history of sexually transmitted infections (OR 12.42; 95% CI 5.36-29.35).


CONCLUSIONS
The prevalence of bacterial vaginosis was high among patients with tubal factor infertility. Socioeconomic and cultural factors contribute to the risk of the condition.
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Innocent I
II
Durugbo
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria. Electronic address: tammynyengs@yahoo.com.
Tamunomie K
TK
Nyengidiki
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Goddy
G
Bassey
Department of Microbiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Kennedy T
KT
Wariso
D000328:Adult; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005184:Fallopian Tube Diseases / Q000150:complications / Q000382:microbiology*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000150:complications / Q000382:microbiology*; D009549:Nigeria / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000150:complications; D012959:Socioeconomic Factors; D014621:Vagina / Q000382:microbiology; D019522:Vaginal Discharge; D044364:Vaginal Douching / Q000009:adverse effects; D016585:Vaginosis, Bacterial / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult
Bacterial vaginosis; Nigeria; Tubal infertility