Проект SOPHY: исследование по данным наблюдений вагинальной pH и образа жизни у женщин разного возраста и в различных физиопатологических состояниях

S. Guaschino; C. Benvenuti

doi:10.18370/2309-4117.2014.18.86-91

Authors

S. Guaschino University of Trieste, Italy
C. Benvenuti Rottapharm-Madaus S.p.A., Monza; SOPHY Study Group, Italy

DOI:

https://doi.org/10.18370/2309-4117.2014.18.86-91

Keywords:

vagina, vaginal discharge, Candida, vaginosis bacterial, sexual behavior

Abstract

Aim: The importance of vaginal pH and vaginal flora in maintaining a well-balanced vaginal ecosystem is well known and has been widely described. However, no systematic nationwide studies have been carried out concerning the correlation between vaginal pH, life style and different physiopathological conditions in women of different ages.
Methods: SOPHY (Study on pH and Hygiene) collected data concerning the lifestyle, vaginal pH, and the presence of symptoms, stratified into different subgroups (prepuberal, fertile, pregnancy, postpartum, premenopause and menopause) in a representative sample of the Italian gynecological population (264 gynecologists for a total of 2 641 women) with the aid of a specific Internet site for data entry.
Results: A more acid vaginal pH was related to a better satisfactory sexual activity and to more healthy genital condition. A positive relationship was detected between education level and good perception of sexuality. Certain clothing habits and a higher frequency of candidiasis and bacterial vaginosis were shown.
Conclusion: SOPHY revealed some interesting correlations between clothing and the frequency of candidiasis and bacterial vaginosis, between vaginal pH and satisfactory sexual activity, and between education and sexuality. SOPHY had a considerable educational impact, leading the physicians and women to consider vaginal pH as an important aspect of everyday life.

Author Biographies

S. Guaschino, University of Trieste

Obstetrics and Gynecology Department

C. Benvenuti, Rottapharm-Madaus S.p.A., Monza; SOPHY Study Group

Medical Department

References

Boselli F., Chiossi G., Garutti P., Mattelli A., Montagna M.T., Spinillo A. «Risultati preliminari dello studio epidemiologico italiano sulle vulvovaginiti.» Minerva Ginecol, 56(2004):l49-53.
Canova L., Caputo S., Ciardo A., Stragapede B. «Vaginosi batterica e gravidanza.» Clin Теr, 153(2002):343-б.
Genazzani A.R., Prato B. «Sophy project: evidences in intimate hygiene.» Giorn It Ost Gin, 27(2005):273-9.
SOPHY Project. Study on pH and Hygiene. Available from: wwrw.saugella.net.
Mardh P.A., Rodrigues A.G., Gene M., Novikova N., Martinez de Oliverira J., Guaschino, S. «Facts and myths on recurrent vulvovaginal candidosis – a review on epidemiology, clinical manifestations, diagnosis, pathogenesis and therapy.» IntJ STD & AIDS, 13(2002):522-39.
Palacios S., Alvarez Rojo I. «Epidemiology of vaginal pH in Spain.» Epheso study. In press.
Guerra B., Infante F. «Vaginites et vaginoses.» Milan: Johan & Levi, 2006.
Tevi-Benissan C., Belec L., Levy M., Schneider-Faveau V., Si Mohamed A., Hallouin M.C. et al. «In vivo semen-associated pH neutralization of cervicovaginal secretions.» Clin Diagn Lab Immunol, 4(1997):Зб7-74.
O’Connor T.J., Kinchington D., Kangro H.O., Jeffries D.J. «The activity of candidate viricidal agents, low pH and genital secretions against НГУ-1 in vitro.» Int J STD AIDS, 1995;б:2б7-72.
Osset J., Bartolome R.M., Garcia E., Andreu A. «Assessment of the capacity of Lactobacillus to inhibit the growth of uropathogens and block their adhesion to vaginal epithelial cells.» J Infect Dis, 183(2001):485-91.
De Bernardis F., Muhlschlegel F.A., Cassone A., Fonzi W.A. «The pH of the host niche controls gene expression in and virulence of Candida albicans.» Infect Immun, 66(1998):3317-25.