[Study of pH values of uterine fluid in users of medicated intrauterine devices].

D Obradović, M Husar, V Andelković, M Krstić, J Ananijević-Pandey, N Tufegdzić
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Abstract

A study was made of the pH value of uterine secretion in 100 women at the age of 18-50 years and with a normal menstrual cycle (28 +/- 2 days). Fifty women had inserted medicated IUDs (Copper T and Multiload Cu 250) and 50 women served as a control group. In the proliferation phase of menstrual cycle 22 women were with the IUDs (of whom 14 had group II and 8 women group III vaginal secretion) and 21 women without any IUD of whom 8 had group II and 13 women group III vaginal secretion. In the secretion phase 28 women were with IUDs, (8 had group II and 20 women group III vaginal secretion) and 29 women from the control group, of whom 17 had group II and 12 women had group III. For the sampling of the intrauterine fluid the aspiration method and for the pH determination the colorimetric method were used. It can be seen that there is no correlation between the group of vaginal secretion and the pH of the uterine fluid, that the presence of a medicated IUD induced an insignificant change in the intrauterine pH, and that the pH value of the uterine fluid ranges from 3.0-9.0 which may be an important factor in the elucidation of certain mechanisms that occur in the uterus in the presence of intrauterine devices.

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使用药物宫内节育器患者子宫液pH值的研究
本文对100名月经周期正常(28±2天)的18-50岁女性的子宫分泌物pH值进行了研究。50名妇女植入了药物宫内节育器(铜T和多负荷铜250),50名妇女作为对照组。在月经周期增殖期,有宫内节育器的22例(其中14例阴道分泌物为II组,8例阴道分泌物为III组),无宫内节育器的21例(其中8例阴道分泌物为II组,13例阴道分泌物为III组)。分泌期宫内节育器28例,其中阴道分泌II组8例,阴道分泌III组20例;对照组29例,其中阴道分泌II组17例,阴道分泌III组12例。宫内液取样采用抽吸法,pH测定采用比色法。由此可见,阴道分泌物组与子宫液pH值之间没有相关性,药物宫内节育器的存在导致子宫内pH值变化不明显,宫内液pH值在3.0-9.0之间,这可能是阐明宫内节育器存在时子宫内发生的某些机制的重要因素。
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