Çıkım Gürkan, Hansu Kemal
Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Medical Biochemistry - Kahramanmaraş, Turkey.
Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Obstetrics and Gynecology - Kahramanmaraş, Turkey.
Rev Assoc Med Bras (1992). 2025 Mar 17;71(1):e20241284. doi: 10.1590/1806-9282.20241284. eCollection 2025.
The aim of this study was to evaluate the levels of homocysteine, vitamin B12, folic acid, and vitamin D in pregnant women with recurrent vaginitis and determine whether these parameters contribute to the etiology of the disease.
The study included 30 pregnant women diagnosed with recurrent vaginitis in their first trimester (group I), who presented at least twice between 1.5.2019 and 1.5.2022 at the obstetrics and gynecology clinic, and 30 healthy pregnant women in their first trimester without any complaints (group II). The vagititis group was compared with the control group for serum levels of vitamin B12, homocysteine, folic acid, and vitamin D.
A comparison of the results between the groups revealed the following: homocysteine levels (μmol/L) were 10.75 (6.38-24.90) in group I (vaginitis positive) and 9.32 (4.26-17.10) in group II (control); vitamin B12 levels (ng/L) were 149.00 (63.00-328.00) in group I and 261.00 (126.00-544.00) in group II; folate levels (μg/L) were 10.56 (3.93-23.33) in group I and 9.48 (3.53-24.10) in group II; vitamin D levels (ng/mL) were 36.54 (23.65-75.68) in group I and 52.45 (26.57-105.00) in group II. Statistically significant elevation in homocysteine levels was observed in the vaginitis group (group I) (p<0.05). Vitamin B12 and D levels were significantly lower in the vaginitis group (group I) (p<0.05).
In pregnant women with recurrent vaginitis, the levels of homocysteine, vitamin B12, and vitamin D may play a role in the etiology of the condition, and vitamins B12 and D may be considered for use in treatment.
本研究旨在评估复发性阴道炎孕妇的同型半胱氨酸、维生素B12、叶酸和维生素D水平,并确定这些参数是否与该疾病的病因有关。
本研究纳入了30例在孕早期被诊断为复发性阴道炎的孕妇(I组),她们于2019年5月1日至2022年5月1日期间至少两次到妇产科门诊就诊,以及30例孕早期无任何不适主诉的健康孕妇(II组)。比较阴道炎组和对照组血清中维生素B12、同型半胱氨酸、叶酸和维生素D的水平。
两组结果比较显示:I组(阴道炎阳性)同型半胱氨酸水平(μmol/L)为10.75(6.38 - 24.90),II组(对照组)为9.32(4.26 - 17.10);I组维生素B12水平(ng/L)为149.00(63.00 - 328.00),II组为261.00(126.00 - 544.00);I组叶酸水平(μg/L)为10.56(3.93 - 23.33),II组为9.48(3.53 - 24.10);I组维生素D水平(ng/mL)为36.54(23.65 - 75.68),II组为52.45(26.57 - 105.00)。阴道炎组(I组)同型半胱氨酸水平有统计学意义的升高(p<0.05)。阴道炎组(I组)维生素B12和D水平显著降低(p<0.05)。
在复发性阴道炎孕妇中,同型半胱氨酸、维生素B12和维生素D水平可能在该病病因中起作用,维生素B12和D可考虑用于治疗。