Volume 72, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


Up to 75% of women with urinary schistosomiasis have ova in the genitals. This study aimed to describe the prevalence of gynecologic infection and to differentiate the disease from sexually transmitted infections (STIs). Gynecologic and laboratory investigations for and STIs were performed in 527 women between the ages of 20 and 49 in rural Zimbabwe. Genital homogenous yellow and/or grainy sandy patches, the commonest type of genital pathology, were identified in 243 (46%) women. Grainy sandy patches were significantly associated with ova only. Genital ova was also significantly associated with homogenous yellow sandy patches, mucosal bleeding, and abnormal blood vessels. The presence of ova was not a predictor for ulcers, papillomata, leukoplakia, polyps, or cell atypia. Mucosal sandy patches seem to be pathognomonic for infection in the female genitals. Coexistence of ova and other lesions may not be causal.


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  • Received : 20 May 2004
  • Accepted : 21 Jun 2004

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