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Vaginal Microbiota, and STI/HIV Risk Among Adolescent Girls and Young Women

Completed
Conditions
Microbial Colonization
Interventions
Other: No intervention
Registration Number
NCT03196492
Lead Sponsor
Johns Hopkins University
Brief Summary

The investigators are doing a study on the bacteria that normally live in the vagina and what effect, if any, Depo-Provera has on the bacteria.

Women 13-24 years of age, who are HIV negative, being seen in a clinic for birth control or sexually transmitted disease (STD) check-up, or have a child and are planning to receive a Depo-Provera shot for contraception or have declined the use of hormonal contraception may join.

Detailed Description

The investigators are doing a study on the bacteria that normally live in the vagina and what effect, if any, Depo-Provera has on the bacteria.

Women 13-24 years of age, who are HIV negative, being seen in a clinic for birth control or STD check-up, or have a child and are planning to receive a Depo-Provera shot for contraception or have declined the use of hormonal contraception may join.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
234
Inclusion Criteria
  • Age 13-24
  • Female sex
  • Seeking contraceptive/ STI services OR has had a child OR is legally married
  • Has had consensual vaginal sex
  • Two years have passed since menses started
  • HIV negative by self-report
  • Willing to refrain from using douches, washes, or other similar feminine hygiene products. (Tampons are allowed)
  • Planning to receive the Depo-Provera shot, -OR- Have regular menstrual cycles with at least 21 - 45 days between menses and plans to use no hormonal birth control.
Exclusion Criteria
  • Any other immunodeficiency (e.g. organ transplant recipient)
  • Recently pregnant (within 4 weeks), currently pregnant, or planning to become pregnant within the next 12 months
  • Currently breastfeeding
  • Hysterectomy or a known genital tract anomaly
  • Amenorrhea (except if caused by contraceptive method like the implant)
  • Antibiotic or antifungal use within past 30 days

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
No hormoneNo interventionHalf of the cohort (n=40) will have opted to forgo hormonal contraception (HC).
Primary Outcome Measures
NameTimeMethod
Association between lactobacillus-dominant microbiota and sexually transmitted infections (STI)6 months

The investigators will determine if there is an association between lactobacillus-dominant microbiota and STIs. The investigators will report the prevalence of each vaginal community state types (CST) and STIs.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

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