Impact of chronic cervicitis on recurrent pelvic inflammatory disease

2021 ◽  
Vol 12 (5) ◽  
pp. 297-300
Author(s):  
Alejandro Siu-Au ◽  
Diego Siu-Chang

Pelvic inflammatory disease (PID) is a sexually-transmitted infection (STI); and, as such, sometimes it is difficult to treat because of partner(s) issues. PID generally is accompanied by chronic cervicitis (CC). We observed that in spite of patients strictly complying with their therapy, there are some individuals that develop recurrent disease; and we tried to establish a relationship between CC and its recurrence in such patients. This study was prospectively designed. Patients in one group were treated with electrocauterization and another group who did not receive this therapy was retrospectively compared by reviewing their clinical records. Patients with CC and PID who did not undergo electrocauterization had 82% recurrence rate compared to those who underwent electrocauterization, who showed a 24% recurrence rate. We concluded that patients who had CC with different manifestations and who underwent electrocauterization or cervical fulguration developed significantly less recurrence of PID.

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Joy D. Scheidell ◽  
Lorna E. Thorpe ◽  
Adaora A. Adimora ◽  
Ellen C. Caniglia ◽  
Carl W. Lejuez ◽  
...  

Author(s):  
Gillian Dean ◽  
Jonathan Ross

Pelvic inflammatory disease is a sexually transmitted infection of the female upper genital tract. Rates of pelvic inflammatory disease have fallen in many countries over the last 10 years, at least in part due to increased screening for chlamydial infection. The clinical spectrum ranges from asymptomatic infection through to severe disease requiring hospitalization. Due to the non-specific nature of the condition, diagnosis can be challenging. All sexually active women presenting with acute lower abdominal pain should have a pregnancy test to rule out ectopic pregnancy. Treatment must be initiated as soon as the diagnosis is suspected and include antibiotics covering a broad spectrum of pathogens. Delay in diagnosis increases the risk of adverse sequelae including ectopic pregnancy and infertility. It is recommended that current and recent sexual partners receive empirical treatment, regardless of symptoms or microbiological results, and refrain from sexual contact until completion of therapy. Through better public understanding of the symptoms of pelvic inflammatory disease, women seeking earlier medical attention may reduce the risk of reproductive damage.


2014 ◽  
Vol 6 (1) ◽  
pp. 46-48
Author(s):  
Shyam V Desai ◽  
Gaurav S Desai

ABSTRACT Background Pelvic inflammatory disease is usually associated with gonococcal sexually transmitted infection. Its association with endometriosis has not been well documented. Case Report The authors report an unusual case of an endometriotic cyst in a 29-year-old nulliparous patient with clinical features of pelvic inflammatory disease. On treatment with antibiotics, the symptomatology subsided and signs of infection diminished. But subsequent imaging revealed a persistent right adnexal mass. A right chocolate cyst was found on laparoscopy and was treated with drainage and enucleation. Patient was administered three doses of GnRH analogs thereafter and is awaiting treatment for infertility. Conclusion Endometriotic cysts commonly manifest with dyspareunia and dysmenorrhea. The patient in this report presented with signs and symptoms suggestive of pelvic inflammatory disease which was secondary to a slow leak from a chocolate cyst. How to cite this article Desai GS, Desai SV. An Unusual Presentation of an Endometriotic Chocolate Cyst. J South Asian Feder Obst Gynae 2014;6(1):46-48.


Pelvic inflammatory disease (PID) is inflammation of the female upper genital tract—endometrium, fallopian tubes, ovaries, and supporting structures. Annual incidence is estimated at 1/1000 women, most common in the 15–24 age group. It is usually sexually acquired, commonly caused by C. trachomatis, N. gonorrhoeae, M. genitalium, and organisms associated with bacterial vaginosis. Risk factors include recent new sexual partner or multiple partners, and a past history of a sexually transmitted infection. Long-term sequelae include infertility and chronic pelvic pain. A diagnosis of PID is usually based on signs, symptoms, and examination. This chapter describes aetiology, diagnosis, and management of pelvic inflammatory disease.


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