scholarly journals The prevalence of abnormal pap smear in women with pelvic inflammatory disease and determine the risk factors of cervical intra-epithelial neoplasia 2/3

2021 ◽  
Vol 42 (1) ◽  
pp. 105
Keyword(s):  
Risk Factors ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Pap Smear

scholarly journals How prevalent are symptoms and risk factors of pelvic inflammatory disease in a sexually conservative population

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Oqba Al-kuran ◽  
Lama Al-Mehaisen ◽  
Hamza Alduraidi ◽  
Naser Al-Husban ◽  
Balqees Attarakih ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Inflammatory Disease ◽  
Symptom Score ◽  
Pelvic Pain ◽  
Inflammatory Disease ◽  
Scoring System ◽  
Chronic Pelvic Pain ◽  
Medical Procedure ◽  
Adult Women ◽  
Jordanian Population

Abstract Background Pelvic inflammatory disease (PID) is the inflammation of the adnexa of the uterus, that mainly manifests in a subclinical/chronic context and goes largely underreported. However, it poses a major threat to women’s health, as it is responsible for infertility and ectopic pregnancies, as well as chronic pelvic pain. Previous studies in Jordan have not reported PID, attributed mainly to the social structure of the country which largely represents a sexually conservative population. Our study aims to report the clinical symptoms that point towards PID and investigate the major risk determinants for the Jordanian population, in a cross-sectional study, using our scoring system based only on clinical data and examination. Methods One hundred sixty-eight consecutive adult women that came in the Outpatient Clinics of Gynaecological Department of the Jordan University Hospital were interviewed and their medical history and symptoms were registered and analysed. A Score for PID symptoms, we developed, was given to each woman. Results and correlations were then statistically tested. Results Our study population consisted of relatively young women (37.7 ± 11) that had their first child at an average age of 24.1 (± 4.8) and a mean parity of 3.1 (± 2.2). Fifty-eight women (34.5%) reported having undergone at least one CS, while the mean PID Symptom Score was 3.3 (± 2.3). The women in our study exhibited 8 symptoms of PID, namely dysmenorrhea and vaginal discharge; being the commonest (45.2% and 44.6% respectively), in addition to chronic pelvic pain, pelvic heaviness, menorrhagia, dyspareunia, urinary symptoms, and smelly urine. They also reported history of 3 conditions that can be attributed to PID, that is infertility, preterm labour, and miscarriages. Conclusions Our PID Scoring System seems to identify the risk factors of PID and predict well the PID likelihood. This score predicts that women with higher parity, who used contraceptives and underwent any invasive medical procedure are expected to score higher in the PID Symptom Score. Our data also suggest that PID should not be ruled out in the Jordanian population when symptoms are compatible to this diagnosis.

scholarly journals How Prevalent Are Symptoms and Risk Factors of Pelvic Inflammatory Disease in a Sexually Conservative Population.

2020 ◽  
Author(s):  
Oqba Al-Kuran ◽  
Al-Mehaisen Lama ◽  
Alduraidi Hamza ◽  
Naser Alhusban ◽  
Balqees Attarakih ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Inflammatory Disease ◽  
Symptom Score ◽  
Pelvic Pain ◽  
Inflammatory Disease ◽  
Chronic Pelvic Pain ◽  
University Hospital ◽  
Medical Procedure ◽  
Adult Women ◽  
Jordanian Population

Abstract Background: Pelvic Inflammatory Disease (PID) is the inflammation of the adnexa of the uterus, that mainly manifests in a subclinical/chronic context and goes largely underreported. However, it poses a major threat to women’s health, as it is responsible for infertility and ectopic pregnancies, as well as chronic pelvic pain. Previous studies in Jordan have not reported PID, attributed mainly to the social structure of the country which largely represent a sexually conservative population. Our study aims to report the clinical symptoms that point towards PID and investigate the major risk determinants in a Jordanian population, in a cross-sectional study. Methods: One hundred sixty-eight consecutive adult women that came in the Outpatient Clinics of Gynaecological Department of the Jordan University Hospital were interviewed and their medical history and symptoms were registered and analysed. A Score for PID symptoms, we developed, was given to each woman. Results and correlations were then statistically tested.Results: Our study population consisted of relatively young women (37.7±11) that had their first child at an average age of 24.1 (±4.8) and a mean parity of 3.1 (±2.2). Fifty-eight women (34.5%) reported having undergone at least one CS, while the mean PID Symptom Score was 3.3 (±2.3). The women in our study exhibited 8 symptoms of PID, namely dysmenorrhea and vaginal discharge; being the commonest (45.2% and 44.6% respectively), in addition to chronic pelvic pain, pelvic heaviness, , menorrhagia, dyspareunia, , urinary symptoms, and smelly urine, and reported history of 3 conditions that can be attributed to PID, that is infertility, preterm labour, and miscarriages.Conclusions: Our PID Scoring System seems to identify the risk factors of PID and predict well the PID likelihood. This score predicts that women with higher parity, who used contraceptives and underwent any invasive medical procedure are expected to score higher in the PID Symptom Score. Our data also suggest that PID should not be ruled out in the Jordanian population when symptoms are compatible to this diagnosis.

scholarly journals Risk factors for a complicated clinical course among women hospitalized with pelvic inflammatory disease

2000 ◽  
Vol 8 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Denise J. Jamieson ◽  
Ann Duerr ◽  
Milagros A. Macasaet ◽  
Herbert B. Peterson ◽  
Susan D. Hillis
Keyword(s):  
Risk Factors ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Course

scholarly journals Risk factors for laparoscopically confirmed pelvic inflammatory disease: findings from Mumbai (Bombay), India

1998 ◽  
Vol 74 (6) ◽  
pp. 426-432 ◽  
Author(s):  
A. Gogate ◽  
L. Brabin ◽  
S. Nicholas ◽  
S. Gogate ◽  
T. Gaonkar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease

scholarly journals Risk factors associated with pelvic inflammatory disease

2006 ◽  
Vol 82 (6) ◽  
pp. 452-457 ◽  
Author(s):  
I Simms ◽  
J M Stephenson ◽  
H Mallinson ◽  
R W Peeling ◽  
K Thomas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Factors Associated

Chlamydia trachomatis and Mycoplasma genitalium prevalence and associated factors among women presenting to a pregnancy termination and contraception clinic, 2009–2019

2021 ◽  
pp. sextrans-2020-054695
Author(s):  
Hannah S Shilling ◽  
Suzanne M Garland ◽  
Anna-Maria Costa ◽  
Alex Marceglia ◽  
Katherine Fethers ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chlamydia Trachomatis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Associated Factors ◽  
Pregnancy Termination ◽  
Mycoplasma Genitalium ◽  
Causal Link ◽  
Macrolide Resistance ◽  
Shared Risk

BackgroundRisk of pelvic inflammatory disease associated with Chlamydia trachomatis and Mycoplasma genitalium is increased after termination of pregnancy (TOP) and may be increased after insertion of intrauterine devices (IUDs). Screening prior to these procedures is recommended only for C. trachomatis. We examined C. trachomatis and M. genitalium prevalence and associated factors among women presenting to a pregnancy termination and contraception service over 10 years.MethodsRetrospective analysis of clinical data collected from 17 573 women aged 15–45 years in 2009–2019 and for 266 M. genitalium positive women tested for macrolide resistance-associated mutations in 2016–2019.ResultsC. trachomatis and M. genitalium prevalence was 3.7% and 3.4%, respectively. In multivariable analyses, shared risk factors were younger age (p<0.001, for both C. trachomatis and M. genitalium), socioeconomic disadvantage (p=0.045 and p=0.008, respectively) and coinfection (p<0.001, for both sexually transmitted infections), with 10.1% of C. trachomatis positive women also positive for M. genitalium. Additional risk factors were earlier year of visit (p=0.001) for C. trachomatis and for M. genitalium residing outside a major city (p=0.013). The proportion of M. genitalium infections tested between 2016 and 2019 with macrolide resistance-associated mutations was 32.7%.ConclusionsGiven the high level of antimicrobial resistance and the prevalence of coinfection, testing C. trachomatis positive women for M. genitalium could be considered in this setting to prevent further spread of resistant infections. Further research is required into the causal link between M. genitalium and pelvic inflammatory disease in women undergoing TOP and IUD insertion.

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