Effect of acute pelvic inflammatory disease on fertility
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This paper investigates how acute pelvic inflammatory disease impacts fertility.
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Abstract
A total of 415 women treated for laparoscopically verified pelvic inflammatory disease (PID) were reviewed after 9.5 years. Of these, 88 (21.2 per cent) were involuntarily childless after one or more infection; in 72 cases (17.3 per cent) this was due to tubal obstruction; 263 (63.4 per cent) women became pregnant; 64 (15.4 per cent) were voluntarily childless. Tubal occlusion was diagnosed after one infection in 12.8 per cent, after two infections in 35.5 per cent, and after three or more infections in 75 per cent of the women. Tubal occlusion was more common after nongonorrheal than after gonorrheal salpingitis. Infertility varied with the inflammatory changes seen at laparoscopy. The ratio between ectopic and intrauterine pregnancies after the infections was 1/24. Chronic abdominal pain was reported by 18.1 per cent of the women. Corresponding findings in 100 healthy control subjects were: involuntary childlessness in three despite normal Fallopian tubes, one ectopic in 147 intrauterine pregnancies, and chronic abdominal pain in five cases.
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Cited by (22)
- Pelvic Pain: Role of Imaging in the Diagnosis and Management 2021
- Pelvic Inflammatory Disease 2013
- Pelvic Inflammatory Disease and Chronic Pelvic Pain 2012
- Unexpected Gynecologic Findings During Abdominal Surgery 2012
- Gynecologic Etiologies of Chronic Pelvic Pain 2012
- Lower Quality of Life Among Women With Chronic Pelvic Pain After Pelvic Inflammatory Disease 2003
- Endometritis does not predict reproductive morbidity after pelvic inflammatory disease 2003
- Effect of inflammatory mediators on the physiology of the human Fallopian tube 2002
- Causes of chronic pelvic pain 2000
- Selected Disorders of the Female Reproductive System 1994
- Morbidity following pelvic inflammatory disease 1993
- RELATIONSHIP OF PELVIC INFECTION AND CHRONIC PELVIC PAIN 1993
- Long-term sequelae of acute pelvic inflammatory disease 1992
- Pelvic inflammatory disease. 1990
- Management of Pelvic Inflammatory Disease 1990
- Tubal patency in patients for whom artificial insemination with donor semen (A.I.D.) is planned 1989
- Risk factors for tubal infertility among infertile and fertile women 1988
- Reproductive outcome after medical management of complicated pelvic inflammatory disease 1988
- Heterotopic pregnancy after in vitro fertilization and ovulatory drugs 1988
- Results of microsurgical treatment of tubal infertility and early second-look laparoscopy in the post-pelvic inflammatory disease patient: Implications for in vitro fertilization 1986
- Etiological aspects of ectopic pregnancy in nulliparous women 1986
- Nonneoplastic gynecologic disorders 1982
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