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Another risk is factors that alter the microenvironment in the vagina and cervix, allowing infecting organisms to proliferate and eventually ascend to the fallopian tube: antibiotic treatment; ovulation; menstruation; sexually transmitted infection (STI) Finally, sexual intercourse may facilitate the spread of disease from the vagina to the ...
[1] [13] If surgery becomes necessary, pre-operative administration of broad-spectrum antibiotics is started and removal of the abscess, the affected ovary and fallopian tube is done. After discharge from the hospital, oral antibiotics are continued for the length of time prescribed by the physician.
A definitive diagnosis of PID is made by finding pus involving the fallopian tubes during surgery. [2] Ultrasound may also be useful in diagnosis. [2] Efforts to prevent the disease include not having sex or having few sexual partners and using condoms. [6] Screening women at risk for chlamydial infection followed by treatment decreases the ...
Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
The infection can be passed through vaginal, anal, oral, or manual sex. Of those who have an asymptomatic infection that is not detected by their doctor, approximately half will develop pelvic inflammatory disease (PID), a generic term for infection of the uterus, fallopian tubes, and/or ovaries.
It is characterized by nodular thickening of the tunica muscularis of the narrow (isthmic) portion of the fallopian tube. In severe cases, it leads to complete obliteration of the tubal lumen. It is uncommonly bilateral. [2] Gross findings: One or more nodules 1–2 mm, spanning up to 2 cm
Gonorrhea can spread into the uterus and fallopian tubes, causing pelvic inflammatory disease (PID). PID can result in scarring of the tubes, greater risk of pregnancy complications and infertility, and can be fatal, particularly in the immunocompromised. [citation needed] PID requires immediate treatment. Infertility in men.
Symptoms in women may include vaginal discharge, burning or itching while urinating, painful sexual intercourse, severe pain in lower abdomen (if infection spreads to fallopian tubes), or fever (if infection spreads to fallopian tubes); however, many women do not show any symptoms. [66] Antibiotic resistant strains of Gonorrhea are a ...