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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 ...
The diagnosis is typically based on the presenting signs and symptoms. [2] It is recommended that the disease be considered in all women of childbearing age who have lower abdominal pain. [2] 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]
[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. [3]: 103
Infection by the bacterium Chlamydia trachomatis only occurs in humans. [10] Diagnosis is often by screening, which is recommended yearly in sexually active women under the age of 25, others at higher risk, and at the first prenatal visit. [1] [2] Testing can be done on the urine or a swab of the cervix, vagina, or urethra. [2]
An ovarian cancer research group is urging women, regardless of risk, to consider removing their fallopian tubes if they are done having children and undergoing other gynecological surgeries.
Treatment is usually with antibiotics. [1] Recommendations for treatment of endometritis following delivery includes clindamycin with gentamicin. [9] Testing for and treating gonorrhea and chlamydia in those at risk is also recommended. [10] Chronic disease may be treated with doxycycline. [10] Outcomes with treatment are generally good. [4]
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]
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