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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 ...
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 ...
[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.
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
Each drug should be administered as a single dose, with the gentamicin entering intramuscularly at a concentration of 240 mg, along with 2 g of azithromycin taken orally. [75] If an individual is not allergic to cephalosporins but ceftriaxone is unavailable, an alternative treatment is a single dose of 800 mg cefixime consumed orally. [75]
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.
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]