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Tubal factors cause 25-30% of infertility cases. [1] Tubal factor is one complication of chlamydia trachomatis infection in women. [2] Sexually transmitted chlamydia and genital mycoplasma infections are preventable causes of infertility and negative pregnancy outcomes. When the infections progress and ascend, they can result in TFI.
Some patients have lower often recurring abdominal pain or pelvic pain, while others may be asymptomatic. As tubal function is impeded, infertility is a common symptom. Patients who are not trying to get pregnant and have no pain, may go undetected. Endometriosis, ruptured appendicitis, and abdominal surgery sometimes are associated with the ...
The rate of tubal infertility has been reported to be 12% after one, 23% after two, and 53% after three episodes of PID. [1] The fallopian tubes may also be occluded or disabled by endometritis, infections after childbirth and intra-abdominal infections including appendicitis and peritonitis. The formation of adhesions may not necessarily block ...
Around 20 percent of women with PID develop infertility. [40] Even women who do not experience intense symptoms or are asymptomatic can become infertile. [41] This can be caused by the formation of scar tissue due to one or more episodes of PID, and can lead to tubal blockage.
Once suspected clinically and radiologically, patients with infertility and SIN can be managed with segmental resection with tubo-cornual anastomosis, and recanalization if tubal obstruction is detected. Success with gonadotrophin-releasing hormone analogues (GnRH-a) has been documented in terms of remission of nodularity and tubal patency.
This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679. The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.
Most women, at some time in their lives, experience pelvic pain. As girls enter puberty, pelvic or abdominal pain becomes a frequent complaint. Chronic pelvic pain is a common condition with rate of dysmenorrhoea between 16.8 and 81%, dyspareunia between 8-21.8%, and noncyclical pain between 2.1 and 24%. [30]
The more times one has the infection, the greater the risk of infertility. With one episode of salpingitis, the risk of infertility is 8-17%. With 3 episodes of salpingitis, the risk is 40-60%, although the exact risk depends on the severity of each episode. [2] Damaged oviducts from salpingitis increase the risk of an ectopic pregnancy by 7-10 ...