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The Indian Journal of Medical Research Jan 2017
Topics: Abdomen; Adult; Azithromycin; Cephalosporins; Chlamydia Infections; Female; Hepatitis; Humans; Liver; Pelvic Inflammatory Disease; Peritonitis; Young Adult
PubMed: 28574030
DOI: 10.4103/ijmr.IJMR_1417_15 -
Praxis Feb 2020Recurrent Urogynecological Infections Changes in the urogenital microbiome of the bladder, urethra, vagina and cervix can cause recurrent infections. We distinguish... (Review)
Review
Recurrent Urogynecological Infections Changes in the urogenital microbiome of the bladder, urethra, vagina and cervix can cause recurrent infections. We distinguish between obligate and facultative pathogens. In the case of facultative pathogens, treatment with antibiotic, antiviral or antifungal drugs should only be considered in cases with attributable symptoms. Sexually transmitted diseases (STD) manifest either urogenitally alone or in association with an ascending infection of the adnexa as a pelvic inflammatory disease. STD may be asymptomatic, as in cases of chlamydia, or may cause a high burden of symptoms, impairment of quality of life or infertility. The aim of this minireview is to give an overview of the pathogenicity of the different germs and their treatment.
Topics: Chlamydia Infections; Chlamydia trachomatis; Female; Humans; Pelvic Inflammatory Disease; Quality of Life; Recurrence; Sexually Transmitted Diseases
PubMed: 32019451
DOI: 10.1024/1661-8157/a003368 -
The American Journal of the Medical... Apr 2023
Topics: Female; Humans; Pelvic Inflammatory Disease; Hepatitis; Peritonitis; Chlamydia Infections; Chlamydia trachomatis
PubMed: 36549420
DOI: 10.1016/j.amjms.2022.12.017 -
American Family Physician Aug 2023Acute pelvic pain is defined as noncyclic, intense pain localized to the lower abdomen and/or pelvis, with a duration of less than three months. Signs and symptoms are...
Acute pelvic pain is defined as noncyclic, intense pain localized to the lower abdomen and/or pelvis, with a duration of less than three months. Signs and symptoms are often nonspecific. The differential diagnosis is broad, based on the patient's age and pregnancy status and gynecologic vs. nongynecologic etiology. Nongynecologic etiologies include gastrointestinal, urinary, and musculoskeletal conditions. Urgent gynecologic conditions include ectopic pregnancy, ruptured ovarian cyst, adnexal torsion, and pelvic inflammatory disease. Approximately 40% of ectopic pregnancies are misdiagnosed at the presenting visit. Urgent nongynecologic conditions include appendicitis and pyelonephritis. Less urgent etiologies include sexually transmitted infections, pelvic floor myofascial pain, dysmenorrhea, and muscle strain. Approximately 15% of untreated chlamydia infections lead to pelvic inflammatory disease. History and physical examination findings guide laboratory testing. Questions should focus on the type, onset, location, and radiation of pain; timing and duration of symptoms; aggravating and relieving factors; and associated symptoms. Performing a urine pregnancy test or beta human chorionic gonadotropin test is an important first step for sexually active, premenopausal patients. Imaging options should be considered, with transvaginal ultrasonography first, followed by computed tomography. Magnetic resonance imaging can be useful if ultrasonography and computed tomography are nondiagnostic.
Topics: Female; Humans; Pregnancy; Pelvic Inflammatory Disease; Pelvic Pain; Acute Pain; Chorionic Gonadotropin, beta Subunit, Human; Dysmenorrhea; Pregnancy, Ectopic
PubMed: 37590858
DOI: No ID Found -
Clinical Obstetrics and Gynecology Mar 2017Ultrasound is considered the first-line imaging modality in the evaluation of the fallopian tubes. This chapter reviews both the physiologic and pathologic sonographic... (Review)
Review
Ultrasound is considered the first-line imaging modality in the evaluation of the fallopian tubes. This chapter reviews both the physiologic and pathologic sonographic findings of the fallopian tubes and how to recognize characteristic entities. Specifically, it describes how to use ultrasound techniques to distinguish between pathologic processes including chronic versus acute pelvic inflammatory disease, as well as infertility, torsion, and malignancy. It also describes how to employ modern ultrasound techniques, such as color Doppler, three-dimensional imaging, and salpingocentesis in clinical practice.
Topics: Animals; Fallopian Tube Diseases; Fallopian Tubes; Female; Humans; Hysterosalpingography; Imaging, Three-Dimensional; Infertility, Female; Pelvic Inflammatory Disease; Ultrasonography; Ultrasonography, Doppler, Color
PubMed: 28005596
DOI: 10.1097/GRF.0000000000000262 -
Annals of Emergency Medicine Jul 2019
Topics: Female; Gynecological Examination; Humans; Pelvic Inflammatory Disease; Sexually Transmitted Diseases; Uterine Cervicitis
PubMed: 31248494
DOI: 10.1016/j.annemergmed.2019.01.046 -
Annals of Emergency Medicine Apr 2019
Topics: Female; Gynecological Examination; Humans; Pelvic Inflammatory Disease; Sexually Transmitted Diseases; Uterine Cervicitis
PubMed: 30902177
DOI: 10.1016/j.annemergmed.2018.11.027 -
Journal of Gynecology Obstetrics and... May 2020Pelvic inflammatory diseases (PID) must be suspected when spontaneous pelvic pain is associated with induced adnexal or uterine pain (grade B). Pelvic ultrasonography is... (Review)
Review
Pelvic inflammatory diseases (PID) must be suspected when spontaneous pelvic pain is associated with induced adnexal or uterine pain (grade B). Pelvic ultrasonography is necessary to rule out tubo-ovarian abscess (TOA) (grade C). Microbiological diagnosis requires endocervical and TOA sampling for molecular and bacteriological analysis (grade B). First-line treatment for uncomplicated PID combines ceftriaxone 1 g, once, IM or IV, doxycycline 100 mg ×2/day, and metronidazole 500 mg ×2/day PO for 10 days (grade A). First-line treatment for complicated PID combines IV ceftriaxone 1-2 g/day until clinical improvement, doxycycline 100 mg ×2/day, IV or PO, and metronidazole 500 mg ×3/day, IV or PO for 14 days (grade B). Drainage of TOA is indicated if the pelvic fluid collection measures more than 3 cm (grade B). Follow-up is required in women with sexually transmitted infections (STIs) (grade C). The use of condoms is recommended (grade B). Vaginal sampling for microbiological diagnosis is recommended 3-6 months after PID (grade C), before the insertion of an intrauterine device (grade B), and before elective termination of pregnancy or hysterosalpingography. When specific bacteria are identified, antibiotics targeted at them are preferable to systematic antibiotic prophylaxis.
Topics: Anti-Bacterial Agents; Bacteria; Bacterial Infections; Ceftriaxone; Doxycycline; Female; France; Genitalia, Female; Humans; Metronidazole; Pelvic Inflammatory Disease; Pelvic Pain; Practice Guidelines as Topic; Sexually Transmitted Diseases; Ultrasonography
PubMed: 32087306
DOI: 10.1016/j.jogoh.2020.101714 -
BMJ (Clinical Research Ed.) Oct 2019
Topics: Aftercare; Anti-Bacterial Agents; Asymptomatic Infections; DNA, Bacterial; Female; Humans; Male; Mass Screening; Mycoplasma Infections; Mycoplasma genitalium; Pelvic Inflammatory Disease; Practice Guidelines as Topic; Prevalence; Risk Factors; Sexually Transmitted Diseases, Bacterial; Urethritis
PubMed: 31628115
DOI: 10.1136/bmj.l5820 -
Disease-a-month : DM Aug 2016
Review
Topics: Female; Humans; Pelvic Inflammatory Disease; Sexually Transmitted Diseases; United States
PubMed: 27107781
DOI: 10.1016/j.disamonth.2016.03.015