Infertility Problem, Importance of Prevention Strategies for Sexually Transmitted Infections
It should be clarified that not every episode of pelvic inflammatory disease produces chronic injuries (permanent or long term), but the risk exists. First, a woman with a gynecological problem is more likely to have recurrent infections and suffer pain in the lower abdomen constantly.
Second, suffering inflammation of the fallopian tubes (which carry eggs to the womb) and for this cause, suffer injuries that ultimately scarring. These tissues are unique in that narrow the inside of these ducts and generate different degrees of obstruction.
When the closure is very significant or total infertility occurs (the eggs do not reach the uterus), while being part favors the emergence of a medical emergency called ectopic (outside the womb): The small aperture allows the passage of sperm, which achieve fertilization of the egg and the embryo begins to grow without reaching its destination, because the scars you from the passage. Over time, the fallopian tube can rupture and cause pain, internal bleeding and death.
Statistics indicate that one in 200 women suffer ectopic pregnancy, but after suffering from pelvic inflammatory disease risk increases dramatically, as one in 20 it does occur. It is also estimated that infertility occurs in 15% of the women who have had this problem once gynecological, 30% in those who have experienced it twice, and 50% in those who have presented at three different times.
Acting in Time
It is critical that women visit a gynecologist to be revised soon as you think of this problem. It is recalled that the most notable landmarks for help are pain in the lower belly, especially when it comes after or during menstruation, as well as increased temperature and vaginal discharge.
The patient attended our clinic must answer a few questions to the specialist, required to prepare its history, plus it should undergo a physical exam in which you discover tenderness in the pelvic region (especially when pressure is exerted on uterus and ovaries) and cervix that bleeds easily.
Furthermore, correction of the diagnosis can be supported by some evidence:
* Blood tests. It becomes necessary for a white blood cell count (cells that fight microorganisms) and know the status of the defense system.
* Endocervical culture. Determines, by taking a sample of vaginal discharge, what kind of organism (chlamydia, gonorrhea or other) is responsible for the infection.
* Laparoscopy. Allows direct observation of the cervix through a special microscope.
* Ultrasound or CT of the pelvic area. These systems allow us to see inside the body and, in this case, help detect the severity of lesions in the uterus, fallopian tubes, and ovaries and nearby tissues.
Treatment of pelvic inflammatory disease, when in early stage, is based on antibiotics (may require up to three different) and monitoring for the evolution of the problem, while more severe cases where the infection has spread may require hospitalization of the patient to administer intravenous medications to normalize the situation.
Where there is no adequate response to antibiotics and tests show the existence of abscesses (collections of pus) in tubes, ovaries or some nearby tissue, it is necessary to resort to surgery to drain the bacteria.
Similarly, the sexual partner (or partners) of women should be treated to kill bacteria that cause sexually transmitted diseases, plus it is necessary to use condoms (rubbers) during the course of therapy.
Finally, we should stress the importance of prevention to avoid the risky consequences of this condition. The most important are practicing safe sex (using condoms), follow-up to the letter of the recommendations made after performing gynecological procedures (such as intrauterine device placement), periodic reviews by the physician and conducting an appropriate and timely treatment when there are sexually transmitted diseases.
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