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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Based on many years' experience with trichomonas vaginalis the author comes to the conclusion that trichomonads are much more common than expected. Therefore the possibility of trichomoniasis shoudl be taken into account not only when discharge is found in females or persistent urethritis in males, but also in other affections. Remote reactions may occur in either sex, e.g. prostatis or adnexitis. Sterility is sometimes due to trichomonas vaginalis. Apart from classical pictures in either sex arthritis and erythema nodosum may develop. The unstained preparation is usually sufficient for demonstrating the organism. The clinical diagnosis in males and females is discussed. The new single dose therapy with tinidazole is of special interest for three reasons: low minimum trichomonacidal concentrations, 72-hour-action, high active excretion in the urine. No effect on the blood picture was observed. It appears that tinidazole (Simplotan) has a secondary effect on the pathological mixed flora. Candida, too, is often eliminated, but in some cases nystatin therapy is still necessary. The relations to diabetes mellitus, antibiotics, pregnancy and hormonal contraception are discussed.
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PMID:[Trichomoniasis. Physiopathology and therapy]. 30 Jul 4

It was shown that the risk for endometrial cancer development in uterine myoma increases 43-fold in cases of diabetes mellitus, hypertension and obesity, 20-fold in adnexitis, 15-fold in hyperplastic endometrial lesions and 9.8-fold in the multipara.
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PMID:[Risk factors for the development of endometrial cancer in uterine myoma]. 402 48

Adolescents are responsible for 20% of all births in developed countries; about 53% of such births are illegitimate; adolescents have a much higher abortion complications and mortality rates. Contraception in adolescents must take into account the frequency of relations, and cannot interfere with future fertility and physical development. Behavioral contraceptive methods require a discipline which adolescents do not have, and have an effectiveness which is only 20-40%. Condoms and diaphragms can be very effective when properly used and when used together with a contraceptive cream. They are recommended only for adolescents who have irregular relations. Oral contraception is the most effective method, and the one which entails a long series of side effects; it is still not very well known whether it interferes with hypothalamo-hypophysary maturation, future fertility, physical growth and development of the genital tract. It is absolutely contraindicated in case of circulatory problems, cardiopathies, cancer, bleedings, renal problems, diabetes, liver problems, and hypertension. The minipill would be a better choice than combined contraceptives, while injectable contraceptives and postcoital contraception must be regarded as exceptional therapy, or in case of emergency. IUDs are very effective and do not require sustained motivation; adnexitis, pregnancy and genital tumors are absolute contraindications to IUD use. In the adolescent, IUDs can have a higher rate of expulsion and cause more than normal pains; a small sized IUD would be more appropriate than a regualr size.
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PMID:[The choice of a method of contraception during adolescence]. 700 34

Antibiotic prophylaxis was applied to patients with high risk of infection undergoing: myomectomy m. Martin, procedures on the uterine adnexa, total and/or subtotal hysterectomy and laparoscopy. The influence of this prophylaxis on the incidence of fever and wound infection was observed. For vaginal hysterectomy antibiotic prophylaxis was not applied. The risk factors included: the history of at least 1 laparotomy, suffer from chronic adnexitis in the past, past thrombophlebitis, diabetes and obesity. Statistically significant decrease of wound infections among patients underwent total and/or subtotal hysterectomy was noted, the highest incidence of fever occurred after myomectomy m. Martin, there was no wound infection following laparoscopy, the rate of infections after vaginal hysterectomy was much lower than after abdominal hysterectomy.
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PMID:[The influence of antibiotic prophylaxis on the incidence of fever and wound infection after gynecological operations in patients with increased risk of infection]. 1188 7