Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An important question that has arisen in relation to IUD use is the effects of the IUD of future fertility. To the extent that IUDs make more women susceptible to pelvic inflammatory disease (PID), IUD users are more likely to become sterile. 1 of the problems in the past is that return of fertility has been studied only in women who had IUDs removed because of a desire to become pregnant. In the future, fertility patterns need to be analyzed in all former IUD users, including those who have had the IUD removed for pelvic infection, pelvic pain, vaginal bleeding or vaginal discharge.
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PMID:IUD-PID link: data needed on long-term fertility effects. 1227 59

The prevalence of genital actinomyces infection and possible routes of transmission in IUD users were analyzed in a high-risk population of predominantly indigent Mexican-American family planning clients. The Papanicolaou (Pap) smears of 12 (9%) of the 134 IUD users cultured were positive for actinomyces-like organisms. The IUD involved was the Lippes Loop in 7 cases, the Cu 7 in 2 women, the Dalkon Shield in another 2 cases, and the Saf-T-Coil in the final case. The duration of IUD use ranged from 1-10 years, with a mean of 6 years. Oral-genital sexual contact was the sexual preference in 3/4 of the women with actinomyces infection compared with under 2/3 of the general clinic population. Most of the women with actinomyces-like organisms had a concomitant condition, including gastroenteritis, cholecystitis, scabies, schizophrenia, drug abuse, anemia, herpes genitalis, venereal disease, and urinary tract infection. All of these women complained of vaginal discharge with pelvic pain during their initial visits. Eikenella corrodens was recovered in 1 of these cases and had an overall prevalence of 0.17% in the clinic population. Eikenella corrodens is found in the mouth, on dental plaques, and is not yet recognized as a normal inhabitant of the vagina or gastrointestinal tract. Oral-genital contact appears to be the mode of transmission of both actinomyces and Eikenella corrodens.
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PMID:IUDs and actinomyces. 1228 Aug 26

As part of a multinational trial, this study compared the safety and efficacy of the TCu 200 IUD with the locally used TCu 200 IUD at the Maternity Hospital in Thapathali, Kathmandu, Nepal, with 24 months of subject follow-up. 200 subjects were enrolled over a 7-month enrollment period beginning in November 1981. By random allocation, 100 subjects received the TCu 380A IUD and 100 subjects received the TCu 200 IUD. All subjects had the IUDs inserted 6 weeks or more after the end of their last pregnancy. The mean age was 23.1 years for the TCu 380 IUD group and 23.5 years for the TCu 200 IUD group. All subjects in each IUD study group had at least 1 live birth prior to admission into the study and the overall mean was similar for both study groups. The only insertion-related complaint reported was mild pelvic pain: in 16.0% of the women receiving the TCu 380A and 19.0% of those receiving the TCu; this difference was not statistically significant. Menorrhagia was reported in both the TCu 380A and TCu 200 IUD groups (3% and 5%, respectively). Intermenstrual pelvic pain, spotting, and bleeding were also reported, although the proportion of subjects in either study group experiencing these complaints did not exceed 7%. One case of pelvic inflammatory disease, i.e., endometritis, in a TCu 200 IUD user was reported, but no cases were reported among TCu 380A users. One case of a mucoid vaginal discharge was reported in each IUD study group. Significantly more TCu 200 IUD users (p = 0.02) experienced removal of their IUD during the 24-month follow-up period for personal reasons than did TCu 380A IUD users (6.7 and 1.2 per 100 women, respectively; p = 0.02). The overall continuation rate at 24 months was higher for TCu 380A IUD users than for TCu 200 IUD users (82.8 and 14.9 per 100 women, respectively), although this difference was not statistically significant (p = 0.18).
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PMID:A comparative study of the TCu 380A versus TCu 200 IUDs in Nepal. 1231 65

Given the risks of congenital infections, the frequent occurrence of unintended pregnancy, and the lack of prenatal care in the first trimester, physicians should seek opportunities to discuss immunizations and disease prevention with women of childbearing age. Discussions of the following topics would be beneficial: 1. Encourage women to seek medical care at the first missed period. 2. Discuss safe sex and abstinence for prevention of sexually transmitted diseases. (See "Clinical Prevention Guidelines" in the CDC's 1998 Guidelines for Treatment of Sexually Transmitted Diseases.) 3. Encourage early medical care for vaginal discharge, pelvic pain, or possible exposure to sexually transmitted diseases. 4. Encourage good handwashing, especially before and after handling food or changing diapers. 5. Encourage the use of universal precautions when exposed to body fluids or blood. 6. Educate the patient on the importance of cooking food thoroughly and avoiding raw meat and unpasteurized dairy products. 7. Ensure vaccination against hepatitis B, rubella, and varicella.
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PMID:Congenital infections and preconception counseling. 1241 88

Non-puerperal uterine inversion due to uterine sarcoma is a rare entity often diagnosed at the time of surgery. Patients may present with pelvic pain, vaginal discharge, or hemodynamic shock. Clinically, the diagnosis may be suspected if there is a large vaginal mass and difficulty in palpating the cervix. Four surgical procedures have been described to manage non-puerperal uterine inversion, two by the abdominal route and two by the vaginal route. The Haultain procedure performed abdominally is preferred for uterine sarcomas as it facilitates reversion of the uterus vaginally or excision of the pedicle and removal of the prolapsed tumor vaginally. We describe a patient with this condition managed by the Haultain procedure.
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PMID:Non-puerperal uterine inversion in association with uterine sarcoma: clinical management. 1265 32

Peritoneovaginal fistula is a rare complication of hysterectomy. A patient with pelvic pain and vaginal discharge due to peritoneovaginal fistula, 6 months after hysterectomy, is presented. The laparoscopic approach with an intravaginal blue-test, provided the evidence of the peritoneovaginal fistula. The transvaginal approach offered a surgical closure of the fistula and a resolution of the symptoms. In addition, we have reviewed the literature, the symptoms, the differential diagnosis and the management of this problem.
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PMID:[Peritoneovaginal fistula after vaginal hysterectomy]. 1282 Oct 88

A 38 year old lady who had total abdominal hysterectomy, for chronic pelvic pain, presented with profuse vaginal discharge per vaginum along with a cystic pelvic mass of 10 week size. There was a polypoidal fleshy growth present in the vault. It was diagnosed to be a fallopian tube on histopathology. Patient was treated with bilateral salpingo-ophorectomy through an open laparotomy.
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PMID:Fallopian tube prolapse after abdominal hysterectomy. 1545 26

The prolapse of a uterine tube is a rare event after hysterectomy with adnexal conservation. It is described in the literature after abdominal or vagina hysterectomy. We report two cases occurring after laparoscopic hysterectomy, and complicated by pyosalpingitis. Patients have presented with pelvic pain and vaginal discharge. Diagnosis was not easy, clinically suspected with the transvaginal ultrasonography, and confirmed by celioscopy. It may be helped by biopsy. The laparoscopic management was carried out without complications.
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PMID:[Pyosalpingitis after interadnexal laparoscopic hysterectomy. Two cases]. 1651 23

We report the MRI appearances in a patient with parametrial malakoplakia. The patient complained of pelvic pain and vaginal discharge. Physical examination revealed a "frozen" pelvis suggestive of malignancy. MRI showed bilateral parametrial "infiltration", but no overt primary pelvic tumour. The combination of these findings together with the inflammatory symptoms suggested an inflammatory condition. Malakoplakia was confirmed at resective biopsy.
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PMID:MRI appearances of pelvic malakoplakia. 1721

The use of vaginal meshes has been an advance in the surgical management of women with pelvic organ prolapse. We reviewed the literature to synthesize the evidence regarding the infectious complications related to this new type of foreign body. We searched PubMed, current contents, and references of initially identified relevant articles and extracted data regarding the incidence, clinical manifestation, and management of vaginal mesh-related infections. The incidence of mesh-related infections and erosion ranged from 0 to 8%, and 0 to 33%, respectively, in the published studies. Various factors influence the development of vaginal mesh-related infectious complications such as the kind of biomedical material (e.g. filament structure, pore size) of the mesh, the type of procedure, the preventive measures taken, and the age and underlying comorbidity of the treated women. Non-specific pelvic pain, persistent vaginal discharge or bleeding, dyspareunia, and urinary or faecal incontinence are the most common manifestation of vaginal mesh-related infection. Clinical examination may reveal induration of the vaginal incision, vaginal granulation tissue, draining sinus tracts, and prosthesis erosion or rejection. Various pathogens have been implicated, including Gram-positive and Gram-negative aerobic and anaerobic bacteria. The management of mesh-related infections in women who underwent pelvic organ reconstruction is combined surgical and medical treatment. Although the use of vaginal meshes has become a new effective method of pelvic organ prolapse surgery clinicians should be aware of the various post-operative complications, including mesh-related infections.
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PMID:Mesh-related infections after pelvic organ prolapse repair surgery. 1745 63


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