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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The frequency of infection following induced first-trimester abortion is 3-5%. Duration of hospitalization is often five days, and the total costs per abortion were 5,400 Dkr (approximately pounds 500) in Denmark in 1979. Sequelae of postabortal infection are similar to and occur with the same frequency as sequelae to "spontaneous" pelvic inflammatory disease. Thus, secondary infertility was found in 10% of women with postabortal infection, spontaneous abortion in 22%, dyspareunia in 20%, and chronic pelvic pain in 14%. The risk of ectopic pregnancy is probably also increased. Surgical scrub cannot sterilize the endocervix and, as a consequence, abortion is performed in a contaminated field. The presence of pathogenic bacteria, i.e. Chlamydia trachomatis, therefore increases the risk of postoperative infection. The organism is found in approximately 7% of those applying for abortion and the risk of sustaining infection is 20%. Other risk factors are previous pelvic inflammatory disease, vaginal infection, first pregnancy and young age. Prophylactic antibiotics halve the incidence of infection, but by applying prophylaxis to risk groups only, the amount of prescriptions can be reduced. Prophylaxis need only be administered peroperatively, and tetracyclines, metronidazol, and penicillin/pivampicillin have been found to be effective. Women applying for abortion should be examined for C. trachomatis and positive cases treated no later than at the time of the abortion.
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PMID:[Preventive antibiotics in induced first-trimester abortion]. 146 1

Although an estimated 67 million US women douche, little is known about who practices vaginal douching and for what purposes. These questions were addressed in a study of 618 women 18-50 years of age who sought gynecological care at 4 sites (a hospital-based academic practice, 2 private practices, and a women's center) between July 1986-June 1987. 366 (59%) of these women had douched at some time. Of these women, 85% douched less than once a month, 12% douched at least once a month but less often than once a week, and 3% douched at least once a week. Women who douched were more likely to be black, less educated, younger, and of lower socioeconomic status and less likely to use spermicides or barrier contraceptives than their counterparts who did not report this practice. A comparison of the symptoms and reproductive histories of the subgroups in this study revealed two main trends. First, symptoms indicative of vaginal infection were significantly more common among women who douched; discharge was 3 times as common and vaginal irritation and abdominal or pelvic pain were twice as frequent than in non-douchers. Second, women who douched were more likely to have characteristics reflecting a high risk of sexually transmitted diseases (STDs); a history of prior gonorrhea, trichomoniasis, pelvic inflammatory disease, or other STD and the existence of 2 or more sexual partners in the previous month were reported significantly more frequently than in nondouchers. All of these characteristics increased in prevalence with increases in the frequency of douching. Two thirds of women stated they douched for reasons of hygiene. Although douching does not appear to be adopted to prevent or treat infection, symptoms of infection may affect the frequency of this practice.
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PMID:Vaginal douching. Who and why? 195 17

The prevalence rate of vaginal colonization with E. coli was studied prospectively over the January-April 1982 period among 495 healthy premenopausal women, and factors associated with vaginal carriage of E. coli were examined. The study was conducted at the University of British Columbia Student Health Service. A confidential questionnaire was administered for information regarding present sexual activity, methods of contraception, menstrual hygiene, previous history of genital and urinary tract infections, and recent antibiotic use. A manual pelvic examination was performed and vaginal culture was obtained. 28% of the women were seen in the Clinic because of genital symptoms including vaginal discharge with or without irritation, abnormal menstruation, or pelvic pain. 71% of the women attended the Clinic for an annual physical examination and had no genital complaints. E. coli was isolated in 61 women (12%). Other Enterobactericeae were cultured from 6 additional women. Factors significantly associated with vaginal colonization of E. coli included phase of the menstrual cycle, prior use of antibiotics, previous history of urinary tract infection, concurrent presence of gential complaints, and use of diaphragm or cervical cap contraceptive method. Difference in prevalence rates of vaginal E. coli in women using diaphragm or cervical cap compared to rates among women using other contraceptive methods remained statistically significant when other confounding factors such as phase of menstrual cycle, presence of genital complaints, previous history of urinary tract infection, or prior use of antibiotics were kept constant. No significant correlation with vaginal E. coli was observed regarding prior vaginal infection within 2 weeks, sexual activity, intercourse during menstruation, or use of vaginal douche or spray.
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PMID:Vaginal colonization of Escherichia coli and its relation to contraceptive methods. 634 27

Between April 1993 and November 1995 I performed 50 laparoscopic hysterectomies. The indications for surgery were chronic menometrorrhagia in 40 women, enlargement of the uterus in 8, and pelvic pain in 2. Bipolar coagulation was used in the first 20 cases exclusively and a combination of Endo GIA 30 and bipolar in the other 30. The operating time using only bipolar coagulation ranged from 90 to 120 minutes and with the Endo GIA 30 from 60 to 150 minutes. The mean hospital stay was 36 hours. Only four procedures were converted to laparotomy, three for uncontrolled bleeding and one for bladder injury. The two complications were a vesicovaginal fistula and a vaginal infection. I believe that laparoscopic hysterectomy can be performed when the surgeon has appropriate training in vaginal and general surgery.
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PMID:Laparoscopic Hysterectomy 907 37