Chlamydia trachomatis in subfertile women undergoing uterine instrumentation. How we can help in the avoidance of iatrogenic pelvic inflammatory disease?
Guidelines drawn up for patients undergoing termination of pregnancy state that there should be a protocol for either screening or treating for Chlamydia trachomatis. So far guidelines for other techniques that require instrumentation of the uterus (e.g. hysterosalpingography) remain unclear and controversial. By looking for other less invasive techniques we will be able to avoid these problems in a proportion of cases. Screening or treatment should be performed in those cases requiring uterine instrumentation.
Thomas
Kevin
K
Department of Obstetrics and Gynaecology, University of Liverpool, Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK. kthomas@liverpool.ac.uk
Simms
Ian
I
D002690:Chlamydia Infections / Q000150:complications* / Q000175:diagnosis; D002692:Chlamydia trachomatis; D005186:Fallopian Tube Patency Tests / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000009:adverse effects; D007049:Iatrogenic Disease / Q000517:prevention & control*; D007247:Infertility, Female / Q000150:complications* / Q000175:diagnosis*; D000292:Pelvic Inflammatory Disease / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D011247:Pregnancy