Pelvic examination leads to changed clinical management in very few women diagnosed with asymptomatic chlamydia infection.
The present study aimed to determine whether pelvic examinations change clinical management of women with asymptomatic chlamydia infection. Records for women with asymptomatic chlamydia who underwent a pelvic examination at a sexual health clinic in Melbourne, Australia (January 2006 to June 2007) were analysed retrospectively. Of 91 cases, 31 (34%) warranted examination; one woman (1%; 95% confidence interval: 0.5%, 6.4%) had muco-purulent cervicitis and mild tenderness, and was treated for possible pelvic inflammatory disease. These data suggest that a pelvic examination will lead to changes in treatment for very few women diagnosed with asymptomatic chlamydia infection.
Centre for Women's Health, Gender and Society, University of Melbourne, 2/723 Swanston Street, Carlton, Vic. 3053, Australia.
Yi Man
YM
Lee
Anil
A
Samaranayake
Christopher K
CK
Fairley
Marcus Y
MY
Chen
Fiona
F
MacFarlane
Catriona S
CS
Bradshaw
Jane S
JS
Hocking
D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000453:epidemiology; D010808:Physical Examination / Q000379:methods*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014739:Victoria / Q000453:epidemiology; D016387:Women's Health; D014932:Women's Health Services / Q000458:organization & administration