ABSTRACT
Pelvic inflammatory diseases (PID) include salpingitis and endometritis. They usually result from the infection of upper genital tract by pathogens ascending from the cervix or the vagina. Since the clinical signs of uncomplicated forms are frequently mild or misleading, diagnosis require other exams such as microbiology (samples from the cervix and, if applicable, from the pelvis) and laparoscopy. Acute complications (pelvic abscesses, peritonitis) can occur, that call for both surgical drainage and antibiotics. Pelvic sequelae with permanent tubal alterations due to immuno-allergic reactions can also happen, that lead to chronic pelvic pain and infertility. Treatment consists in broad-spectrum antibiotics by oral route, combined with non steroid anti-inflammatory drugs. Atraumatic laparoscopic procedure can also be performed.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Laparoscopy/methods , Pelvic Inflammatory Disease/physiopathology , Female , Humans , Infertility/etiology , Pelvic Inflammatory Disease/microbiology , Pelvic Inflammatory Disease/therapy , Pelvic Pain/etiology , Peritonitis/etiology , Pregnancy , Pregnancy, Ectopic/etiology , Salpingitis/microbiology , Sexually Transmitted Diseases/microbiologyABSTRACT
Genital herpes is a frequent chronic, sexually-transmitted disease among adults. Besides its physical consequences that largely depend on the frequency and intensity of recurrences, genital herpes frequently induces a psychological morbidity. This paper discusses the instruments of measure that can be used in the evaluation of health-related quality of life among infected patients and states the results of a French study that confirmed the substantial psychological morbidity caused by genital herpes.
Subject(s)
Herpes Genitalis/physiopathology , Herpes Genitalis/psychology , Quality of Life , Attitude to Health , Health Status , HumansSubject(s)
Genital Diseases, Female , Infections , Chlamydia Infections , Chlamydia trachomatis , Condylomata Acuminata , Female , Gonorrhea , Herpes Genitalis , Humans , Mycoplasma Infections , Sexually Transmitted Diseases , Syphilis , Trichomonas Infections , Vaginosis, Bacterial , VulvovaginitisABSTRACT
Nowadays, most patients with uncomplicated acute salpingitis undergo ambulatory treatment. The choice of medications must take features of PID into account: they are mult-microbial infections and a prolonged follow-up is necessary in order to decrease the risk of sequellae. To fulfil these goals, combination of antibiotics are prescribed that are active against C. trachomatis, enterobacteria and anaerobes.