Tubal pathology: the role of hormonal contraception, intrauterine device use and Chlamydia trachomatis infection.
Gynecol Obstet Invest
; 63(2): 114-20, 2007.
Article
em En
| MEDLINE
| ID: mdl-17095873
ABSTRACT
BACKGROUND:
The aim of the present study was to identify a possible association between tubal pathology and the contraceptive methods previously used, especially third generation copper intrauterine devices (IUDs).METHOD:
In this retrospective unmatched case-control study, use of contraceptive methods and Chlamydia trachomatis antibody titres were compared in women with tubal occlusion (n = 84) and infertile women with tubal patency (n = 253) demonstrated by hysterosalpingography. Contraceptive methods were also compared to primiparous women with natural pregnancy.RESULTS:
A significantly higher percentage of women with tubal occlusion had previously used an IUD. Positive C. trachomatis antibody testing was found significantly more often in women with tubal occlusion. Neither hormonal contraceptives nor condoms were associated with an increased risk for uni- or bilateral tubal occlusion.CONCLUSION:
In the present study, we observed an increased rate of tubal occlusions in previous IUD users. This should be considered in the contraceptive counseling of young and nulliparous women.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções por Chlamydia
/
Chlamydia trachomatis
/
Doenças das Tubas Uterinas
/
Tubas Uterinas
/
Infertilidade Feminina
/
Dispositivos Intrauterinos de Cobre
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Gynecol Obstet Invest
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Suíça