Abstract
Abstracts of the Annual Scientific Meeting and Symposium
Highlights
The incidence of unilateral twin ectopic pregnancy is felt to be a rare condition
Intralesional steroids combined with anti-fungals and physical therapy may be effective in the treatment of vulvar vestibulitis syndrome (VVS)
Of the 219 women with whom HIV testing was discussed, 80% felt that it was a routine test, the same as all other antenatal blood tests; 71% felt they had the option to refuse the HIV test if they wished; 14% wished they had more information before making a decision about the test; 87% stated that they were satisfied with how the HIV test was explained to them; and 90% agreed to the test
Summary
Several factors increase the risk of ectopic pregnancy, the most important of which is pelvic inflammatory disease, followed by operative trauma, congenital anomalies, tumors and adhesions resulting in anatomically distorted fallopian tubes. We present a case of a woman with four confirmed sexually transmitted infections (STI’s) including: Chlamydia trachomatis, Neisseria gonorrhoeae, Herpes simplex virus 2, and Treponema pallidum. The case presented illustrates the impact of sexually transmitted infections (STI’s) on the risk of ectopic pregnancy. Case: A 24 year old primagravida, presented with an unknown last menstrual period, lower abdominal pain, watery vaginal discharge, and vaginal spotting. During this hospitalization, pregnancy testing demonstrated a positive result and transvaginal ultrasonographic examination suggested a non-viable unilateral twin ectopic pregnancy. Women are more vulnerable for biological, economic, and social reasons
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