Detection of Relationship between Female Infertility and Pelvic Inflammatory Disease at Zagazig University Hospitals

Abstract

Infertility is a 2-year inability to conceive following routine unprotected sexual activity in the absence of established reproductive pathology. PID is typically the result of endocervical infection that triggers endometritis, salpingitis, parametritis, oophoritis, ovarian abscess and pelvic periotinitis. Delays of just a few days in reciving adequate treatment particularly in Chlamydia infections significantly increase the risk of infertility. The purpose of the present study was to detect female infertility early among 191 women with infertility complaining from pelvic inflammatory disease selected from the Outpatient Clinics of Gynecology and Obstetric Department, Zagazig University Hospitals.Patients and methodsAll women were subjected to full history taking. General, abdominal and local examinations were done to all women for the presence of any cervical lesions. Positive result supported the diagnosis of PID, if available with the patient from the past.ResultsThe age of the studied group ranged from 17 to 36 years, husband age ranged from 18 to 42, 68.1% of the case group had PID, 60.2% of them had married from 1 to 5 years, 75.4% were housewives, 81.2% were non-educated, 55.5% were nulliparous, 69.2% were rural resident and 67.1% were of high social class. There was statistically significant differences between positive and negative PID patients regarding parity, social class, methods of contraception, reported history of PID, hospitalization due to PID, WBCs and using IUD as contraception. ConclusionThere was a strong relation between infertility and pelvic inflammatory disease.