PELVIC inflammatory disease is the most serious sexually transmitted bacterial infection affecting women.1 Recent studies have more clearly defined the ascending route of infection. Lower genital tract infection can lead to endometrial and tubal infection (i.e., pelvic inflammatory disease) and, in turn, to complications such as infertility, ectopic pregnancy, and chronic
pelvic pain.2-5 There is general agreement that efforts to prevent pelvic inflammatory disease must address the earliest parts of this causal chain — that is, they must emphasize the primary prevention or early detection of infections of the lower genital tract.5-8
PELVIC inflammatory disease is the most serious sexually transmitted bacterial infection affecting women.1 Recent studies have more clearly defined the ascending route of infection. Lower genital tract infection can lead to endometrial and tubal infection (i.e., pelvic inflammatory disease) and, in turn, to complications such as infertility, ectopic pregnancy, and chronicpelvic pain.2-5 There is general agreement that efforts to prevent pelvic inflammatory disease must address the earliest parts of this causal chain — that is, they must emphasize the primary prevention or early detection of infections of the lower genital tract.5-8
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