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Abstract
A total of 415 women treated for laparoscopically verified pelvic inflammatory disease
(PID) were reviewed after 9.5 years. Of these, 88 (21.2 per cent) were involuntarily
childless after one or more infections; in 72 cases (17.3 per cent) this was due to
tubal obstruction; 263 (63.4 per cent) women became pregnant; 64 (15.4 per cent) were
voluntarily childless. Tubal occlusion was diagnosed after one infection in 12.8 per
cent, after two infections in 35.5 per cent, and after three or more infections in
75 per cent of the women. Tubal occlusion was more common after nongonorrheal than
after gonorrheal salpingitis. Infertility varied with the inflammatory changes seen
at laparoscopy. The ratio between ectopic and intrauterine pregnancies after the infections
was 1/24. Chronic abdominal pain was reported by 18.1 per cent of the women. Corresponding
findings in 100 healthy control subjects were: involuntary childlessness in three
despite normal Fallopian tubes, one ectopic in 147 intrauterine pregnancies, and chronic
abdominal pain in five cases.
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Article info
Publication history
Accepted:
August 14,
1974
Received in revised form:
August 1,
1974
Received:
April 2,
1974
Identification
Copyright
© 1975 Published by Elsevier Inc.