PMID: 11897910Mar 19, 2002Paper

Tubal pelvic damage: prediction and prognosis

Human Fertility : Journal of the British Fertility Society
Valentine Akande

Abstract

Tubal pelvic damage is a common cause of infertility, and laparoscopy is the accepted gold standard for its diagnosis. However, laparoscopy is both costly and invasive. Chlamydia is now recognized as the most common cause of tubal pelvic damage. In contrast to laparoscopy, evidence of past chlamydial infection using serology is readily available, and the test is simple and quick to perform. As such, serology can be used as a screening test in infertile women. It is accepted that screening tests may have higher margins of error and may be less accurate than diagnostic tests. Screening is most valuable when detecting a disease for which the treatment is more effective when undertaken at the earliest opportunity. Because there are justified constraints to the indiscriminate use of laparoscopy, there is a need to minimize the number of patients who do not have disease (false positives) who are subjected to this diagnostic investigation. An appropriate Chlamydia antibody titre that would distinguish women at risk of tubal pelvic damage should be determined using diagnostic test analysis and clinical judgement. Identification by serology of women who are likely to have damage would enable these women to undergo a diagnostic test such...Continue Reading

References

Jun 1, 1979·Fertility and Sterility·R PunnonenO Meurman
Nov 1, 1979·Journal of Clinical Microbiology·J SchachterP A Hines
Jun 1, 1979·Journal of Steroid Biochemistry·J Van Cantfort, J E Gielen
Apr 1, 1975·Journal of Clinical Microbiology·S J Richmond, E O Caul
Sep 1, 1992·European Journal of Epidemiology·A LucisanoA Sanna
Apr 21, 1992·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M ChrysostomouG Mayakos
Dec 1, 1991·Statistics in Medicine·D G Altman
Jul 1, 1991·British Journal of Obstetrics and Gynaecology·R M Winston, R A Margara
Jul 1, 1991·British Journal of Obstetrics and Gynaecology·V SinghalI D Cooke
Nov 13, 1991·JAMA : the Journal of the American Medical Association·P A Rice, J Schachter
Jun 1, 1991·American Journal of Obstetrics and Gynecology·S Faro
Jun 1, 1991·American Journal of Obstetrics and Gynecology·W Cates, J N Wasserheit
Jun 1, 1991·American Journal of Obstetrics and Gynecology·J A McGregor, J I French
Jul 1, 1990·British Journal of Obstetrics and Gynaecology·R J Lilford, A J Watson
Jul 1, 1990·British Journal of Obstetrics and Gynaecology·A J WatsonR J Lilford
Nov 1, 1990·British Journal of Obstetrics and Gynaecology
May 1, 1990·European Journal of Obstetrics, Gynecology, and Reproductive Biology·E KihlströmG Rydén
Aug 1, 1989·Journal of in Vitro Fertilization and Embryo Transfer : IVF·E LunenfeldA H Decherney
Apr 1, 1987·Journal of Clinical Pathology·J N RobertsonE O Caul
Oct 1, 1988·American Journal of Obstetrics and Gynecology·M D WaltersC J Pauerstein
Jul 1, 1987·Contraception·L Weström
Nov 1, 1987·Fertility and Sterility·G AnestadK Dalaker
Aug 1, 1986·Fertility and Sterility·J Donnez, F Casanas-Roux
Feb 1, 1987·American Journal of Obstetrics and Gynecology·M Carey, S Brown
Dec 14, 1985·British Medical Journal·M G HullK M Desai
Jan 1, 1986·Fertility and Sterility·M E Boer-MeiselJ W Kardaun
Sep 1, 1985·Journal of in Vitro Fertilization and Embryo Transfer : IVF·G F RowlandS Darougar
Jan 28, 1984·Lancet·D ConwayG M Stirrat
Jun 1, 1995·Current Opinion in Obstetrics & Gynecology·M G Hull, C F Fleming
Dec 1, 1993·Baillière's Clinical Obstetrics and Gynaecology·M CanisM A Bruhat
Oct 1, 1993·Journal of Epidemiology and Community Health·D CoggonG Wield

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Citations

Sep 21, 2010·Human Fertility : Journal of the British Fertility Society·Valentine AkandeUNKNOWN British Fertility Society
Dec 25, 2009·Reproductive Biomedicine Online·Elsamawal A El HakimValentine A Akande
Nov 4, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Valentine A AkandeJulian M Jenkins

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