Pelvic Inflammatory Disease [PID]
The female reproductive track consists of a vagina, cervix, uterus, two fallopian tubes and ovaries. Of these the fallopian tubes are most delicate and can get infected leading to their damage and infertility.
Normally infections to reproductive tract are sexually transmitted and lead to damage and infertility.
Nature protects our reproductive tract in many was -
• The vagina has a very acidic pH,
• The cervix has a thick plug which disallows bacteria to enter the reproductive tract.
• The uterine lining sheds at every menstrual cycle and does not allow infection to persist inside the uterus.
There are some infections which can reach the fallopian tubes in spite of all this protection. These are bacteria called.
are the commonest sexually transmitted organisms. The male reproductive tract harbous these organisms and are transmitted to the female.
In the female, they remain symptom less till they reach the fallopian tubes when she experiences pelvic pain. Bacterial infections change the inner lining of the fallopian tubes, cause scarring, obstruction,oedema and distention of tubes (Hydrosalpinx).
Pregnancy can rarely occur in such damaged tubes. Pelvic infections should be rigorously treated to prevent damage to fallopian tubes. IVF-ICSI is the treatment of choice for damaged tubes. Hydrosalpinx should be removed by laproscopy prior to IVF. Couples having infections should be treated with antibiotics before starting IVF.