ABSTRACT
During 1968-82, 759 histologically verified ectopic pregnancies occurred in Iceland. Retrospective analysis revealed that 26 of these were ovarian pregnancies. All but three of the ovarian pregnancies occurred in parous women. In 21 cases (80.8%), there was an association with the use of an IUCD at the time of conception. There was a significant difference (p less than 0.001) between the 10.7% rate of ovarian implantation in ectopic pregnancies in IUCD users and the 0.9% rate in non users. Although ovarian pregnancy is rare, the observed incidence in our material was nearly five times as high as previously described. Women with ectopic pregnancy while using an IUCD appear to be at significantly higher risk of having an ovarian implantation.
PIP: During the period 1968-82, 82,759 histologically verified ectopic pregnancies occurred in Iceland. Retrospective analysis revealed that 26 of these were ovarian pregnancies. All but 3 of these pregnancies occurred in parous women. In 21 cases (80.8%), there was an association with the use of a IUD at the time of conception. There was a significant difference (P0.001) between the 10.7% rate of ovarian implantation in ectopic pregnancies in IUD users and the 0.9% rate in nonusers. Although ovarian pregnancy is rare, the observed incidence in this material was nearly 5 times as high as previously described. Women with ectopic pregnancy occuring during IUD use appear to be at significantly higher risk of having an ovarian implantation.
Subject(s)
Intrauterine Devices/adverse effects , Pregnancy, Ectopic/etiology , Adult , Female , Humans , Iceland , Ovary , Pregnancy , Pregnancy, Ectopic/epidemiology , Retrospective StudiesABSTRACT
In a study of 225 women with acute salpingitis verified by laparoscopy or laparotomy we investigated the prevalence of gonococcal and chlamydial infection in the lower genital tract. Neisseria gonorrhoeae was isolated from 18.9% of the women and Chlamydia trachomatis from 38.5%. Women with positive cultures were significantly younger (p less than 0.01) than those with negative cultures. A trend toward more severe inflammatory changes of the tubes was found in women with positive cultures compared with those with negative cultures. The majority of women with positive cultures stated they had only one sexual partner during the preceding 6 months. Single women had more partners (mean 1.9) than those cohabiting (mean 1.2). The ratio of single/multiple partners for women with Chlamydia was 2.5:1, and for those with gonorrhea 1:1 (p less than 0.05). Of the men, 60% could be examined and about 50% had positive cultures. Microbiologic investigation of both partners is necessary in order to prevent reinfection of the woman.