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Human Reproduction, Vol. 17, No. 6, 1431-1432, June 2002
© 2002 European Society of Human Reproduction and Embryology

Debate Continued

Chlamydia trachomatis in subfertile women undergoing uterine instrumentation

How we can help in the avoidance of iatrogenic pelvic inflammatory disease?

Kevin Thomas1,3 and Ian Simms2

1 Department of Obstetrics and Gynaecology, University of Liverpool, Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS and 2 HIV & STI Division, Communicable Disease Surveillance Centre, London, NW9 5EQ, UK

Guidelines drawn up for patients undergoing termination of pregnancy state that there should be a protocol for either screening or treating for Chlamydia trachomatis. So far guidelines for other techniques that require instrumentation of the uterus (e.g. hysterosalpingography) remain unclear and controversial. By looking for other less invasive techniques we will be able to avoid these problems in a proportion of cases. Screening or treatment should be performed in those cases requiring uterine instrumentation.

Key words: Chlamydia trachomatis/pelvic inflammatory disease/screening/subfertile wormen/uterine instrumentation

3 To whom correspondence should be addressed. E-mail: kthomas{at}liverpool.ac.uk


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L. S. Murillo, J. A. Land, J. Pleijster, C. A. Bruggeman, A. S. Pena, and S. A. Morre
Interleukin-1B (IL-1B) and interleukin-1 receptor antagonist (IL-1RN) gene polymorphisms are not associated with tubal pathology and Chlamydia trachomatis-related tubal factor subfertility
Hum. Reprod., November 1, 2003; 18(11): 2309 - 2314.
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