文章基本信息

标题：Condom Use and the Risk of Recurrent Pelvic Inflammatory Disease, Chronic Pelvic Pain, or Infertility Following an Episode of Pelvic Inflammatory Disease
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作者：Roberta B. Ness ; Hugh Randall ; Holly E. Richter 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2004
卷号：94
期号：8
页码：1327-1329
语种：English
出版社：American Public Health Association
摘要：Among 684 sexually active women with pelvic inflammatory disease (PID) followed up for a mean of 35 months, we related contraceptive use to self-reported PID recurrence, chronic pelvic pain, and infertility. Persistent use of condoms during the study reduced the risk of recurrent PID, chronic pelvic pain, and infertility. Consistent condom use (about 60% of encounters) at baseline also reduced these risks, after adjustment for confounders, by 30% to 60%. Self-reported persistent and consistent condom use was associated with lower rates of PID sequelae. Pelvic inflammatory disease (PID), the clinical condition representing inflammation of the pelvic organs, is common 1 and can result in PID recurrence, chronic pelvic pain, and infertility. 2, 3 Prevention of the bacterial sexually transmitted diseases (STDs) that cause PID is a cornerstone of efforts to reduce morbidity from PID and its sequelae. 4, 5 Condom use prevents acquisition of viral STDs, including HIV. However, because no prospective data show that condoms are effective against transmission of bacterial STDs, 6 controversy surrounds their use in primary prevention. 7, 8 Within the PID Evaluation and Clinical Health Study, a multicenter, follow-up study of women with PID, 9 we assessed the relation between condom use and PID-related morbidity.