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Gynecology Infections

Empowering Women's Health

  • Overview

Infection can affect the external genitalia, the lower tract i.e. vagina or the upper organs i.e. cervix, uterus, tubes and ovaries. . Infections can be viral, fungal, bacterial, and parasitic. There can be mixed infections too.

Women will normally present with vaginal discharge, fever nausea, vomiting and pain in the lower abdomen, either singly or in various combinations. Infections can occur in all age groups and is particularly common in teenagers, young adults and the geriatric population. Sexual history, presence of important medical conditions such as diabetes and HIV, and pregnancy play an important role in the course of the infection and its management.

Diagnosis can be a challenge as many conditions in the lower abdomen will present with similar symptoms e.g. appendicitis. Various tests such as smear, culture, blood test, ultrasound of lower abdomen, and occasionally laparoscopy is done in the diagnosis and the management of these infections. Treatment will depend on the organism involved and the degree of spread. Prompt diagnosis and appropriate treatment is the key in preventing long term complications such as chronic pelvic pain, blocked tubes, inability to conceive and ectopic pregnancy.

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Type Of Infections

  • Reproductive Health Risks

Reproductive Health Risks in the young are unwanted pregnancy, unsafe abortion, STDs, sexual violence and indulgence in sex not by choice

The young indulge in sexual activity impulsively and many a times it is not planned. They may not have a condom or the emergency contraceptive and may not be aware of the need for contraception. Even if they get pregnant they are more likely to not realize that they are pregnant. They may not seek help early as they are scared or shy or simply unaware and are more likely to indulge in unsafe practices for abortion with the help of friends or quacks and are more likely to have complications.

Relationships are not stable in this age group, thereby increasing the risk of sexually transmitted infections including HIV, and their complications such as chronic pelvic pain, ectopic pregnancy, long term health risks and infertility.

Pregnancy carries a lot more risks for the young. They have more risks of anaemia, pregnancy induced hypertension, addiction, malnutrition, obstructed labour and growth restricted babies.

Most young people do not access and accept contraception services due to lack of access, information, confidentiality, and to the myths associated with them.