International Journal of STD & AIDS > Volume 18, Number 12 > Pp. 861-862

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Chlamydia screening or prophylaxis before laparoscopy and dye hydrotubation: no readmissions, no worry, or is that so?

Dimitrios Siassakos, Kristyn Manley, Peter Wardle and Shehrazad Halawa

Obstetrics and Gynaecology, Taunton and Somerset Hospital, Taunton, UK; Obstetrics and Gynaecology, Southmead Hospital, Bristol, UK; Fertility Clinic, Southmead Hospital, Bristol, UK; Obstetrics and Gynaecology, Southmead Hospital, Bristol, UK

We present a retrospective analysis of 120 laparoscopy and dye hydrotubation procedures. Our aim was to assess chlamydia screening or prophylaxis before, and the rate of readmission after, such procedures. We found evidence of a chlamydia screening test performed in 109 cases. Of the 37 women where antibiotic cover should have been considered, only 18 were treated. There were no readmissions for suspected pelvic inflammatory disease or for other complications. Our study may not have demonstrated any acute clinical recurrences, but there is a potential for subclinical reactivation or for delayed clinical recurrence leading to tubal damage in the untreated women.

Key Words: CHLAMYDIA • PELVIC INFLAMMATORY DISEASE • SEXUALLY TRANSMITTED DISEASE • INFERTILITY • LAPAROSCOPY

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