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Trichomonas vaginalis, endometritis and sequelae among women with clinically suspected pelvic inflammatory disease

Sexually Transmitted Infections Nov 20, 2019

Wiringa AE, et al. - Researchers examined the prevalence of Trichomonas vaginalis among 647 women in the Pelvic inflammatory disease (PID) Evaluation and Clinical Health (PEACH) study. Further, they examined relationships between trichomoniasis, endometritis and sequelae among these women. In the PEACH cohort, they identified the reporting of isolation of T. vaginalis in the vagina of 12.8% of women indicating its frequent isolation from the vagina of women with PID. At the time of the PEACH study, Wet mount microscopy was standard practice for the identification of motile trichomonads but might have resulted in an underestimation of true T. vaginalis prevalence. A high prevalence of persistent endometritis at 30 days (52.1%) was observed and it was more common among women with baseline trichomoniasis, although non-significantly. Women with trichomoniasis more commonly reported infertility and recurrent PID, while reporting lower rates of pregnancy and live birth.
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