Halting the “Silent Epidemic”

Newspaper Column Ad Appearing 12-4-02

Because of sexually transmitted disease (STD) caused by Chlamydia can cause reproductive damage and infertility without any symptoms, it is referred to as the "silent epidemic". Without treatment, the national Centers for Disease Control and Prevention (CDC) estimate that Chlamydia can lead to pelvic inflammatory disease (PID) in up to 40% of cases. This serious infection of a woman’s fallopian tubes can also damage the ovaries and uterus. Fortunately, two new advances are available for the detection and treatment of Chlamydia. A new screening test requiring only a urine sample (not a swab sample of cells) makes diagnosis easier. A new drug that cures Chlamydia in a single oral dose makes treatment quicker. Sexually active women are encouraged to get tested.

PID, if untreated, may result in the occlusion of fallopian tubes which is the most common cause of infertility in women. Occluded fallopian tubes can be repaired surgically but their function usually cannot be restored to normal. Chances for pregnancy after repair of the diseased tubes are only about 20% and the risk for ectopic (tubal) pregnancy is high. However, when the diseased fallopian tubes are bypassed during the process of in vitro fertilization (IVF), the results are usually much better - exceeding a 40% chance for pregnancy per each IVF attempt.

Sexually active women who do not wish to risk their future reproductive capability would do well to talk with their gynecologists about how to best protect themselves from STDs. Not all means of protection against pregnancy also protect against STDs. For additional information on this subject or to schedule an appointment, please telephone OAK BROOK FERTILITY CENTER, a medical practice devoted to reproductive endocrinology, infertility, and assisted reproductive technology. New patients are welcome.

P.S. Experts estimate that up to 75% of women (and 50% of men) with Chlamydia have either no symptoms or symptoms so mild that they do not seek medical attention.

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