[Inflammatory gynecological diseases as a social problem in women of reproductive age]

Gynecological infections in women of reproductive age are connected with considerable economic losses both for diagnosis and treatment and for temporary disability. There are annually 12,000-15,000 pelvic infections in women of reproductive age in Bulgaria. Late sequel include infertility, ectopic pregnancy, chronic disability. The management of all these complications exceed considerably the expenses if proper diagnosis and treatment of the pelvic infections has been administrated. About 25% of the women who have had salpingitis are expected to be affected by infertility. The age group of women 20-25 years are the most affected. Most of these women have not accomplished their reproductive potential. The most frequent causes for pelvic infections are sexually transmitted pathogens and intrauterine manipulations--dilatation and curettage, IUDs. The necessity for control programs for prevention of sexually transmitted infections as well as education for diminishing unwanted pregnancy and abortions is pointed out.