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Pelvic inflammatory disease after cryotherapy
S P Sarma1, L V Enrique Lofton
1* Department of Obstetrics and Gynecology, Morehouse School of Medicine, Atlanta, GA and †Grady Health System, Atlanta, GA.
Objective:
The purpose of this article is to present a case of pelvic inflammatory disease (PID) after cryotherapy and to discuss the need for routine testing of gonococcal and chlamydial infections at the time of cryotherapy and prophylactic antibiotics.
Methods And Materials:
A 21-year-old nulliparous woman was treated with cryotherapy for low-grade squamous intraepithelial lesion.
Result:
Two days after the procedure, she developed PID. She was hospitalized and treated with intravenous antibiotics.
Conclusion:
Cryotherapy offers a convenient and inexpensive form of treatment for cervical intraepithelial neoplasia when the lesion is confined to the ectocervix and of appropriate size and severity. Cryotherapy can be performed in a physician's office and is free of major complications. However, PID after cryotherapy has been documented in the literature. PID may lead to significant morbidity in terms of infertility, ectopic pregnancy, and chronic pelvic pain. Routine testing for gonococcal and chlamydial infection at the time of cryotherapy and prophylactic antibiotics may help to prevent PID after cryotherapy.
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