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Chlamydia can be spread during vaginal, anal, oral, or manual sex and can be passed from an infected mother to her baby during childbirth. [1] [9] The eye infections may also be spread by personal contact, flies, and contaminated towels in areas with poor sanitation. [8] Infection by the bacterium Chlamydia trachomatis only occurs in humans. [10]
Postcoital bleeding may occur throughout pregnancy. The presence of cervical polyps may result in postcoital bleeding during pregnancy because the tissue of the polyps is more easily damaged. [10] Postcoital bleeding can be due to trauma after consensual and non-consensual sexual intercourse. [11] [4]
Lymphogranuloma venereum (LGV; also known as climatic bubo, [1] Durand–Nicolas–Favre disease, [1] poradenitis inguinale, [1] lymphogranuloma inguinale, and strumous bubo) [1] is a sexually transmitted infection caused by the invasive serovars L1, L2, L2a, L2b, or L3 of Chlamydia trachomatis.
Studies have found co-infection with chlamydia ranging from 46 to 54% in young people with gonorrhea. [44] [45] Among persons in the United States between 14 and 39 years of age, 46% of people with gonorrheal infection also have chlamydial infection. [46] For this reason, gonorrhea and chlamydia testing are often combined.
Fitz-Hugh–Curtis syndrome occurs almost exclusively in women, though it can be seen in males rarely. [5] It is complication of pelvic inflammatory disease (PID) caused by Chlamydia trachomatis (Chlamydia) or Neisseria gonorrhoeae (Gonorrhea) though other bacteria such as Bacteroides, Gardnerella, E. coli and Streptococcus have also been found to cause Fitz-Hugh–Curtis syndrome on occasion. [6]
A Pap test may be performed according to guidelines, and testing for Neisseria gonorrhea and Chlamydia trachomatis may be performed as indicated. [24] A bimanual examination during early pregnancy will reveal that the uterus is enlarged, softened and globular; the external os may be dilated, but the internal os is typically closed. [24]
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This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679 . The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9.