Cervicitis

Female pt 25 yr age Primary infertility Marriage 2 yr Mens cycle -irregular Pt has pain during coitus History No h/o any chronic disease Vitals Vitals normal Investigations Fsh LH AMH PROLACTIN HSA HSG all are normal Usg shows cervicitis

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Pain during coitus is dysparunia bcz of inflammation and infection As usg shows cervicitis confirm by local p/s examination Treatment Tab cefixime+ofloxacin 1bd Tab flucanazole 200mg 1od Antiinflamatory Local pessary Review after one week Adv personal hygiene and vaginal douching Treat menses irregularity by HRT for 3months Adv tab clomiphen 50mg 1bd for 5days after m c for sterility

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? DYSPARENUA WITH.. INFERTILITY.. NEED'S.. CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. URINE ROUTINE.. HORMONAL STUDY.. USG..STUDY.. GYNECOLOGICAL EXAMINATION..

Tnx Dr Mohsin Bhadarka
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Possibility of PiD and Polycystic ovaries to be ruled out by ultrasound VDRL, HIV ,Torch test to be done

Thank you doctor
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SUGGESTIVE. OF CERVICITIS PI D AND INFERTILITY

Rule out PID...give doxy ,flagyl

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