WOMENS-HEALTH Messages for July, 2000: Re: Strep A in the uterus

Re: Strep A in the uterus

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 5 Jul 2000 23:23:30 -0500 (CDT)

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In reply to: E: "Strep A in the uterus"

At Wed, 5 Jul 2000, E wrote: >
>After giving birth several months ago to my first child, I contracted a
>Strep A infection in my uterus which subsequently spread throughout my
>blood. It was a very serious illness which kept me in the hospital for
>several days and almost took my life. I decided to research Strep A and
>discovered that the only possible way for this infection to have entered
>my uterus was through a hand, dirty instrument or something along those
>lines. Strep A is not naturally found in your uterus--only Strep B. I
>realize that Dr. Harvey might have overlooked his mistake in his reply
>in May of 98. I was wondering how I would determine if the infection
>did cause permanent damage.

E., First of all, Strep A can cause an infection in the uterus just like so many other organisms that cause uterine infections. Often it is impossible to explain how the organism got there, but it's there and must be treated.

Second, I presume you are referring to damage that could have occured in the pelvis from the infection. Infections affecting the uterus will usually cause damage in the pelvis including adhesions within the uterus, tubal damage or occlusion or adhesions outside the uterus, affecting the ovaries. There are several ways to determine if these have occured, but I would not dwell on any of them unless you either have infertility or pelvic pain, because if neither of these are a consequence then there really isn't a problem... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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