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Why does this happen?
Unfortunately, these things don’t turn up too well in slides. The normal fallopian tube,
which this is an electro-scanning micrograph of, has these beautiful fimbria, sort of like
fingers that wave in the breeze, and they stroke the egg from the ovary as it comes down
the tube to the uteran lining where it’s going to implant. In both clinically overt PID
and silent PID, where the PID doesn’t have a lot of symptomotology to it, you see that
these fimbriars are wiped out. It’s like grass that’s had a lawn mower run over it;
they’re just destroyed. That is a condition that persists after a woman has had one or
several of these episodes of PID. That pathology results in all of the sequalae that we
see. |