No Increase in Infertility or Painful Sexual Intercourse in Female Patients After High-energy Pelvic Fractures
A somewhat surprising finding that is worth knowing (and sharing)
What’s the Claim?
A meta-analysis of six studies of female patients who sustained high-energy pelvic fractures compared these patients — more than 750 — to aged-matched rates from the available published evidence in terms of risk of fertility and dyspareunia (difficulty or pain with sexual intercourse) at a median of 5 years after injury. Compared to patients who never had a pelvic fracture, those who sustained high-energy pelvic fractures had:
- No increase in the hazard ratio of infertility
- No increase in the hazard ratio of dyspareunia
Interestingly, they noted a trend over time toward more of these patients delivering via caesarian section, though there is no particular evidence suggesting this ought to be the mode of choice.
