PID - Pelvic Inflammatory Disease

PID - Pelvic Inflammatory Disease is a general term for infection and inflammation of the upper genital tract in women. This disease can affect the uterus, fallopian tube and other organs related to reproduction.Pelvic Inflammatory Disease is a serious complication of sexually transmitted diseases especially chlamydia and gonorrhea. PID usually exhibits no symptoms. It can cause serious damage to the fallopian tubes and tissues in and around the ovaries and uterus.

CAUSES

Many microbes can cause PID. However the most common cases are from the bacteria that causes gonorrhea and chlamydia. Bacteria can also enter the body through certain procedures or processes and cause PID. These include

  • child-birth
  • elective abortion
  • miscarriage
  • endometrial biopsy
  • insertion of an intra-uterine device IUD

RISK FACTORS

Your chances of getting PID increases if you have


  • a past history of PID
  • multiple sexual partners
  • male sexual partners infected with chlamydia or gonorrhea
  • inserted IUD recently
  • past history of any sexually transmitted infections
  • been sexually active during adolescent

SYMPTOMS

This disease may be asymptomatic especially when it is caused by chlamydia. However when symptoms do occur, it may include the following


  • painful intercourse
  • painful urination
  • fever
  • irregular menstruation
  • foul vaginal discharge
  • pain in the lower abdomen and back
  • nausea and vomiting
TEST AND DIAGNOSIS

Diagnosing PID can be difficult because symptoms are usually mild and similar to other diseases. However if you experience symptoms like lower abdominal pain, your health care provider will perform a physical examination which will include a pelvic exam. This may show


  • tenderness in the ovaries and uterus
  • a cervix that bleeds easily
  • cervical discharge
  • pain associated with movement of the cervix

A culture of your cervix to check for gonorrhea and chlamydia can also detect this condition. Other tests include

Blood tests such as white blood count, erythrocyte sedimentation rate ESR and C-reactive protein.

A pelvic ultrasound or CAT scan may also check for other serious conditions that can mimic PID such as appendicitis, pregnancy, pockets of infection around the tubes and ovaries or abscesses.

TREATMENT

PID can be treated with several antibiotics however the damage done to the reproductive organs cannot be reversed. It is therefore essential to seek early medical care. If you have pelvic pain or other symptoms associated with PID, seek medical care immediately.

Mild cases of PID require antibiotics injection and then you are sent home with antibiotics pills to take for two weeks.

More severe cases may require hospital stay. Antibiotics are given by IV and then by mouth.

It is difficult to identify organism infecting internal organs for this reason, PID is usually treated with more than one antibiotics that are effective against a wide range of infectious agents. Women who are undergoing treatment are re-evaluated three days after taking antibiotics to make sure the medication is working. You need finish the full course of the antibiotics even if symptoms go away.Sexual partners should be treated to decrease the risk of re- infection even if they are experiencing no symptoms.
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