PID (pelvic inflammatory disease)

January 2017


Definition


PID, or pelvic inflammatory disease, is an inflammation of one of the two fallopian tubes. In most cases, the uterus is also infected, and it is often due to a sexually transmitted infection, or STI. PIDs are infections that can be serious because of the fact that their diagnosis is often delayed and the many complications that they can cause. Among the complications, there is abscess formation, the spreading of infection to other organs, but also the risk of subsequent infertility or ectopic pregnancy. This STI can be caused by several bacteria including Chlamydia trachomatis predominantly, but also gonorrhea and many others.

Symptoms


Symptoms of PID include:
  • pelvic pain in lower abdomen;
  • Fever;
  • vaginal discharge often accompanied by nausea;
  • blood loss.

But these symptoms are rarely all present at the same time, and many forms have few symptoms initially.

Diagnosis


To diagnose PID, the doctor or gynecologist will conduct a medical examination and a clinical and gynecological examination. In addition to performing a blood test with markers of inflammation, beta hCG to rule out ectopic pregnancy and other sexually transmitted infections, several samples will be taken from the urethra, vagina and cervix to search for infectious germs. An ultrasound is usually performed. In some cases laparoscopy will be used to view the interior of the cavities with a mini camera, which has both the interest of definitive diagnosis and choosing the best treatment. Note that partners should also be screened for STIs.

Treatment


To treat PID, we must identify the bacteria in question. Antibiotics are given when samples are taken, and will be adapted following the results of bacterial cultures. Diagnostic laparoscopy allows the choice of a proper treatment.

Prevention


As with all sexually transmitted infections, pelvic inflammatory disease can be prevented through condom use. Excellent hygiene also reduces the risk of contracting the disease.

Related

Original article published by . Translated by Jeff. Latest update on July 23, 2013 at 11:48 AM by Jeff.
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