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Pelvic Inflammatory Disease

Medical Questions » Pelvic Inflammatory Disease
Name: Pelvic Inflammatory Disease
Also known as: PID
An infection of the uterus (womb), Fallopian tubes, ovaries and the tissues immediately around these organs.
Causes of Pelvic Inflammatory Disease
Usually associated with the sexual transmission of bacteria from one person to another, although less commonly it may occur as a result of non-sexually transmitted infections. Most common in young, sexually promiscuous women. The use of intrauterine devices (IUD) doubles the risk of developing PID, while condoms provide significant protection. A wide range of different bacteria may be responsible, and frequently two, three or more different types are present.
Symptoms of Pelvic Inflammatory Disease
Pain low in the abdomen, fevers, a vaginal discharge, abnormal menstrual periods, pain with intercourse, and infertility. The pain may become very severe, and the patient appear extremely ill. There may be no symptoms in the male partner of the patient, although a discharge from the penis is sometimes present.
Tests for Pelvic Inflammatory Disease
Swabs are usually taken from the vagina and cervix (opening into the womb) to determine the responsible bacteria and appropriate antibiotic.
Treatment for Pelvic Inflammatory Disease
Antibiotics by mouth or injected in severe cases. Sex should be avoided until complete recovery, which may take several weeks or months. If an abscess develops in the pelvis, an operation will be necessary to drain it.
Complications of Pelvic Inflammatory Disease of its treatment
One quarter of all women who develop PID will have long-term problems including repeat infections, infertility (10% after one attack of PID, 55% after three attacks of PID), persistent pain in the pelvis or with sex, and ectopic pregnancy (pregnancy that develops in the wrong position).
Likely Outcome of Pelvic Inflammatory Disease
Many women are cured by early treatment.
       
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