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Pelvic Inflammatory Disease

              Pelvic Inflammatory Disease

PID is infection and inflammation of one or more organs in a woman's pelvic area, such as the cervix, endometrium, fallopian tubes or ovaries.  Most common in sexually active women aged 20 to 24.

Causes

  • Bacterial infection  (Gonorrhea and Chlamydia)
  • Vaginal facultative bacteria and anaerobic flora present in the vaginal tract.
  • Ascending spread of normal commensals.

 Sign and Symptoms

  • Lower abdominal pain 
  • Pain with intercourse
  • Pain with periods
  • Painful, frequent or difficult urination
  • Foul vaginal discharge
  • Abdominal tenderness – guarding or rigidity, rebound tenderness
  • Peritonitis 
  • Having a history of pelvic inflammatory disease
  •   Due to insertion of an intrauterine device 

Diagnosis

  • Endometrial biopsy
  • Laparoscopy
  • Ultrasound

Complications

  • Ectopic pregnancy. 
  • Infertility
  • Tubo-ovarian abscess.

 Treatment and Prevention

  • Using barrier methods
  • Regular gynecologic check-ups and screening
  • Avoid multiple sexual partners.
  • Antibiotics

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