Notes

Pelvic Inflammatory Disease

Infection of uterus, fallopian tubes, ovaries, and inside of pelvis, usually by Neisseria Gonorrheae, or Chlamydia Trachomatis. See Fallopian Tube Infection, Salpingitis, Gonorrhea, and General Antiseptic programs.Encyclopedia Entry for Pelvic Inflammatory Disease :Pelvic Inflammatory Disease (PID) - two most common : Neiserria gonorrhoeae (G- coccus), Chlamydia trachomatis, then Anaerobic bacteria (ex. Bacteroides), Facultative Gram negative rods (ex. E. coli), Mycoplasma hominis, Actinomyces israelii (IUD recipients: G+ rod)Encyclopedia Entry for Pelvic Inflammatory Disease :Pelvic inflammatory disease (PID) - aftercare. To fully treat PID, you may need to take one or more antibiotics. Taking antibiotic medicine will help clear the infection in about 2 weeks. Take this medicine at the same time every day. Take all the medicine you were prescribed, even if you feel better. The infection can come back if you do not take all of it. DO NOT share antibiotics with others. DO NOT take antibiotics that were prescribed for a different illness. Ask if you should avoid any foods, alcohol, or other medications while taking antibiotics for PID. To prevent PID from coming back, your sexual partner must be treated as well. If your partner is not treated, your partner can infect you again. Both you and your partner must take all the antibiotics prescribed to you. Use condoms until you both have finished taking antibiotics. If you have more than one sexual partner, they must all be treated to avoid reinfection.Antibiotics can have side effects, including: Nausea Diarrhea Stomach pain Rash and itching Vaginal yeast infection Let your provider know if you experience any side effects. DO NOT cut back or stop taking your medicine without taking with your doctor. Antibiotics kill the bacteria that cause PID. But they also kill other types of helpful bacteria in your body. This can cause diarrhea or vaginal yeast infections in women. Probiotics are small organisms found in yogurt and some supplements. Probiotics are thought to help friendly bacteria grow in your gut. This may help prevent diarrhea. However, studies are mixed about the benefits of probiotics. You can try eating yogurt with live cultures or taking supplements to help prevent side effects. Be sure to tell your provider if you take any supplements.The only sure way to prevent an STI is to not have sex (abstinence). But you can reduce your risk of PID by: Practicing safe sex Having a sexual relationship with only one person Using a condom every time you have sex.Call your provider if: You have symptoms of PID. You think you have been exposed to an STI. Treatment for a current STI does not seem to be working.PID - aftercare; Oophoritis - aftercare; Salpingitis - aftercare; Salpingo - oophoritis - aftercare; Salpingo - peritonitis - aftercare; STD - PID aftercare; Sexually transmitted disease - PID aftercare; GC - PID aftercare; Gonococcal - PID aftercare; Chlamydia - PID aftercare.Pelvic laparoscopy Pelvic laparoscopy.Richards DB, Paull BB. Pelvic inflammatory disease.Encyclopedia Entry for Pelvic Inflammatory Disease :Pelvic inflammatory disease (PID). PID is an infection caused by bacteria. When bacteria from the vagina or cervix travel to your womb, fallopian tubes, or ovaries, they can cause an infection. Most of the time, PID is caused by bacteria from chlamydia and gonorrhea. These are sexually transmitted infections (STIs). Having unprotected sex with someone who has an STI can cause PID. Bacteria normally found in the cervix can also travel into the uterus and fallopian tubes during a medical procedure such as: Childbirth Endometrial biopsy (removing a small piece of your womb lining to test for cancer) Getting an intrauterine device (IUD) Miscarriage Abortion In the United States, nearly 1 million women have PID each year. About 1 in 8 sexually active girls will have PID before age 20. You are more likely to get PID if: You have a sex partner with gonorrhea or chlamydia. You have sex with many different people. You have had an STI in the past. You have recently had PID. You have contracted gonorrhea or chlamydia and have an IUD. You have had sex before age 20.Common symptoms of PID include: Fever Pain or tenderness in the pelvis, lower belly, or lower back Fluid from your vagina that has an unusual color, texture, or smell Other symptoms that may occur with PID: Bleeding after intercourse Chills Being very tired Pain when you urinate Having to urinate often Period cramps that hurt more than usual or last longer than usual Unusual bleeding or spotting during your period Not feeling hungry Nausea and vomiting Skipping your period Pain when you have intercourse You can have PID and not have any severe symptoms. For example, chlamydia can cause PID with no symptoms. Women who have an ectopic pregnancy or who are infertile often have PID caused by chlamydia. An ectopic pregnancy is when an egg grows outside of the uterus. It puts the mother's life in danger.Your health care provider may do a pelvic exam to look for: Bleeding from your cervix. The cervix is the opening to your uterus. Fluid coming out of your cervix. Pain when your cervix is touched. Tenderness in your uterus, tubes, or ovaries. You may have lab tests to check for signs of body-wide infection: C-reactive protein (CRP) Erythrocyte sedimentation rate (ESR) WBC count Other tests include: A swab taken of your vagina or cervix. This sample will be checked for gonorrhea, chlamydia, or other causes of PID. Pelvic ultrasound or CT scan to see what else may be causing your symptoms. Appendicitis or pockets of infection around your tubes and ovaries, called tubo-ovarian abscess (TOA), may cause similar symptoms. Pregnancy test.Your provider will often have you start taking antibiotics while waiting for your test results. If you have mild PID: Your provider will give you a shot containing an antibiotic. You will be sent home with antibiotic pills to take for up to 2 weeks. You will need to follow-up closely with your provider. If you have more severe PID: You may need to stay in the hospital. You may be given antibiotics through a vein (IV). Later, you may be given antibiotic pills to take by mouth. There are many different antibiotics that can treat PID. Some are safe for pregnant women. Which type you take depends on the cause of the infection. You may receive a different treatment if you have gonorrhea or chlamydia. If your PID is caused by an STI like gonorrhea or chlamydia, your sexual partner must be treated as well. If you have more than one sexual partner, they must all be treated. If your partner is not treated, he or she can infect you again, or can infect other people in the future. Both you and your partner must finish taking all of the prescribed antibiotics. Use condoms until you both have finished taking antibiotics.PID infections can cause scarring of the pelvic organs. This can lead to: Long-term (chronic) pelvic pain Ectopic pregnancy Infertility Tubo-ovarian abscess If you have a serious infection that does not improve with antibiotics, you may need surgery.Call your provider if: You have symptoms of PID. You think you have been exposed to an STI. Treatment for a current STI does not seem to be working.Get prompt treatment for STIs. You can help prevent PID by practicing safer sex. The only absolute way to prevent an STI is to not have sex (abstinence). You can reduce your risk by having a sexual relationship with only one person. This is called being monogamous. Your risk will also be reduced if you and your sexual partners get tested for STIs before starting a sexual relationship. Using a condom every time you have sex also reduces your risk. Here is how you can reduce your risk of PID: Get regular STI screening tests. If you are a new couple, get tested before starting to have sex. Testing can detect infections that are not causing symptoms. If you are a sexually active woman age 24 or younger, get screened each year for chlamydia and gonorrhea. All women with new sexual partners or multiple partners should also be screened.PID; Oophoritis; Salpingitis; Salpingo - oophoritis; Salpingo - peritonitis.Pelvic laparoscopy Pelvic laparoscopy Female reproductive anatomy Female reproductive anatomy Endometritis Endometritis Uterus Uterus.McKinzie J. Sexually transmitted diseases.Encyclopedia Entry for Pelvic Inflammatory Disease :Pelvic inflammatory disease (PID). Source of disease: multiple