Pelvic Inflammatory Disease : Causes-Symptoms-Diagnosis-Treatment


 What Is Pelvic Inflammatory Disease (PID)?

Pelvic inflammatory ailment is an contamination of a girl’s reproductive organs. It is a difficulty often due to a few STDs, like chlamydia and gonorrhea. Other infections that are not sexually transmitted can also reason PID.

Pelvic inflammatory ailment (PID) is an contamination of the female reproductive organs. The pelvis is in the decreased abdomen and includes the fallopian tubes, ovaries, cervix, and the uterus.

According to the U.S. Department of Health and Human ServicesTrusted Source, this condition impacts approximately five percent of girls inside the United States.


Several specific sorts of micro organism can cause PID, including the identical micro organism that motive the sexually transmitted infections (STIs) gonorrhea and chlamydia. What normally takes place is that bacteria first input the vagina and cause contamination. As time passes, this infection can pass into the pelvic organs.

What Is Pelvic Inflammatory Disease (PID)?
Pelvic Inflammatory Disease


PID can end up extremely dangerous, even existence-threatening, if the infection spreads on your blood. If you see that you may have any contamination, see your medical doctor as quickly as possible.

  1. Female Reproductive System

  • Internal reproductive organs

  1. Ovaries

  2. Fallopian tubes

  3. Uterus

  4. Cervix

  5. Placenta

  • External reproductive organs

  1. Vulva

  2. Clitoris

  3. Vagina

Medical terms

  • Pelvic inflammatory disorder (PID) is an contamination of the woman reproductive organs. It most customarily happens when sexually transmitted micro organism unfold out of your vagina to your uterus, fallopian tubes or ovaries.
  • The signs and symptoms and signs of pelvic inflammatory disorder can be diffused or slight. Some women do not enjoy any signs and symptoms or signs and symptoms. As a result, you might not recognise you've got it till you have problem getting pregnant otherwise you develop continual pelvic ache.
  • is an infection of the female reproductive organs (uterus cervix and fallopian tubes) caused by bacteria Pelvic inflammatory disease (PID) is an infection of the female reproductive organs (uterus cervix and fallopian tubes) caused by bacteria PID occurs when bacteria enter the uterus through the cervix or vagina The most common cause of PID is a sexually transmitted disease such as chlamydia or gonorrhea.

symptoms Pelvic inflammatory disease (PID) is a bacterial infection that can affect a woman's reproductive organs The most common symptoms of PID include pelvic pain fever abdominal pain and abnormal vaginal discharge PID can also lead to infertility and ectopic pregnancy Severe cases of PID can cause an abscess or rupture of the fallopian tubes which could require emergency surgery to prevent death.

Symptoms Pelvic inflammatory disease (PID)

You won't recognise you have PID. Symptoms might be moderate or unnoticeable. But signs and symptoms of PID also can start all of sudden and fast.

The signs and signs and symptoms of pelvic inflammatory ailment might be moderate and difficult to apprehend. Some girls don't have any symptoms or symptoms. When symptoms and signs of PID are gift, they most customarily encompass:

  • Pain — ranging from mild to severe — in your lower abdomen and pelvis

  • Unusual or heavy vaginal discharge that may have an unpleasant odor

  • Unusual bleeding from the vagina, especially during or after sex, or between periods

  • Pain during sex

  • Fever, sometimes with chills

  • Painful, frequent or difficult urination

When to see a doctor

See your healthcare issuer or seek urgent hospital treatment if you enjoy:

  • Severe pain low in your abdomen

  • Nausea and vomiting, with an inability to keep anything down

  • Fever, with a temperature higher than 101 F (38.3 C)

  • Foul vaginal discharge

If you have got signs and signs and symptoms of PID that are not extreme, still see your issuer as soon as viable. Vaginal discharge with an smell, painful urination or bleeding between periods also can be symptoms of a sexually transmitted contamination (STI). If those signs and signs and symptoms occur, forestall having sex and see your issuer soon. Prompt treatment of an STI can help prevent PID.

Causes Pelvic inflammatory disease (PID)

Most instances of PID are as a result of a bacterial infection; it really is spread from the vagina or the cervix to the reproductive organs higher up.

Many exclusive types of micro organisms can use PID. In many cases, it is as a result of a sexually transmitted infection (STI), which includes chlamydia or gonorrhoea.

Another type of STI known as mycoplasma genitalium is thought to be increasingly more accountable for cases of PID.

In many other instances, it is resulting from micro organisms that commonly live within the vagina.

Many varieties of microorganisms can cause PID, but gonorrhea or chlamydia infections are the most commonplace. These microorganisms are normally received at some stage in unprotected intercourse.

Less generally, microorganisms can enter your reproductive tract anytime the ordinary barrier created by the cervix is disturbed. This can take place for the duration of menstruation and after childbirth, miscarriage or abortion. Rarely, micro organisms also can enter the reproductive tract for the duration of the insertion of an intrauterine tool (IUD) — a form of long-time period beginning to manage — or any clinical process that involves putting instruments into the uterus.

Risk factors Pelvic inflammatory disease (PID)

Your risk of pelvic inflammatory disorder will increase if you have gonorrhea or chlamydia, or have had an STI earlier than. However, you can expand PID without ever having an STI.A range of factors may book your hazard of pelvic inflammatory sickness, consisting of:

  • Being sexually active and younger than 25 years old

  • Having multiple sexual partners

  • Being in a sexual relationship with someone who has more than one sex partner

  • Having sex without a condom

  • Douching regularly, which upsets the balance of good versus harmful bacteria in the vagina and might mask symptoms

  • Having a history of pelvic inflammatory disease or a sexually transmitted infection

There is a small expanded hazard of PID after the insertion of an intrauterine tool (IUD). This chance is commonly restrained to the primary 3 weeks after insertion.

Complications Pelvic Inflammatory Disease

The fallopian tubes can turn out to be scarred and narrowed if they are suffering from PID. This could make it tough for eggs to pass from the ovaries into the womb.

This can then increase your chances of getting pregnant inside the fallopian tubes (ectopic being pregnant) in place of the womb within the destiny.

Some humans with PID become infertile because of the condition. If you have behind schedule treatment or had repeated episodes of PID, you are at maximum at risk.

But the general public dealt with for PID are still capable of getting pregnant with none issues.

Untreated pelvic inflammatory ailment would possibly motivate scar tissue and pockets of inflamed fluid (abscesses) to broaden inside the reproductive tract. These can cause everlasting harm to the reproductive organs.

Complications from this harm might consist of:

  • Ectopic pregnancy. PID is a chief reason for tubal (ectopic) being pregnant. An ectopic pregnancy can occur when untreated PID has induced scar tissue to increase in the fallopian tubes. The scar tissue prevents the fertilized egg from making its way through the fallopian tube to implant inside the uterus. Instead, the egg implants within the fallopian tube. Ectopic pregnancies can cause huge, lifestyles-threatening bleeding and require emergency scientific attention.

  • Infertility. Damage in your reproductive organs can also motive infertility — the lack of ability to turn out to be pregnant. The extra instances you've had PID, the greater your chance of infertility. Delaying treatment for PID additionally dramatically will increase your danger of infertility.

  • Chronic pelvic pain. Pelvic inflammatory ailment can motivate pelvic ache that would ultimately last for months or years. Scarring for your fallopian tubes and different pelvic organs can reason ache in the course of intercourse and ovulation.

  • Tubo-ovarian abscess. PID may motivate an abscess — a set of pus — to shape your reproductive tract. Most commonly, abscesses have an effect on the fallopian tubes and ovaries, but they also can broaden inside the uterus or in different pelvic organs. If an abscess is left untreated, you may develop a life-threatening infection.

Can PID go away on its own?

Yes PID can either go away on its own or recur after treatment and require more antibiotic treatment If PID is caused by bacteria the antibiotics will cure it.

Can you get a PID without an STD?

There are many causes of pelvic inflammatory disease or PID It can be caused by an STD such as gonorrhea or chlamydia It can also be caused by a bacterial infection that is not transmitted sexually These bacteria are sometimes carried in the bowel and rectum If these bacteria enter the uterus fallopian tubes or other reproductive organs they can cause PID Other causes of PID include using an intrauterine device (IUD) for birth control and some complications during surgery.

Can UTI cause PID?

Pelvic inflammatory disease (PID) is an infection of a woman’s reproductive organs The most common cause of PID is a sexually transmitted disease called chlamydia When a person has chlamydia the bacteria can travel up the wall of the uterus and into the fallopian tubes This causes pain discharge and fever If not treated with antibiotics PID can cause permanent damage to a woman’s reproductive system.

What does PID pain feel like?

Pain may be the body’s way of telling you that something is wrong If you have persistent pain it is important to identify the underlying cause to get relief For example PID can damage your fallopian tubes and ovaries and cause pelvic pain The pain associated with PID usually worsens over time You may experience.

Prevention Pelvic Inflammatory Disease

Sometimes, PID isn't always because of a sexually transmitted infection. It can come from normal vaginal bacteria touring to your reproductive organs. Avoiding douching might also decrease the hazard.

Most of the time, though, PID occurs because of unprotected sex. Take steps to practice safe intercourse.

To reduce your risk of pelvic inflammatory disease:

  • Practice safe sex. Use condoms whenever you have got sex, restrict your quantity of companions and ask approximately a capability partner's sexual history.

  • Talk to your health care provider about contraception. Many types of birth control do not protect against the development of PID. Using barrier strategies, consisting of a condom, facilitates reducing your threat. Even if you take birth control drugs, use a condom each time you've had intercourse with a brand new companion to defend in opposition to STIs.

  • Get tested. If you are susceptible to an STI, make an appointment along with your provider for testing. Set up a normal screening schedule together with your provider if wished. Early treatment of an STI offers you the exceptional threat of warding off PID.

  • Request that your partner be tested. If you have got pelvic inflammatory disease or an STI, propose your accomplice to be examined and dealt with. This can save you the unfolding of STIs and feasible recurrence of PID.

  • Don't douche. Douching upsets the stability of microorganisms on your vagina.

Diagnosis Pelvic inflammatory disease (PID)

Your medical doctor will take a look at possible causes such as chlamydia and gonorrhea. In a few instances, a laparoscopy is needed to properly diagnose PID. Laparoscopy entails placing an endoscope (which is sort of a surgical video camera) into the abdomen to view the reproductive organs.

There is not any one check which could accurately diagnose pelvic inflammatory disorder. Instead, your health care provider will rely upon a combination of findings from:

  • Your medical history. Your company will in all likelihood ask approximately your sexual behavior, history of sexually transmitted infections and method of birth manage.

  • Signs and symptoms. Tell your provider about any symptoms you're experiencing, despite the fact that they are slight.

  • A pelvic exam. During the exam, your provider will test your pelvic region for tenderness and swelling. Your issuer may use cotton swabs to take fluid samples from your vagina and cervix. The samples could be tested at a lab for symptoms of contamination and organisms consisting of gonorrhea and chlamydia.

  • Blood and urine tests. These exams can be used to check for being pregnant, HIV or different sexually transmitted infections, or to measure white blood mobile counts or different markers of contamination or irritation.

  • Ultrasound. This check makes use of sound waves to create photos of your reproductive organs.

If the diagnosis continues to be uncertain, you could need additional assessments, inclusive of:

  • Laparoscopy. During this system, your issuer inserts a skinny, lighted device through a small incision to your abdomen to view your pelvic organs.

  • Endometrial biopsy. During this technique, your issuer inserts a thin tube into the uterus to remove a small sample of endometrial tissue. The tissue is tested for signs of infection and inflammation.

Treatment Pelvic inflammatory disease (PID)

Your issuer will prescribe antibiotics that you take via mouth. Make certain to take all your medicine, even in case you start feeling higher. Often, your signs and symptoms improve earlier than the infection is going away. Your company may additionally advise you to come a few days after beginning the medicine. They can check that the remedy is running.

Prompt remedy with medicine can remove the contamination that reasons pelvic inflammatory ailment. But there is no manner to oppose any scarring or damage to the reproductive tract that PID may have brought on. Treatment for PID most often consists of:

  • Antibiotics. Your health care provider will prescribe an aggregate of antibiotics to start without delay. After receiving your lab test effects, your company may adjust your prescription to better match what's inflicting the infection. You'll likely observe up with your issuer after 3 days to make certain the remedy is running. Be certain to take all your remedy, even if you begin to feel higher after a few days.

  • Treatment for your partner. To save you reinfection with an STI, your sexual partner or companions must be tested and dealt with. Infected partners might not have any noticeable symptoms.

  • Temporary abstinence. Avoid sexual intercourse until treatment is finished and signs have resolved.

If you're pregnant, seriously sick, have a suspected abscess or haven't spoken back to oral medicines, you would possibly need hospitalization. You may receive intravenous antibiotics, observed by way of antibiotics you are taking through the mouth.

Surgery is hardly ever wanted. However, if an abscess ruptures or threatens to rupture, your company would possibly drain it. You may additionally need surgical operation in case you do not respond to antibiotic treatment or have a questionable prognosis, which include while one or more of the signs and symptoms or signs of PID are absent.

Coping and support

Pelvic inflammatory disease can bring up hard or worrying emotions. You can be dealing with the prognosis of a sexually transmitted contamination, viable infertility or continual pain. To help you cope with the us and downs of your analysis, keep in mind those techniques:

  • Get treatment. PID is most usually as a result of a sexually transmitted contamination. Finding out which you have an STI may be demanding for you or your partner. Nevertheless, you and your companion must each seek instantaneous remedy to lessen the severity of PID and to prevent reinfection.

  • Be prepared. If you have a couple of episodes of pelvic inflammatory disease, you're at greater risk of infertility. If you've been trying to get pregnant without achievement, make an appointment for an infertility evaluation. Ask your provider to explain the steps for infertility trying out and remedy. Understanding the method may additionally assist reduce your tension.

  • Seek support. Although sexual fitness, infertility and persistent ache may be deeply personal problems, reach out to your partner, close circle of relatives contributors or friends, or a professional for guide. Many online support groups assist you to hold your anonymity at the same time as you speak your worries.

Preparing for your appointment

If you have signs or signs and symptoms of pelvic inflammatory disorder, make an appointment to see your fitness care company.

Here's a few facts on what you can do to get equipped and what to expect out of your issuer.

What you can do

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, ask if there may be something you need to do earlier.

  • Write down any symptoms you're experiencing, Together with any that might seem unrelated to the reason you scheduled the appointment.

  • Make a list of all medications, vitamins or supplements that you're taking.

  • Write down questions to ask your provider.

Some basic questions to ask include:

  • What kinds of tests do I need?

  • Is this a sexually transmitted infection?

  • Should my partner be tested or treated?

  • Do I need to stop having sex during treatment? How long should I wait?

  • How can I prevent future episodes of pelvic inflammatory disease?

  • Will this affect my ability to become pregnant?

  • Is there a generic alternative to the medicine you're prescribing me?

  • Can I be treated at home? Or will I need to go to a hospital?

  • Do you have any printed materials that I can take with me? What websites do you recommend?

  • Do I need to come back for a follow-up visit?

What to expect from your doctor

Be ready to answer a number of questions, such as:

  • Do you have a new sexual partner or multiple partners?

  • Do you always use condoms?

  • When did you first begin experiencing symptoms?

  • What are your symptoms?

  • Are you experiencing any pelvic pain?

  • How severe are your symptoms?

General summary

  1. Pelvic inflammatory disease (PID) is a serious condition that causes severe damage to the reproductive organs and pelvic area PID occurs when the cervix becomes infected usually from an STD such as gonorrhea or chlamydia The infection spreads through the uterus fallopian tubes and ovaries Antibiotics are used to treat PID with successful treatment typically requiring several rounds of treatment Other treatment options include bed rest and surgery to remove scar tissue.
  2. Pelvic inflammatory disease (PID) is an infection of the uterus and fallopian tubes It can be caused by a variety of bacteria including Chlamydia trachomatis Neisseria gonorrhoeae Mycoplasma hominis and Ureaplasma urealyticum The symptoms may include abdominal pain fever nausea and abnormal vaginal discharge PID has a range of symptoms but it does not always produce any symptoms at all This is why it is important for women to get annual exams to be checked for PID and other sexually transmitted diseases (STDs).

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