What is pelvic inflammatory disease?
Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. This includes the uterus, fallopian tubes, ovaries, and surrounding tissues. The infection starts at the cervix, which is the opening of the uterus. It then moves upward through the whole reproductive system. It may even spread to the abdomen. PID is most common among young women who have sex, especially with multiple partners. It rarely occurs after menopause.
How does it occur?
Many types of bacteria can cause PID. The bacteria found in two common sexually transmitted diseases (gonorrhea and chlamydia) are the most frequent causes. PID often develops from 2 days to 3 weeks after exposure to the bacteria, but it may take months to develop. The risks of getting PID include:
It is possible for a woman to develop PID without having an STD. Normal bacteria found in the vagina and on the cervix can cause PID, but this is rare.
What are the symptoms?
In some cases there are no symptoms. When symptoms occur, they include:
How is it diagnosed?
You will have a pelvic exam. You may have the following tests:
A pregnancy test may be done because abdominal pain and vaginal bleeding can be symptoms of an ectopic pregnancy. An ectopic, or tubal, pregnancy is a pregnancy that takes place outside the uterus.
A laparoscopy may be necessary to confirm the diagnosis of PID. A laparoscopy is a surgical procedure performed while you are under anesthesia. Dr. Hardy makes a small cut near your bellybutton and inserts a thin tube with a light and tiny camera through the cut. He can then look at the organs in your abdomen and pelvis. If you have PID, your tubes and ovaries will be swollen and inflamed. He may see pus or sores on or around the female organs and may remove a sample of tissue (biopsy) for lab tests.
What is the treatment?
PID is usually treated with antibiotic medicine. Mild PID, without fever or severe pain, is usually treated with a combination of antibiotic shots and oral antibiotics (pills).
A more serious infection may be treated with several days of intravenous (IV) antibiotics given continuously throughout the day. This usually requires a hospital stay. After several days of IV antibiotics, you will need to take oral antibiotics.
If you have pus in your pelvis (an abscess), you may need surgery to remove or drain it. If you have an IUD, it will be removed.
Tell everyone with whom you have had sex in the last 3 months about your infection. They must also be treated, even if they have no symptoms. Do not have sex until both you and your partner have finished all the medicine.
You will need to follow up in the office in 2 to 3 days after you start your medicine. Your provider will check you to make sure the medicine has the infection under control. You also need to be checked 1 week after you finish all the medicine to make sure that the infection is gone.
How long will the effects last?
You will start to feel better 2 to 3 days after starting the treatment. Make sure you finish all the medicine as prescribed. If the infection is not treated, it could spread to other parts of your body or create an abscess in the fallopian tubes or ovaries. It might cause chronic (long lasting) pelvic pain.
PID can cause scarring of the fallopian tubes. This scarring could make it hard for you to get pregnant. Prompt and complete treatment is very important to try to preserve your ability to have children. Scarring of the fallopian tubes also increases your risk of having a tubal pregnancy in the future.
How can I take care of myself?
Call the office right away if:
How can I help prevent pelvic inflammatory disease?
The following practices may help prevent PID:
If you have any questions or concerns, or would like to schedule an appointment, please contact either our Virginia Beach or Chesapeake office today.
3720 Holland Road
Virginia Beach, Virginia 23452
Ph. (757) 463-1234
Fx. (757) 463-0453
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680-C Kingsborough Square
Chesapeake, Virginia 23320
Ph. (757) 548-0044
Fx. (757) 547-0179
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