Pelvic Inflammatory Disease (PID): Symptoms, Treatments & Causes
Pelvic inflammatory disease (PID) is an infection of a woman’s reproductive organs caused by a sexually transmitted infection. Symptoms include stomach pain, lower abdominal pain, and vaginal discharge. Early treatment, usually antibiotics, helps avoid complications like infertility.
How do you get PID?
The majority of people contract PID through unprotected sex, but 15% of infections are not transmitted sexually.
How does pelvic inflammatory disease affect me?
PID can also cause a tubovarian abscess (TOA), which is a pocket infection in the pelvis.
Who’s at risk for PID?
If you have a sexually transmitted infection (STI), especially gonorrhea or chlamydia, or if your partner has had multiple partners, you are more likely to develop PID. If you are sexually active and younger than 25, you are more likely to develop PID.
How common is pelvic inflammatory disease?
In the United States, more than 1 million women suffer from pelvic inflammatory disease (PID), which renders 100,000 women infertile each year. Untreated gonorrhea and chlamydia account for 90% of PID cases, with other causes including abortion, pelvic procedures, and ectopic pregnancy accounting for the remaining 10%.
Does douching cause pelvic inflammatory disease (PID)?
Douching can cause bacterial vaginosis infections, but there is no conclusive evidence that this is the case when it comes to women who choose to douche, according to the majority of studies.
What are the symptoms of PID?
If you have a pelvic, reproductive, or urinary tract infection (PID), see your doctor as soon as possible; the sooner you seek treatment, the better your chances of a successful outcome.
What other tests might I need to diagnose PID?
If you have an abscess (collection of pus) in your fallopian tube or ovary, you may need IV antibiotics. If you have a severe infection and are very sick, you may need to go to the hospital to receive medicine through an IV.
Will I need surgery for pelvic inflammatory disease?
Talk to your doctor about whether you should have surgery if you have a pelvic floor infection (PIDP) or an abscess after taking antibiotics.
Does my partner(s) need treatment for pelvic inflammatory disease?
PID is caused by normal vaginal bacteria traveling to your reproductive organs, as well as sexually transmitted infections (STIs). Practice safe sex by using barrier birth control methods and limiting sexual partners.
Do I need regular sexually transmitted infection tests?
If you’re sexually active, ask your healthcare provider about yearly testing for sexually transmitted infections, such as chlamydia. It’s also a good idea to get tested before having sex with a new partner. Antibiotics can cure PID if you get a prompt diagnosis and treatment for an infection.
What does PID pain feel like?
Lower Abdominal Pain The most common symptom of pelvic inflammatory disease is pain in the lower abdomen, which can feel like dull pressure or a more intense cramping-type pain. In chronic PID, the pain may be mild but it is always present.
How do you test for pelvic inflammatory disease?
Pelvic inflammatory disease ( PID ) can’t be diagnosed with a single test; it’s diagnosed based on your symptoms and a gynecological exam.
- A urine or blood test
- a pregnancy test
- an ultrasound scan (transvaginal ultrasound), which is usually performed with a probe passed through the vaginal canal).
What can PID be mistaken for?
PID can be misdiagnosed as appendicitis, ectopic pregnancy, ruptured ovarian cysts, or other problems if all three of the symptoms listed below are present during a pelvic exam:
- Tenderness in the lower abdomen.
- Tenderness in the fallopian tubes and ovaries.
- Tenderness in the cervix.
Can PID go away on its own?
PID can resolve spontaneously in some cases, meaning the inflammation goes away without the need for medical intervention. In many of these cases, the woman was asymptomatic (had no symptoms) and had no idea she had PID.
What does PID discharge look like?
PID symptoms, on the other hand, can appear suddenly and without warning, and include: Pain or tenderness in the stomach or lower abdomen (belly), the most common symptom; abnormal vaginal discharge, usually yellow or green with an unusual odor; and abnormal vaginal discharge, usually yellow or green with an unusual odor.
How long does PID take to make you infertile?
PID can permanently scar and damage the fallopian tubes, resulting in tube blockage. About 12% of women will become infertile as a result of one episode of PID, and 50% of women will become infertile after three episodes of PID.
What happens if PID is left untreated?
Pelvic inflammatory disease ( PID ) is an infection of the female reproductive tract that can affect the uterus, fallopian tubes, and/or ovaries, leading to chronic infection and infertility if left untreated. It is caused by bacteria, which are often the same bacteria that cause STDs.
How do you fully cure PID?
To treat PID, your doctor or nurse will prescribe antibiotics, usually at least two antibiotics that work against a variety of bacteria. You must finish all of your antibiotics, even if your symptoms improve, to ensure that the infection is completely cured.
Can you have PID for years and not know?
Many women are unaware that they have PID because no signs or symptoms appear; when symptoms do appear, they can be mild or severe. Signs and symptoms include: Lower abdominal pain (the most common symptom)
Can I pass PID to my boyfriend?
Because the bacteria that cause PID can spread through sexual contact, your partner should also be treated for PID if you’re sexually active. Men may be silent carriers of bacteria that cause PID, and your infection could recur if your partner doesn’t get treatment.
Can you get pregnant if you have PID?
Untreated PID can cause scar tissue to form in the fallopian tubes, causing approximately 100,000 women to seek infertility treatment each year. While getting pregnant may be more difficult for women who have had PID, it is not impossible.
What antibiotics treat pelvic inflammatory disease?
- Ceftriaxone 250 mg IM in a single dose
- Doxycycline 100 mg orally twice a day for 14 days
- Metronidazole 500 mg orally twice a day for 14 days
- Cefoxitin 2 g IM in a single dose and Probenecid 1 g orally administered concurrently in a single dose
How long does it take for PID to go away?
Most cases of pelvic inflammatory disease clear up after 10 to 14 days of antibiotic treatment, though more serious cases may require hospitalization.
Does pelvic inflammatory disease go away?
Yes, if PID is diagnosed early, it can be treated; however, treatment will not undo any damage to your reproductive system that has already occurred, and the longer you wait to be treated, the more likely you are to develop complications from PID.
Does pelvic inflammatory disease show on ultrasound?
A 2017 Medscape review recommended ultrasound as an effective modality for accurate and timely pelvic inflammatory disease diagnosis. PID is caused by pathogens ascending from the cervix or vagina and spreading into the endometrium, fallopian tubes, ovaries, and other pelvic structures.