Pelvic inflammatory disease (patient information): Difference between revisions
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'''For the WikiDoc page for this topic, click [[Pelvic inflammatory disease|here]]''' | '''For the WikiDoc page for this topic, click [[Pelvic inflammatory disease|here]]''' | ||
{{Pelvic inflammatory disease (patient information)}} | |||
{{ | {{CMG}}; '''Assistant Editor(s)-in-Chief:''' Alexandra M. Palmer | ||
==Overview== | |||
== | |||
[[Pelvic inflammatory disease]] ([[PID]]) is a general term for [[infection]] of the [[uterus]] lining, [[fallopian tubes]], or [[ovaries]]. | [[Pelvic inflammatory disease]] ([[PID]]) is a general term for [[infection]] of the [[uterus]] lining, [[fallopian tubes]], or [[ovaries]]. | ||
==What are the | ==What are the symptoms of Pelvic inflammatory disease?== | ||
The most common symptoms of [[PID]] include: | The most common symptoms of [[PID]] include: | ||
*[[Fever]] (not always present; may come and go) | *[[Fever]] (not always present; may come and go) | ||
*[[Pain]] or [[tenderness]] in the [[pelvis]], lower [[abdomen]], or sometimes the [[lower back]] | *[[Pain]] or [[tenderness]] in the [[pelvis]], lower [[abdomen]], or sometimes the [[lower back]] | ||
*[[Vaginal discharge]] with abnormal color, texture, or smell | *[[Vaginal discharge]] with abnormal color, texture, or smell | ||
Other symptoms that may occur with [[PID]]: | Other symptoms that may occur with [[PID]]: | ||
*[[Bleeding]] after [[intercourse]] | *[[Bleeding]] after [[intercourse]] | ||
| Line 26: | Line 23: | ||
*[[Nausea]], with or without [[vomiting]] | *[[Nausea]], with or without [[vomiting]] | ||
*No [[menstruation]] | *No [[menstruation]] | ||
*Painful | *Painful sexual intercourse | ||
Note: There may be no symptoms. People who experience an [[ectopic pregnancy]] or [[infertility]] often have had silent [[PID]], which is usually caused by [[chlamydia infection]]. | Note: There may be no symptoms. People who experience an [[ectopic pregnancy]] or [[infertility]] often have had silent [[PID]], which is usually caused by [[chlamydia infection]]. | ||
==What causes Pelvic inflammatory disease?== | ==What causes Pelvic inflammatory disease?== | ||
Most cases of [[pelvic inflammatory disease]] are caused by [[bacteria]] that move from the [[vagina]] or [[cervix]] into the [[uterus]], [[fallopian tubes]], [[ovaries]], or [[pelvis]]. | Most cases of [[pelvic inflammatory disease]] are caused by [[bacteria]] that move from the [[vagina]] or [[cervix]] into the [[uterus]], [[fallopian tubes]], [[ovaries]], or [[pelvis]]. | ||
The most common cause of [[PID]] is sexual contact without using a [[condom]] or other protection. This is called a [[sexually transmitted disease]] ([[STD]]). [[Chlamydia]] and [[gonorrhea]] are the two [[bacteria]] that cause most cases of [[PID]]. | The most common cause of [[PID]] is sexual contact without using a [[condom]] or other protection. This is called a [[sexually transmitted disease]] ([[STD]]). [[Chlamydia]] and [[gonorrhea]] are the two [[bacteria]] that cause most cases of [[PID]]. | ||
However, [[bacteria]] may also enter the body during some [[surgical]] or office procedures, such as: | However, [[bacteria]] may also enter the body during some [[surgical]] or office procedures, such as: | ||
*[[Childbirth]] | *[[Childbirth]] | ||
| Line 41: | Line 35: | ||
*[[Miscarriage]] | *[[Miscarriage]] | ||
*Therapeutic or elective [[abortion]] | *Therapeutic or elective [[abortion]] | ||
In the United States, nearly 1 million women develop [[PID]] each year. About 1 in 8 [[sexually active]] adolescent girls will develop [[PID]] before age 20. | In the United States, nearly 1 million women develop [[PID]] each year. About 1 in 8 [[sexually active]] adolescent girls will develop [[PID]] before age 20. | ||
==Who is at risk | ==Who is at highest risk?== | ||
[[Risk factors]] include: | [[Risk factors]] include: | ||
*Male sexual partner with [[gonorrhea]] or [[chlamydia]] | *Male sexual partner with [[gonorrhea]] or [[chlamydia]] | ||
| Line 51: | Line 44: | ||
*Past history of [[PID]] | *Past history of [[PID]] | ||
*Recent insertion of an [[IUD]] | *Recent insertion of an [[IUD]] | ||
*Sexual activity during adolescence | *Sexual activity during [[adolescence]] | ||
==When to seek urgent medical care?== | |||
Call your [[health care provider]] if: | |||
*You have symptoms of [[PID]] | |||
*You think you have been exposed to a [[sexually transmitted disease]] | |||
*Treatment for a current [[STD]] does not seem to be working | |||
== | ==Diagnosis== | ||
You may have a [[fever]] and [[abdominal tenderness]]. A [[pelvic examination]] may show: | You may have a [[fever]] and [[abdominal tenderness]]. A [[pelvic examination]] may show: | ||
*A [[cervix]] that bleeds easily | *A [[cervix]] that bleeds easily | ||
| Line 59: | Line 58: | ||
*[[Pain]] with movement of the [[cervix]] | *[[Pain]] with movement of the [[cervix]] | ||
*[[Tenderness]] in the [[uterus]] or [[ovaries]] | *[[Tenderness]] in the [[uterus]] or [[ovaries]] | ||
Lab tests that look for signs of [[infection]] are: | |||
*[[C-reactive protein]] ([[CRP]]) | *[[C-reactive protein]] ([[CRP]]) | ||
*[[Erythrocyte sedimentation rate]] ([[ESR]]) | *[[Erythrocyte sedimentation rate]] ([[ESR]]) | ||
*[[WBC]] count | *[[WBC]] count | ||
Other tests include: | Other tests include: | ||
*Culture of your [[vagina]] or [[cervix]] to look for [[gonorrhea]], [[chlamydia]], or other causes of [[PID]] | *Culture of your [[vagina]] or [[cervix]] to look for [[gonorrhea]], [[chlamydia]], or other causes of [[PID]] | ||
*[[Pelvic ultrasound]] or [[CT scan]] to look for other causes of your symptoms, such as [[appendicitis]] or [[pregnancy]], and to look for [[abscesses]] or pockets of [[infection]] around the tubes and [[ovaries]] | *[[Pelvic ultrasound]] or [[CT scan]] to look for other causes of your symptoms, such as [[appendicitis]] or [[pregnancy]], and to look for [[abscesses]] or pockets of [[infection]] around the tubes and [[ovaries]] | ||
*[[Serum]] [[HCG]] ([[pregnancy test]]) | *[[Serum]] [[HCG]] ([[pregnancy test]]) | ||
==Treatment options== | ==Treatment options== | ||
Your doctor will often start you on [[antibiotics]] while waiting for your test results. | Your doctor will often start you on [[antibiotics]] while waiting for your test results. | ||
If you are diagnosed with milder [[PID]], you will usually be given an [[antibiotic]] [[injection]] or shot, and then sent home with [[antibiotic]] pills to take for up to 2 weeks. You will need to closely follow-up with your [[health care provider]]. | If you are diagnosed with milder [[PID]], you will usually be given an [[antibiotic]] [[injection]] or shot, and then sent home with [[antibiotic]] pills to take for up to 2 weeks. You will need to closely follow-up with your [[health care provider]]. | ||
More severe cases of [[PID]] may require you to stay in the hospital. [[Antibiotics]] are first given by [[IV]], and then later by mouth. Which [[antibiotic]] is used depends on the type of [[infection]]. | More severe cases of [[PID]] may require you to stay in the hospital. [[Antibiotics]] are first given by [[IV]], and then later by mouth. Which [[antibiotic]] is used depends on the type of [[infection]]. | ||
A number of different [[antibiotics]] may be used for treating this type of [[infection]]. Some are safe in [[pregnant]] women. | A number of different [[antibiotics]] may be used for treating this type of [[infection]]. Some are safe in [[pregnant]] women. | ||
Sexual partners must be treated to prevent passing the [[infection]] back and forth. You and your partner(s) must finish all of the [[antibiotics]]. Use [[condoms]] until you both have finished taking your [[antibiotics]]. | Sexual partners must be treated to prevent passing the [[infection]] back and forth. You and your partner(s) must finish all of the [[antibiotics]]. Use [[condoms]] until you both have finished taking your [[antibiotics]]. | ||
Complicated cases that do not improve with [[antibiotics]] may need [[surgery]]. | |||
==Where to find medical care for Pelvic inflammatory disease?== | |||
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Pelvic inflammatory disease}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Pelvic inflammatory disease] | |||
== | ==What to expect (Outlook/Prognosis)?== | ||
Prompt treatment can prevent complications and have a good prognosis. | |||
==Possible complications== | ==Possible complications== | ||
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*[[Ectopic pregnancy]] | *[[Ectopic pregnancy]] | ||
*[[Infertility]] | *[[Infertility]] | ||
==Prevention== | |||
Preventive measures include: | |||
*Get prompt treatment for [[sexually transmitted diseases]]. | |||
*Practice safer sex behaviors. The only absolute way to prevent an [[STD]] is to not have sex ([[abstinence]]). Having a sexual relationship with only one person (monogamous) can reduce the risk. Use a [[condom]] every time you have sex. | |||
You can reduce the risk of [[PID]] by getting regular [[STD]] screening exams. Couples can be tested for [[STDs]] before starting to have sex. Testing can detect [[STDs]] that may not be producing symptoms yet. | |||
All sexually active women ages 20 - 25 and younger should be screened each year for [[chlamydia]] and [[gonorrhea]]. All women with new sexual partners or multiple partners should also be screened. | |||
==Videos== | |||
===Patient Education=== | |||
{{#ev:youtube|lGuXF8vpujQ}} | |||
==Sources== | ==Sources== | ||
http://www.nlm.nih.gov/medlineplus/ency/article/000888.htm | http://www.nlm.nih.gov/medlineplus/ency/article/000888.htm | ||
{{WS}}{{WH}} | |||
[[Category:Patient information]] | |||
[[Category:Gynecology]] | |||
[[Category:Abdominal pain]] | |||
[[Category: | [[Category:Sexually transmitted diseases]] | ||
[[Category:Disease]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 23:36, 29 July 2020
For the WikiDoc page for this topic, click here
|
Pelvic inflammatory disease |
|
Pelvic inflammatory disease On the Web |
|---|
|
Directions to Hospitals Treating Pelvic inflammatory disease |
|
Risk calculators and risk factors for Pelvic inflammatory disease |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor(s)-in-Chief: Alexandra M. Palmer
Overview
Pelvic inflammatory disease (PID) is a general term for infection of the uterus lining, fallopian tubes, or ovaries.
What are the symptoms of Pelvic inflammatory disease?
The most common symptoms of PID include:
- Fever (not always present; may come and go)
- Pain or tenderness in the pelvis, lower abdomen, or sometimes the lower back
- Vaginal discharge with abnormal color, texture, or smell
Other symptoms that may occur with PID:
- Bleeding after intercourse
- Chills
- Fatigue
- Frequent or painful urination
- Increased menstrual cramping
- Irregular menstrual bleeding or spotting
- Lack of appetite
- Nausea, with or without vomiting
- No menstruation
- Painful sexual intercourse
Note: There may be no symptoms. People who experience an ectopic pregnancy or infertility often have had silent PID, which is usually caused by chlamydia infection.
What causes Pelvic inflammatory disease?
Most cases of pelvic inflammatory disease are caused by bacteria that move from the vagina or cervix into the uterus, fallopian tubes, ovaries, or pelvis. The most common cause of PID is sexual contact without using a condom or other protection. This is called a sexually transmitted disease (STD). Chlamydia and gonorrhea are the two bacteria that cause most cases of PID. However, bacteria may also enter the body during some surgical or office procedures, such as:
- Childbirth
- Endometrial biopsy
- Insertion of an intrauterine device (IUD)
- Miscarriage
- Therapeutic or elective abortion
In the United States, nearly 1 million women develop PID each year. About 1 in 8 sexually active adolescent girls will develop PID before age 20.
Who is at highest risk?
Risk factors include:
- Male sexual partner with gonorrhea or chlamydia
- Multiple sexual partners
- Past history of any sexually transmitted disease
- Past history of PID
- Recent insertion of an IUD
- Sexual activity during adolescence
When to seek urgent medical care?
Call your health care provider if:
- You have symptoms of PID
- You think you have been exposed to a sexually transmitted disease
- Treatment for a current STD does not seem to be working
Diagnosis
You may have a fever and abdominal tenderness. A pelvic examination may show:
- A cervix that bleeds easily
- Cervical discharge
- Pain with movement of the cervix
- Tenderness in the uterus or ovaries
Lab tests that look for signs of infection are:
Other tests include:
- Culture of your vagina or cervix to look for gonorrhea, chlamydia, or other causes of PID
- Pelvic ultrasound or CT scan to look for other causes of your symptoms, such as appendicitis or pregnancy, and to look for abscesses or pockets of infection around the tubes and ovaries
- Serum HCG (pregnancy test)
Treatment options
Your doctor will often start you on antibiotics while waiting for your test results. If you are diagnosed with milder PID, you will usually be given an antibiotic injection or shot, and then sent home with antibiotic pills to take for up to 2 weeks. You will need to closely follow-up with your health care provider. More severe cases of PID may require you to stay in the hospital. Antibiotics are first given by IV, and then later by mouth. Which antibiotic is used depends on the type of infection. A number of different antibiotics may be used for treating this type of infection. Some are safe in pregnant women. Sexual partners must be treated to prevent passing the infection back and forth. You and your partner(s) must finish all of the antibiotics. Use condoms until you both have finished taking your antibiotics. Complicated cases that do not improve with antibiotics may need surgery.
Where to find medical care for Pelvic inflammatory disease?
Directions to Hospitals Treating Pelvic inflammatory disease
What to expect (Outlook/Prognosis)?
Prompt treatment can prevent complications and have a good prognosis.
Possible complications
PID infections can cause scarring of the pelvic organs, possibly leading to:
Prevention
Preventive measures include:
- Get prompt treatment for sexually transmitted diseases.
- Practice safer sex behaviors. The only absolute way to prevent an STD is to not have sex (abstinence). Having a sexual relationship with only one person (monogamous) can reduce the risk. Use a condom every time you have sex.
You can reduce the risk of PID by getting regular STD screening exams. Couples can be tested for STDs before starting to have sex. Testing can detect STDs that may not be producing symptoms yet. All sexually active women ages 20 - 25 and younger should be screened each year for chlamydia and gonorrhea. All women with new sexual partners or multiple partners should also be screened.
Videos
Patient Education
{{#ev:youtube|lGuXF8vpujQ}}
Sources
http://www.nlm.nih.gov/medlineplus/ency/article/000888.htm Template:WSTemplate:WH