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Pelvic inflammatory disease, also called PID, is an infection that affects the productive family organs. PID is one of the most severe complication that occurs in sexually transmitted disease in women. It can also lead to reenable damage to the ovaries, uterus, fallopian tubes, and other parts of the female reproductive system. It is the principal preventable cause of infertility in women.
How Common is Pelvic Inflammatory Disease?
More than 1 million women in the US experience PID. The result of PID, more than 100,000 women, become infertile each year. Also, a large segment of the 100,000 ectopic (tubal) pregnancies that occur each year can be linked to PID. The rate of infection is highest in teenagers.
The cervix prevents bacteria is that enter the vagina from spreading to the internal reproductive organs. If the cervix is opened to an STD, such as gonorrhea, and chlamydia, the cervix itself becomes infected and less able to stop the spread of organisms to the internal organs.
ID happens when the diseased organisms travel forms the cervix to the upper genital tract. Untreated chlamydia and gonorrhea about 90% of all cases of PID. Other causes include abortion, childbirth, and procedure.
What are some of the symptoms of Pelvic Inflammatory Disease
- Tenderness or dull pain in the stomach or lower abdominal area, pain in the upper right abdomen.
- Abnormal vaginal discharge that is green or yellow with an unusual odor.
- High fever or chills
- Pain During Sex
- Painful urination
- Vomiting and Nausea
What puts a Woman at Risk for Pelvic Inflammatory Disease
Several circumstances could put a woman a risk for PID including:
Women with STDs specifically chlamydia nad gonorrhea, are at higher risk fro developing PID.
Women who have a prior episode of PID are at greater risk for another episode.
Severally active teenagers are more likely to develop PID than are older women.
Women with many sexual partners are greater risks for sexually transmitted diseases STD and PID
Some studies indicate that douching may contribute to PID Douching may us bacteria into the upper genital tract and may cause discharge that could alert women to seek medical attention.
Diagnosing Pelvic Inflammatory Disease
Your doctor will ask you fro a dental history of your health and sexual activity. He or she will perform a pelvic exam to check the health of your reproductive organs, and look for evidence of chlamydia and gonorrhea infection. Your doctor may find the abnormal cervical discharge and tenderness of the cervix, fallopian tubes, and cervix on examination. This discharge will be tested f the infection, including cultures for chlamydia or gonorrhea.
If your doctor believes you may have PID, he or she may request additional test such as:
Blood test to examine blood for evidence of infection
Ultrasound (sonogram ) view the reproductive organs.
Another test less standard performed include:
Endometrial biopsy. The doctor conducts a procedure in which as mall sample of the tissue is from the lining of the uterus (endometrium) is extracted for evaluation and testing,
Laparoscopy, a procedure during which a thin, lighted instrument (laparoscope ) inserted through a tiny cut in the lower abdomen to enable the doctor to monitor the internal reproductive organs.
What is the treatment for PID?
PID treatment should be started immediately.
Antibiotics- The initial treatment of r mild cases of PID usually consist of one or more antibiotic medications taken by mouth. More significant causes can be treated with a combination of intravenous and oral antibiotics. If treatment is not effective or if you can not take antibiotics orally (through the mouth), if the infection is critical enough, you may need to receive medication intravenously (directly into the vein).
If you are diagnosed with PID, your sexual partners should be treated even if you have any symptoms. Unless, the infection will likely recur when you have sex again.
Surgery – When PID causes an abscess (when the inflamed tissues forms a collection of pus), antibiotics are no longer as effective. Surgery is often required to remove the abscesses (or the organ with the abscess) to prevent them from breaking and causing widespread infection throughout the pelvis and abdomen.
Depending on the conditions, this may be done with a laparoscope (a thin, lighted tool) or with a method in which the doctor opens the abdomen to view the internal organs (laparotomy). Both techniques are major social producers and are operated under general anesthesia ( you are put to sleep)
If abscesses have developed on the uterus or ovaries, you physician can advise hysterectomy (extracting the uterus) or oophorectomy (removal of the ovaries)
What are Problems with pelvic inflammatory Disease
Recurrent episodes of PID can cause scarring of the fallopian tubes; which can lead to ectopic (tubal) pregnancy, infertility or chronic pelvic pain. Infertility occurs in about one in eight women who have PID.
Can Pelvic Inflammatory Disease be Prevented?
PID is entirely preventable; The number one cause PID is treated STDs (also called STIs, sexually transmitted infections. There are steps you can take to prevent PID include:
Avoid Multiple sexual partners:
Uses of Spermicide for acts of intercourse. Use barrier techniques of birth control( condoms and /or a diaphragm)
Avoid IUDs if you have several sexual partners.
Seek treatment quickly if you notice signs of PID or any sexually transmitted disease, including abnormal vaginal secretion pelvic pain or bleeding between periods.
Have routine gynecologic check-ups and screening since many cervical infections can be identified and treated before they sped to the internal reproductive organs.