Vardham Healthcare Common Health Issues Pelvic Inflammatory Disease (PID): An Overview

Pelvic Inflammatory Disease (PID): An Overview

Pelvic Inflammatory Disease (PID): An Overview

Causes and Risk Factors

  • Sexually Transmitted Infections: Most cases of PID are caused by bacteria from STIs, especially chlamydia and gonorrhea.
  • Bacterial Vaginosis: A condition characterized by an imbalance in the bacteria normally found in the vagina.
  • Douching: This can push bacteria into the reproductive organs from the vagina.
  • Intrauterine Device (IUD): There’s a small risk of PID in the first few weeks after insertion.
  • Multiple Sexual Partners or a New Partner: Increases the risk of STIs, thereby increasing the risk of PID.
  • History of PID: Previous infections can increase susceptibility.


  • Lower Abdominal Pain: Often dull and bilateral.
  • Abnormal Vaginal Discharge: Increased amount, unusual color, or odor.
  • Fever and General Malaise: Feeling unwell or fatigued.
  • Painful Intercourse or Urination: Due to inflammation.
  • Irregular Menstrual Bleeding: Including heavy periods or spotting between cycles.


  • Infertility: Damage to the fallopian tubes can prevent the egg from being fertilized.
  • Ectopic Pregnancy: Occurs if a fertilized egg implants outside the uterus, often in the fallopian tube.
  • Chronic Pelvic Pain: Can result from long-term inflammation.
  • Tubo-Ovarian Abscess: An accumulation of pus that can be life-threatening if not treated.


  • Physical Examination: Checking for tenderness in the pelvic area.
  • STI Testing: To identify the presence of chlamydia, gonorrhea, or other infections.
  • Ultrasound: Imaging to view the reproductive organs.
  • Laparoscopy: A minimally invasive surgery to view the internal organs.


  • Antibiotics: To treat the infection. Early treatment is crucial.
  • Hospitalization: In severe cases or if the diagnosis is uncertain.
  • Treatment of Partners: To prevent reinfection and spread of STIs.


  • Safe Sexual Practices: Including condom use.
  • Regular STI Screening: Especially if sexually active with multiple partners.
  • Avoiding Douching: To maintain normal vaginal bacteria.

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