pelvic inflammatory disease


pelvic  inflammatory disease


PIDs are infections or inflammations that occur in the internal genitals (inside the pelvis and abdomen) of women. STIs and other infections caused by infectious agents are the cause of PID. some of PIDs can also infect your sexual partner, and some of these inflammations can cause serious problems if left untreated.


In this article, the symptoms, causes and treatments of PIDs are clearly stated. PID stands for Pelvic inflammatory disease which can create very dangerous conditions by being transferred to the bloodstream.



Who is most at risk for PID?

What are the symptoms of PID?

What will be the diagnosis of PID?

Why and how do women get PID?

How is PID treatment done?

What are the complications of PID?

Prevention of PID



Who is most at risk for PID?

  • Women with other sexually transmitted diseases, especially chlamydia and gonorrhea
  • Women having unrestrained sex, especially with men who do not use condoms
  • Women with multiple sexual partners
  • Start having sex at the age of less than twenty-five
  • Women who have an IUD should have the necessary tests done to rule out the disease before having an IUD.
  • Vaginal douching changes the bacteria inside the vagina into dangerous types, and in addition, vaginal douche pushes microbial agents from the vagina upwards.
  • Having a previous history of PID



What are the symptoms of PD?

The most common symptom in women with PID is pain

There is often pain in the lower abdomen and also can affect the upper abdomen a little, so the following symptoms occur in this disease:

  • Fever
  • Painful intercourse
  • Pain when urinating
  • Increased vaginal discharge
  • Vaginal foul smelling
  • tiredness

These pains are often mild to moderate, but some women experience very severe pain with other symptoms, including:

  • Sharp pains in the abdomen
  • High fever (above one hundred and one degrees Fahrenheit)
  • Vomit
  • Fainting

Chlamydia can cause asymptomatic fallopian tube infections, leading to infertility in the long run.



What will be the diagnosis of PID?

During your visit, your doctor will ask you for a detailed history of your symptoms and medical history, and then, with a pelvic exam, examine the organs inside your pelvis.

They may also use cervical culture or your urine culture to help make an accurate diagnosis.

  • Pelvic ultrasounds are very useful and can show enlarged fallopian tubes due to inflammation or abscess
  • Sampling of the uterine wall or endometrial biopsy
  • Laparoscopy, which can be used to treat the cause while being diagnostic. In laparoscopy, a flexible tube is inserted into the abdomen through a very small incision and shows the doctor pictures of the organs inside the abdomen and pelvis.



Why and how do women get PID?

The disease occurs when bacteria travel through the vagina and enter the uterus, from where they spread into the right and left, fallopian tubes and pelvic.

There are many infectious agents and bacteria that cause PID.

Two important types of these infectious agents are:

  • Chlamydia
  • Gonorrhea

Once a woman gets the disease, she will be more at risk of getting PID again in the future than healthy women.

Women of childbearing age are more likely than other age groups to develop PID.

It is more common in people under the age of twenty-five than in people over the age of twenty-five because in younger women and adolescents, the cervix is ​​unable to prevent infectious agents from entering the uterus.



How is PID treatment done?

Treatments will not eliminate the damage but prevent the progression and formation of new damage.

Also, if you are a woman who has pelvic pain and pain during intercourse and you experience unusual and foul-smelling vaginal discharge, be sure to see a doctor.

Unfortunately, some people are silently carriers of infectious agents

The basis of PID treatment is appropriate antibiotics that should be prescribed by your doctor after examination and diagnosis.

Often more than one bacterium will cause PID, so start treatment with at least two antibiotics

Sometimes it is necessary to be hospitalized for antibiotics for intravenous injection


 Hospitalization is mandatory in the following cases:

  • When the patient is severely ill
  • When the patient is pregnant
  • When there is intolerance to food due to nausea and vomiting
  • When there is a pelvic or abdominal abscess
  • When the patient has not responded appropriately to oral therapies

Women with PID should know that examination and sometimes treatment of their sexual partner will also be necessary.



What are the complications of PID?

  • The risk of ectopic pregnancy is high in people with PID
  • The risk of infertility following a long-term PID is high
  • Ten to fifteen percent of women with PID become infertile
  • Each time the disease returns, it increases the risk of infertility
  • Injuries to the pelvic organs cause chronic pelvic pain



Prevention of PID

Avoid unrestrained relationships

Use a condom during intercourse

In case of any symptoms such as burning urination, abnormal vaginal discharge and odor, unusual sores and bleeding, see a doctor as soon as possible.



The final words:

Take tests for sexually transmitted infections seriously

One in eight women with PID will have a very difficult pregnancy and often the rest of the pregnancy will be comfortable for the rest of the women.

PID is curable and with timely treatment many permanent injuries can be prevented

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