Medication
Several types of antibiotics can cure PID. Antibiotic treatment does not, however, reverse any scarring caused by the infection. For this reason, it is critical that a woman receive care immediately if she has pelvic pain or other symptoms of PID. Prompt antibiotic treatment can prevent severe damage...
Procedures
Treatment for PID most often includes: Antibiotics. Your doctor will prescribe a combination of antibiotics to start immediately. After receiving your lab test results, your doctor might adjust your prescription to better match what's causing the infection.
Self-care
Admission for parenteral therapy, observation and possible surgical intervention should be considered in clinically severe disease, if a surgical emergency cannot be excluded, if no response to oral therapy and in those with a tubo-ovarian abscess or who are pregnant. All the recommended regimens are of similar efficacy.
Can antibiotics cure pelvic inflammatory disease (PID)?
PID is usually treated with antibiotics to provide empiric, broad spectrum coverage of likely pathogens. Recommended regimens can be found in the 2015 STD Treatment Guidelines.
What are the treatment options for PID?
When is parenteral therapy indicated in the treatment of pelvic inflammatory disease (PID)?
What are the treatment options for the treatment of progressive idiopathic endocarditis (PID)?
Which antibiotics is best for PID?
Current recommendations. The Centers for Disease Control and Prevention (CDC) recommends oral doxycycline 100 mg twice daily for 14 days, along with a second- or third-generation cephalosporin administered parenterally, for mild PID in ambulatory patients.
Does any antibiotic work for PID?
Antibiotic treatment does not, however, reverse any scarring caused by the infection. For this reason, it is critical that a woman receive care immediately if she has pelvic pain or other symptoms of PID. Prompt antibiotic treatment can prevent severe damage to the reproductive organs.
Can doxycycline and metronidazole treat PID?
Doxycycline plus metronidazole regimen was successful in five of seven patients with chlamydial or gonococcal PID and in nine of 13 patients with nonchlamydial nongonococcal PID. Thus, the overall success rate was 94% (15 of 16) with ciprofloxacin and 70% (14 of 20) with doxycycline plus metronidazole.
Can you treat PID with amoxicillin?
The results of this comparative study suggest that oral amoxycillin/clavulanic acid (augmentin) may be a convenient alternative to the triple drug regimen usually administered for the treatment of pelvic inflammatory disease.
Does flagyl treat PID?
The addition of metronidazole to these regimens provides extended coverage against anaerobic organisms and will also effectively treat BV, which is frequently associated with PID.
Can I take azithromycin and doxycycline together?
In conclusion, azithromycin combined with doxycycline was revealed to be more effective than azithromycin monotherapy in the treatment of non-gonococcal urethritis.
What is the first line treatment for PID?
The CDC recommends the following for first-line treatment for outpatient therapy: Doxycycline (100 mg orally twice a day for 2 weeks) plus ceftriaxone 500 mg intramuscularly (IM) for one dose or cefoxitin 2 g IM with probenecid (1g orally) for one dose or another parenteral third-generation cephalosporin.
Is it OK to take Flagyl and doxycycline together?
No interactions were found between doxycycline and Flagyl.
Is it OK to take doxycycline and metronidazole together?
No interactions were found between doxycycline and metronidazole.
Will azithromycin treat PID?
Discussion In this study, 32/109 (29.4%) women were treated for PID with azithromycin either in combination or alone. Overall, the majority of women completed treatment and reported a full or partial improvement in symptoms.
Does Augmentin help PID?
A regimen of amoxicillin-clavulanic acid (Augmentin) plus doxycycline has been shown to be effective in the treatment of PID, but because this regimen has gastrointestinal side effects, its overall success might be limited.
Can I take doxycycline and ciprofloxacin together?
Although more expensive than doxycycline, ciprofloxacin is a bactericidal compound which is better tolerated and has a lower risk of toxicity and of development of resistance. It can be considered, together with doxycycline, as an antibiotic of first choice in the treatment of Mediterranean spotted fever.
Diagnostic Considerations
Acute PID is difficult to diagnose because of the considerable variation in symptoms and signs associated with this condition. Women with PID often have subtle or nonspecific symptoms or are asymptomatic. Delay in diagnosis and treatment probably contributes to inflammatory sequelae in the upper genital tract.
Treatment
PID treatment regimens should provide empiric, broad-spectrum coverage of likely pathogens. Multiple parenteral and oral antimicrobial regimens have been effective in achieving clinical and microbiologic cure in randomized clinical trials with short-term follow-up ( 1171 – 1173 ).
Intramuscular or Oral Treatment
IM or oral therapy can be considered for women with mild-to-moderate acute PID because the clinical outcomes among women treated with these regimens are similar to those treated with IV therapy ( 1158 ). Women who do not respond to IM or oral therapy within 72 hours should be reevaluated to confirm the diagnosis and be administered therapy IV.
Other Management Considerations
To minimize disease transmission, women should be instructed to abstain from sexual intercourse until therapy is complete, symptoms have resolved, and sex partners have been treated (see Chlamydial Infections; Gonococcal Infections). All women who receive a diagnosis of PID should be tested for gonorrhea, chlamydia, HIV, and syphilis.
Follow-Up
Women should demonstrate clinical improvement (e.g., defervescence; reduction in direct or rebound abdominal tenderness; and reduction in uterine, adnexal, and cervical motion tenderness) <3 days after therapy initiation.
Management of Sex Partners
Persons who have had sexual contact with a partner with PID during the 60 days preceding symptom onset should be evaluated, tested, and presumptively treated for chlamydia and gonorrhea, regardless of the PID etiology or pathogens isolated.
Special Considerations
The risk for penicillin cross-reactivity is highest with first-generation cephalosporins but is negligible between the majority of second-generation (e.g., cefoxitin) and all third-generation (e.g., ceftriaxone) cephalosporins ( 619, 631, 653, 656) (see Management of Persons Who Have a History of Penicillin Allergy).
The Basics
PID can affect different parts of your reproductive system, including the uterus, fallopian tubes, and ovaries. If it’s not treated properly, you can end up with repeated infections, or it may make it hard for you to have a baby.
Medications
Several different types of antibiotics have been found to work against the illness, and you may be given several types to take together.
Hospitalization
In more serious cases, your treatment may include a stay in the hospital. There may be several reasons for this:
Tell Your Partner
You should tell anyone you’ve had sex with in the past 60 days about your illness. If it’s been longer than 60 days since you’ve had sex, tell your most recent partner, who should also get treated.
How to treat PID?
Treatment for PID most often includes: Antibiotics. Your doctor will prescribe a combination of antibiotics to start immediately. After receiving your lab test results, your doctor might adjust your prescription to better match what's causing the infection.
What to do if you have an abscess?
Temporary abstinence. Avoid sexual intercourse until treatment is completed and symptoms have resolved. If you're pregnant, seriously ill, have a suspected abscess or haven't responded to oral medications, you might need hospitalization. You might receive intravenous antibiotics, followed by antibiotics you take by mouth.
What is the procedure to check pelvic organs?
During this procedure, your doctor inserts a thin, lighted instrument through a small incision in your abdomen to view your pelvic organs. Endometrial biopsy.
What is pelvic exam?
In a pelvic exam, your physician inserts two gloved fingers inside your vagina. While simultaneously pressing down on your abdomen, he or she can examine your uterus, ovaries and other organs.
What will a doctor ask about your sexual history?
Your doctor will likely ask about your sexual habits, history of sexually transmitted infections and method of birth control. Signs and symptoms. Tell your doctor about any symptoms you're experiencing, even if they're mild. A pelvic exam.
Do you need surgery for a PID?
Surgery is rarely needed. However, if an abscess ruptures or threatens to rupture, your doctor might drain it. You might also need surgery if you don't respond to antibiotic treatment or have a questionable diagnosis, such as when one or more of the signs or symptoms of PID are absent.
Can you get PID from more than one episode?
Nevertheless, you and your partner should both seek immediate treatment to lessen the severity of PID and to prevent reinfection. Be prepared. If you've experienced more than one episode of pelvic inflammatory disease, you're at greater risk of infertility.
