Treatment FAQ

what is pelvic inflammatory disease treatment

by Travis Erdman Published 2 years ago Updated 2 years ago
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PID is usually treated with antibiotics to provide empiric, broad spectrum coverage of likely pathogens. Recommended regimens can be found in the 2021 STI Treatment Guidelines.

Medication

What's the Treatment for Pelvic Inflammatory Disease?

  • The Basics. PID can affect different parts of your reproductive system, including the uterus, fallopian tubes, and ovaries.
  • 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. ...
  • Tell Your Partner. ...

Procedures

Risk Factors of Pelvic Inflammatory Disease

  • Previous episode of pelvic inflammatory disease.
  • Sexually active teenage girls are at a higher risk of pelvic inflammatory disease as compared to older women.
  • Multiple sexual partners and indulging in unprotected sex

Self-care

  • Oral temperature >38.3°C (>101°F)
  • Abnormal cervical mucopurulent discharge or cervical friability
  • Presence of abundant numbers of WBCs on saline microscopy of vaginal fluid
  • Elevated erythrocyte sedimentation rate
  • Elevated C-reactive protein
  • Laboratory documentation of cervical infection with N. gonorrhoeae or C. trachomatis

What antibiotics are used for pelvic inflammatory disease?

Natural Remedies for Pelvic Inflammation

  • Baking Soda. Get a tall glass, half full of water, disolve 1/2 teaspoon of sodium bicarbonate (baking SODA, not powder) in it, put in a heaping teaspoon of psyllium fiber ...
  • Dong Quai. I was diagnosed with an inflammed pelvic caused by an unknown source. ...
  • Garlic. ...
  • Pelvic Inflammatory Disease Remedies

What are the risk factors of pelvic inflammatory disease?

How do you test for pelvic inflammatory disease?

How to treat PID naturally?

See more

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Can pelvic inflammatory disease be cured?

Can PID be cured? Yes, if PID is diagnosed early, it can be treated. However, treatment won't undo any damage that has already happened to your reproductive system. The longer you wait to get treated, the more likely it is that you will have complications from PID.

What happens if you have pelvic inflammatory disease?

Pelvic inflammatory disease (PID) is an infection of one or more of the upper reproductive organs, including the uterus, fallopian tubes and ovaries. Untreated PID can cause scar tissue and pockets of infected fluid (abscesses) to develop in the reproductive tract, which can cause permanent damage.

What is the most common cause of pelvic inflammatory disease?

The main cause of PID is through a sexually transmitted infection (STI) such as chlamydia, gonorrhoea or mycoplasma genitalium. These bacteria usually only infect the cervix, where they can be easily treated with antibiotics.

How do you find out if you have pelvic inflammatory disease?

pain around the pelvis or lower tummy. discomfort or pain during sex that's felt deep inside the pelvis. pain when peeing. bleeding between periods and after sex....A few people become very ill with:severe pain in the tummy.a high temperature (fever)feeling and being sick.

What is the fastest way to cure PID?

TreatmentAntibiotics. Your health care provider will prescribe a combination of antibiotics to start immediately. ... Treatment for your partner. To prevent reinfection with an STI , your sexual partner or partners should be examined and treated. ... Temporary abstinence.

Can I get pregnant with PID?

Can I get pregnant if I have had PID? Maybe. Your chances of getting pregnant are lower if you have had PID more than once. When you have PID, bacteria can get into the fallopian tubes or cause inflammation of the fallopian tubes.

How long does it take for pelvic inflammatory disease to clear up?

Treating the Infection To fully treat PID, you may need to take one or more antibiotics. Taking antibiotic medicine will help clear the infection in about 2 weeks.

Can PID stop menstruation?

You contracted pelvic inflammatory disease (PID). As the infection spreads to the cells of the uterus, it can lead to problems with menstruation. The Office on Women's Health lists irregular menstrual cycles (like late periods) as one of the symptoms of PID.

Where is pelvic pain located?

Definition. Pelvic pain is pain in the lowest part of your abdomen and pelvis. Pelvic pain might refer to symptoms arising from the reproductive, urinary or digestive systems, or from muscles and ligaments in the pelvis.

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.

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 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.

How to help with infertility?

Ask your doctor to explain the steps for infertility testing and treatment. Understanding the process may help reduce your anxiety. Seek support. Although sexual health, infertility and chronic pain can be deeply personal issues, reach out to your partner, close family members or friends, or a professional for support.

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 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.

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).

What is the pelvic inflammatory disease?

Pelvic inflammatory disease, or PID, occurs when female reproductive organs become infected. The reproductive system is the part of the body involved in getting pregnant and having a baby. Reproductive organs affected by PID include the uterus, ovaries and fallopian tubes. When you have PID, you may feel stomach pain in your lower abdomen (belly).

What test is used to determine if a pelvic infection is a symptom of a urinary tract

Blood tests . Urine test to rule out a urinary tract infection, which causes similar pelvic pain. Ultrasound to get clearer images of the reproductive system. In some cases, your provider may recommend: Endometrial biopsy to remove and test a small tissue sample from the endometrium, the lining of the uterus.

What causes a PID in the cervix?

When that happens, it’s less able to keep bacteria out. Untreated gonorrhea and chlamydia cause about 90% of PID cases. Other causes include: Abortion . Childbirth. Pelvic procedures.

How to diagnose PID?

Usually, your healthcare provider can diagnose PID through: Medical history, including asking about your general health, sexual activity and symptoms. Pelvic exam to examine your reproductive organs and look for signs of infection. Vaginal culture to take a sample of any bacteria.

How does PID affect fertility?

PID can affect fertility. Of the women who had PID, studies found that 1 in 8 had difficulty getting pregnant. People who had repeat infections had a harder time getting pregnant.

What is the procedure to remove and test a small tissue sample from the endometrium?

Endometrial biopsy to remove and test a small tissue sample from the endometrium, the lining of the uterus. Laparoscopy, a surgery using small incisions and a lighted instrument to look closely at reproductive organs. Culdocentesis, with a needle inserted behind the vagina to remove fluid for examination.

What to do if you don't feel symptoms of PID?

If you feel symptoms of PID, see your healthcare provider right away. And if you had unprotected sex, it’s a good idea to talk to your provider, even if you don’t feel symptoms. The sooner you get treated, the more likely it will be effective. Prompt treatment also reduces your risk of serious complications.

What is pelvic inflammatory disease?

If you have pelvic inflammatory disease (PID), you have an internal infection, which has usually passed into the womb (uterus) and its surrounding organs from the vagina or neck of the womb (cervix). It may also affect the areas of the lower tummy (pelvis) around these organs.

How long do you need to take antibiotics for PID?

You may also be given an injection of an antibiotic first, followed by a course of one or two antibiotic tablets for two weeks. There are a number of different regimes to treat PID.

What causes PID?

A common cause of PID is from a sexually transmitted infection (STI). The germs (bacteria) are passed on when you have sex. Chlamydia and gonorrhoea are the most commonly found causes of PID. A mixture of chlamydia plus gonorrhoea sometimes occurs.

Why do I get PID after sex?

Another type of bacterium called Mycoplasma genitalium is also a common cause. Sometimes the bacteria can be in the neck of the womb for some time without causing symptoms. When they travel into the womb you become unwell. This is why you might develop PID weeks or months after having sex with an infected person.

Why does PID cause eye inflammation?

It is an uncommon complication of PID. It is thought to be due to the immune system 'over-reacting' to pelvic infection in some cases . A collection of pus (an abscess) sometimes develops next to the womb (uterus) if the infection is severe.

What is the most common symptom of PID?

Pain in the lower tummy (abdomen), called the pelvic area, is the most common symptom of PID. It can range from mild to severe. Other symptoms that may also occur include: Abnormal vaginal bleeding, which occurs in about 1 in 4 cases.

Where to take a PID test?

If PID is suspected, a small sample (swab) of discharge is usually taken from the neck of your womb (cervix). This is to test for any germs (bacteria). A swab from the urethra (where you pass urine from) and blood and urine tests may also be taken. These are to look for infecting bacteria or the effects of infection.

What causes scar tissue in the pelvic area?

Untreated pelvic inflammatory disease might cause scar tissue and pockets of infected fluid (abscesses) to develop in the reproductive tract. These can cause permanent damage to the reproductive organs. Complications from this damage might include: Ectopic pregnancy. PID is a major cause of tubal (ectopic) pregnancy.

How to prevent PID?

Talk to your doctor about contraception. Many forms of contraception do not protect against the development of PID. Using barrier methods, such as a condom, helps to reduce your risk.

What is PID in a woman?

Untreated PID can cause scar tissue and pockets of infected fluid (abscesses) to develop in the reproductive tract, which can cause permanent damage. Pelvic inflammatory disease ( PID) is an infection of the female reproductive organs. It most often occurs when sexually transmitted bacteria spread from your vagina to your uterus, ...

What is a PID?

Pelvic inflammatory disease. Pelvic inflammatory disease. Pelvic inflammatory disease (PID) is an infection of one or more of the upper reproductive organs, including the uterus, fallopian tubes and ovaries. Untreated PID can cause scar tissue and pockets of infected fluid (abscesses) to develop in the reproductive tract, ...

Why does my pelvis hurt during ovulation?

Pelvic inflammatory disease can cause pelvic pain that might last for months or years. Scarring in your fallopian tubes and other pelvic organs can cause pain during intercourse and ovulation. Tubo-ovarian abscess. PID might cause an abscess — a collection of pus — to form in your reproductive tract.

What is a PID pregnancy?

Ectopic pregnancy. PID is a major cause of tubal (ectopic) pregnancy. An ectopic pregnancy can occur when untreated PID has caused scar tissue to develop in the fallopian tubes. The scar tissue prevents the fertilized egg from making its way through the fallopian tube to implant in the uterus.

How to avoid PID?

Set up a regular screening schedule with your doctor if needed. Early treatment of an STI gives you the best chance of avoiding PID. Request that your partner be tested. If you have pelvic inflammatory disease or an STI, advise your partner to be tested and treated.

What is a recurring PID?

recurring PID. severe pelvic pain. a tubo-ovarian abscess. Many women do not realize they have had a PID until they seek medical advice for infertility problems. A woman who has had PID has a 20 percent chance of infertility due to scarring of the fallopian tubes and a 9 percent risk of a future ectopic pregnancy.

How long does a PID course last?

It is important to follow the doctor’s instructions and complete all of the prescription. A course usually lasts 14 days. PID often involves more than one type of bacteria, so the patient may take two antibiotics together.

Where does PID start?

PID usually starts with an infection that begins in the vagina and spreads to the cervix. It can then move to the fallopian tubes and the ovaries. The cause of infection can be bacterial, fungal, or parasitic, but it is more likely to involve one or more types of bacteria.

What is the most common cause of PID?

Sexually transmitted bacteria are the most common cause of PID. Chlamydia is the most common, followed by gonorrhea. The American Family Physician (AFP) estimates that between 80 and 90 percent of women with chlamydia and 10 percent of those with gonorrhea have no symptoms.

Can a pelvic inflammatory disease cause difficulty getting pregnant?

who have had pelvic inflammatory disease (PID) have difficulty becoming pregnant. Most cases result from an untreated infection in the vagina or cervix that spreads. Sexually transmitted infections (STIs) are a common cause, but it can develop from infections due to other causes.

Can a miscarriage cause a PID?

An intrauterine device (IUD), a form of birth control that is placed into the uterus. This can increase the risk of infection, which may become PID.

Can pelvic inflammatory disease cause infertility?

Pelvic inflammatory disease can cause pain and lead to infertility. Many women with PID have no symptoms. If symptoms appear, they can vary from mild to severe. However, untreated PID can have serious consequences. Possible symptoms include: pain, possibly severe, especially in the pelvic area. fever.

How long does pelvic pain last?

Chronic pelvic pain – The scarring and other damage can result in ongoing pain that can last for months or even years. Ectopic pregnancy – Damage to the fallopian tubes that causes the fertilized egg to implant outside the uterus, often within the fallopian tube itself.

How long does it take for a PID to heal?

If damage is caused by scarring and abscesses, full healing may not be possible. If you do require surgery, it can take up to six weeks to heal, and you may have lasting damage. It is also important to bear in mind that if your PID is successfully treated, you can be infected again.

What happens if you leave a PID untreated?

If a PID is left untreated for too long, the result can be the development of scar tissue throughout the reproductive system as well as abscesses that most commonly form in the fallopian tube. This can cause permanent damage that can result in:

What is the best way to get a visual image of the reproductive system?

Finally, an ultrasound may be used to get a visual image of the reproductive system. If your doctor needs a clearer picture of what’s going on, they may order further tests. One is a laparoscopy, which involves inserting a lighted camera into an incision in your abdomen to get a close look at your reproductive organs.

What to avoid when having a PID?

Avoiding eating, drinking, and smoking the night before. Wearing loose-fitting clothing. Wearing low heels to the appointment. Avoiding wearing jewelry. Removing any nail polish you might be wearing. Ensuring you have someone to drive you home. In most cases, there is no preparation required for the treatment of PID.

Can antibiotics cure PID?

Keep in mind that antibiotics cannot cure damage that has already occurred. If you develop an internal abscess (a pus-filled pocket) from PID, your doctor may need to perform surgery.

Do I need surgery for PID?

However, most women with PID will not need surgery. It is also essential to keep in mind that if the infection is the result of an STI, you need to be treated for the STI itself as well. If you experience pelvic pain or other PID symptoms, schedule an appointment as soon as possible to get started with treatment.

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.

What is Pelvic inflammatory disease (PID)

Pelvic inflammatory disease (PID) refers to a range of infections that can cause damage and dysfunction in the endometrium (womb lining), ovaries, fallopian tubes, and the membrane that lines the abdominal cavity (the peritoneum).

Treatment options for pelvic inflammatory disease

It is of vital importance that you seek treatment for PID as soon as you possibly can - if it is suspected, even before you get a positive STI test result. That’s because just three days of untreated PID can triple your risk of infertility and ectopic pregnancy.

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Symptoms

Causes

What Tests May Be done?

Possible Complications

Medically reviewed by
Dr. Khutaija Bano
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes a combination of antibiotics.
Medication

Antibiotics: It helps to reduce infection.

Metronidazole/Ceftriaxone

Procedures

Incision and drainage: Surgery is carried out when an abscess rupture or PID is not responding to antibiotic treatment.

Self-care

Always talk to your provider before starting anything.

  • Maintain a proper body hygiene
  • Abstinence from sexual intercourse until infection clears

Specialist to consult

Gynecologist
Specializes in the health of the female reproductive systems and breasts.

Treatment

Does My Partner Need to Be Treated?

  • Prompt treatment with medicine can get rid of the infection that causes pelvic inflammatory disease. But there's no way to reverse any scarring or damage to the reproductive tract that PID might have caused. Treatment for PIDmost often includes: 1. Antibiotics.Your health care provider will prescribe a combination of antibiotics to start immediatel...
See more on mayoclinic.org

Can Pelvic Inflammatory Disease Be Prevented?

Will It Happen Again?

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