Treatment FAQ

what is the best treatment for pelvic inflammatory disease?

by Prof. Melany McKenzie PhD 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 is pelvic inflammatory disease?

  • Lower abdominal pain
  • Mild pelvic pain
  • Increased vaginal discharge
  • Irregular menstrual bleeding
  • Fever (>38° C)
  • Pain with intercourse
  • Painful and frequent urination
  • Abdominal tenderness
  • Pelvic organ tenderness
  • Uterine tenderness

More items...

Procedures

Yes, if the pelvic inflammatory disease (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 (pelvic inflammatory disease).

Self-care

[33,34] Although not included in the updated CDC 2007 guidelines for treatment of PID, several studies suggest that azithromycin can be used for the treatment of acute PID.

What are the effects of untreated pelvic inflammatory disease?

Several types of antibiotics can cure PID. Antibiotic treatment does not, however, reverse any scarring that has already been 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.

Can pelvic inflammatory disease be treated completely?

Does azithromycin cure pelvic inflammatory disease?

Does penicillin cure pelvic inflammatory disease?

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What is the best medicine for pelvic inflammatory disease?

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. Metronizadole can be added at the provider's discretion.

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 pelvic inflammation be treated?

If it's diagnosed at an early stage, pelvic inflammatory disease (PID) can be treated easily and effectively with antibiotics. These can be prescribed by your GP or a doctor at a sexual health clinic. But left untreated, it can lead to more serious long-term complications.

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.

What happens if you have PID for 6 months?

Sometimes PID can lead to long-term (chronic) pain around your pelvis and lower abdomen, which can be difficult to live with and lead to further problems, such as depression and difficulty sleeping (insomnia). If you develop chronic pelvic pain, you may be given painkillers to help control your symptoms.

How can I test myself for PID?

How can I find out if I have PID? The only way to know for sure if you have PID is to see a doctor. They'll give you tests and talk to you about your symptoms and medical and sexual history.

Can PID go away on its own?

In some cases, pelvic inflammatory disease (PID) may go away without medical treatment. This depends on the body's immune system, but such cases have a high chance of relapse. Hence, it is always advisable to contact your doctor if you have symptoms.

What does PID pain feel like?

Pain in the lower abdomen is the most common symptom of pelvic inflammatory disease. 2 The pain can feel like dull pressure or a more intense cramping-type pain. In chronic PID, the pain might be mild but is present all the time.

What causes pelvic inflammation?

Pelvic inflammatory disease (PID) is caused by an infection developing in the female reproductive system. In most cases, the condition is caused by a bacterial infection spreading from the vagina or cervix (entrance to the womb) into the womb, fallopian tubes and ovaries.

Can a urine test detect pelvic inflammatory disease?

As PID can be difficult to diagnose, other tests may also be required to look for signs of infection or inflammation or rule out other possible causes of your symptoms. These tests may include: a urine or blood test.

Is PID a serious infection?

PID might cause an abscess — a collection of pus — to form in your reproductive tract. Most commonly, abscesses affect the fallopian tubes and ovaries, but they can also develop in the uterus or in other pelvic organs. If an abscess is left untreated, you could develop a life-threatening infection.

Can you get rid of PID without antibiotics?

Without treatment, PID can lead to serious problems like infertility, ectopic pregnancy, and chronic pelvic pain (pain that does not go away). If you think you may have PID, see a doctor or nurse as soon as possible. Antibiotics will treat PID, but they will not fix any permanent damage done to your internal organs.

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 remove endometrial tissue?

Endometrial biopsy. During this procedure, your doctor inserts a thin tube into the uterus to remove a small sample of endometrial tissue. The tissue is tested for signs of infection and inflammation.

How to prevent reinfection with STI?

Treatment for your partner. To prevent reinfection with an STI, your sexual partner or partners should be examined and treated. Infected partners might not have any noticeable symptoms.

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 are pregnant and have an abscess?

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.

What is the best way to diagnose PID?

More specific criteria for diagnosing PID include endometrial biopsy with histopathologic evidence of endometritis; transvaginal sonography or magnetic resonance imaging techniques demonstrating thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or Doppler studies indicating pelvic infection (e.g., tubal hyperemia); and laparoscopic findings consistent with PID. A diagnostic evaluation that includes some of these more extensive procedures might be warranted in certain cases. Endometrial biopsy is warranted for women undergoing laparoscopy who do not have visual evidence of salpingitis because endometritis is the only sign of PID for certain women.

What is a PID?

PID comprises a spectrum of inflammatory disorders of the upper female genital tract, including any combination of endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis ( 1155 – 1157 ). Sexually transmitted organisms, especially N. gonorrhoeae and C. trachomatis, often are implicated. Recent studies report that the proportion of PID cases attributable to N. gonorrhoeae or C. trachomatis is decreasing; of women who received a diagnosis of acute PID, approximately 50% have a positive test for either of those organisms ( 1158 – 1160 ). Micro-organisms that comprise the vaginal flora, such as strict and facultative anaerobes ( 1160) and G. vaginalis, H. influenzae, enteric gram-negative rods, and Streptococcus agalactiae, have been associated with PID ( 1161 ). In addition, cytomegalovirus (CMV), T. vaginalis, M. hominis, and U. urealyticum might be associated with certain PID cases ( 1072 ). Data also indicate that M. genitalium might have a role in PID pathogenesis ( 765, 928) and might be associated with milder symptoms ( 919, 923, 928 ), although one study failed to demonstrate a substantial increase in PID after detection of M. genitalium in the lower genital tract ( 925 ).

What are the risks of having a PID?

Pregnant women suspected of having PID are at high risk for maternal morbidity and preterm delivery. These women should be hospitalized and treated with IV antimicrobials in consultation with an infectious disease specialist.

Can a PID be a wet prep?

If the cervical discharge appears normal and no WBCs are observed on the wet prep of vaginal fluid, a PID diagnosis is unlikely, and alternative causes of pain should be considered. A wet prep of vaginal fluid also can detect the presence of concomitant infections (e.g., BV or trichomoniasis).

Does chlamydia reduce PID?

Screening and treating sexually active women for chlamydia and gonorrhea reduces their risk for PID ( 1162, 1163 ). Although BV is associated with PID, whether PID incidence can be reduced by identifying and treating women with BV is unclear ( 1161 ). Whether screening young women for M. genitalium is associated with a reduction in PID is unknown.

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.

Drugs used to treat Pelvic Inflammatory Disease

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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 The Best Treatment For Pelvic Infection?

Acute PID is difficult to diagnose because of the wide variation in symptoms and signs, so delayed diagnosis and conditions that are not treated properly end up with repeated infections. In most cases, it is hard for you to have a baby.

Coping Methods For Pelvic Infection

Pelvic infections are often acute and painful. Some women undergo emotional and psychological stress, during such instances, your healthcare provider may suggest psychological counseling to help manage your stress.

What are some home remedies for pelvic inflammatory disease?

Here are the top 10 home remedies for pelvic inflammatory disease. Contents. 1. Garlic. 2. Turmeric. 3. Baking Soda.

How to get rid of a swollen pelvic region?

Warm the cloth to a comfortable temperature in a microwave. Lie down on an old towel and put the warm flannel cloth on your lower abdomen. Cover the cloth with a plastic wrap and wait 20 minutes. Repeat this remedy once or twice daily for a week. You can even use castor oil to massage the pelvic region to ease pain.

How to get rid of a vaginal infection?

It also helps regulate the good vaginal bacteria and prevent a recurrence of the infection. Fry 2 or 3 minced garlic cloves in 2 tablespoons of olive oil until the garlic turns brown . Strain the oil and allow it to cool.

How to treat a PID infection?

This herb contains antimicrobial, anti-inflammatory and immune-stimulant properties that help fight infection, ease symptoms and promote fast recovery. Drink 1 to 2 cups of echinacea tea daily for a week. Take a break for a week, then continue again.

What is PID in women?

6. Note: Do consult your doctor for proper diagnosis and treatment of this condition. Use home remedies only as an adjunct treatment. Pelvic inflammatory disease (PID) is a type of infection that affects the female reproductive organs. It occurs when sexually transmitted bacteria enter the vagina and spread to the uterus, ...

How to reduce pain from PID?

While the hot bath will help relax the pelvic muscles, the cold bath will help alleviate pain. Fill two large bathtubs– one with warm water and the other with cold water. Add a few drops of lavender essential oil to each and stir well.

What are the factors that increase the risk of PID?

Some common factors are having more than one sexual partner, being in a relationship with a person who has multiple sexual partners, unprotected intercourse, regular douching and previous history of a sexually transmitted disease (STD).

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