Pelvic inflammatory disease (PID) is an infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It is usually caused by sexually transmitted bacteria, such as chlamydia or gonorrhea. At SHIFAA PAN African Hospitals, our Obstetrics and Gynecology department provides comprehensive care for women with PID, offering diagnosis, treatment, and management to prevent complications and preserve reproductive health.

Symptoms:

PID can cause various symptoms, which may range from mild to severe. Common symptoms include pelvic pain or discomfort, particularly during intercourse or urination. Women with PID may also experience abnormal vaginal discharge, which may be yellow or green and have a foul odor. Other symptoms may include irregular menstrual bleeding, fever, fatigue, and nausea.

Diagnosis

Diagnosing PID typically involves a combination of medical history review, physical examination, and diagnostic tests. Pelvic examination may reveal tenderness or inflammation of the reproductive organs. Laboratory tests, such as vaginal swabs or urine tests, may be conducted to identify the presence of bacteria or other infectious agents. Imaging studies, such as ultrasound or MRI, may be performed to visualize the pelvic organs and detect abnormalities.

Treatment:

Treatment for PID aims to eliminate the underlying infection, relieve symptoms, and prevent complications. Antibiotics are the primary treatment for PID and are usually prescribed to target the specific bacteria causing the infection. In severe cases or if complications occur, hospitalization may be necessary for intravenous antibiotics and close monitoring. It’s essential to complete the full course of antibiotics as prescribed, even if symptoms improve.

Prevention:

Preventing PID involves practicing safe sex, including using condoms consistently and correctly, and limiting the number of sexual partners. Regular screening for sexually transmitted infections (STIs) can help detect and treat infections early, reducing the risk of PID. Prompt treatment of STIs and avoiding douching can also help prevent PID.

What causes PID?

PID is usually caused by sexually transmitted bacteria, such as chlamydia or gonorrhea, but it can also occur due to other infections or procedures that introduce bacteria into the reproductive organs.

 

Can PID lead to infertility?

Yes, untreated PID can lead to complications such as scarring or blockages of the fallopian tubes, which can interfere with fertility.

 

How is PID diagnosed?

Diagnosis typically involves a combination of medical history review, physical examination, and diagnostic tests such as pelvic examination, laboratory tests, and imaging studies.

 

Is PID a sexually transmitted infection (STI)?

PID is often caused by sexually transmitted bacteria, but it can also occur due to other infections or procedures that introduce bacteria into the reproductive organs.

 

Can PID be cured?

Yes, PID can usually be cured with antibiotics, especially when diagnosed and treated early. However, prompt treatment is essential to prevent complications.

 

What are the complications of untreated PID?

Untreated PID can lead to serious complications such as chronic pelvic pain, ectopic pregnancy, infertility, and an increased risk of pelvic abscesses or peritonitis.

 

How can PID be prevented?

Preventing PID involves practicing safe sex, including using condoms consistently and correctly, and getting regular screening for STIs. Avoiding douching and seeking prompt treatment for STIs can also help prevent PID.