Pelvic Inflammatory Disease

Question 1

What is PID?

Answer 1

• infection/ inflammation of uterus, fallopian tubes, ovaries and the surrounding peritoneum
• usually due to ascending infection from the endocervix.

Question 2

Organisms which often cause PID

Answer 2

Chlamydia
gonorrhoeae
Mycoplasma

Question 3

Features of PID

Answer 3

lower abdominal pain
fever
dyspareunia
dysuria
menstrual irregularities
discharge

Question 4

Investigation of PID

Answer 4

• exclude ectopic pregnancy
• high vaginal swab
• screen for Chlamydia and Gonorrhoea

Question 5

Management of PID

Answer 5

oral ofloxacin
+ oral metronidazole

OR
IM ceftriaxone
+ oral doxycycline
+ oral metronidazole

Consider removal of IUD

Question 6

Complications of PID

Answer 6

• Perihepatitis (Fitz-Hugh Curtis Syndrome)
• infertility
• chronic pelvic pain
• ectopic pregnancy

Question 7

Should you treat for PID even if swabs are negative?

Answer 7

Yes
difficult to diagnose and complications are severe