Pelvic Inflammatory Disease

Question 1

What are the causative organisms of PID and which is the most common?

Answer 1

• Chlamydia trachomatis - the most common cause
• Neisseria gonorrhoeae
• Mycoplasma genitalium
• Mycoplasma hominis

Question 2

What are some of the clinical features of PID?

Answer 2

• lower abdominal pain
• fever
• deep dyspareunia
• dysuria and menstrual irregularities may occur
• vaginal or cervical discharge
• cervical excitation

Question 3

What are some complications of PID?

Answer 3

• Infertility - the risk is as high as 10-20% after a single episode.
• Chronic pelvic pain
• Ectopic pregnancy

Question 4

What is the management for PID?

Answer 4

• Screen - either vaginal swab or urine for chlamydia and gonorrhoea.
• Low threshold for treatment.
• Oral ofloxacin + oral metronidazole

OR

• intramuscular ceftriaxone + oral doxycycline + oral metronidazole
• BASHH recommend removal of IUDs.