Pelvic inflammatory disease

Question 1

Define PID

Answer 1

Infection of the uterus and/or fallopian tubes causing inflammation

Question 2

What is the epidemiology of PID?

Answer 2

1:50 sexually active women

Question 3

What causes PID?

Answer 3

Bacterial infection
-Commonly STI: chlamydia (1st), gonorrhoea (2nd)

Non-STI Infection
-Giving birth
Insertion IUD
Termination

PID can develop weeks or months after being infected with STI

Question 4

What are the clinical features of PID?

Answer 4

Lower abdominal pain*

Vaginal bleeding:

• heavy
• between periods
• after sex

Pain during sex
Abnormal discharge
Fever
Low back pain

Question 5

How is PID investigated?

Answer 5

Cervical swab and/or urethral swab

Laparoscopy w/ biopsy

Question 6

What are the complication of PID?

Answer 6

• Subfertility, scarring and damage to fallopian tubes
• Ectopic pregnancy
• Increased risk of miscarriage, premature birth, still birth
• Chronic pain inc. pain during sex
• Increased Reiter’s syndrome (uncommon)

Question 7

How s PID managed?

Answer 7

GENERAL
Condom use

MEDICAL
Antibiotics
-Oral ofloxacin + metronidazole for 14 days
-Preg? erythromycin + metronidazole
-Finish course (no sex until you and partner finish treatment)

CONTACT TRACING
-Any sexual partners within last 6 months - men often no symptoms