Pelvic Inflammatory Disease Flashcards
1
Q
What is the aetiology, pathophysiology and presentation of
PID?
A
Infection of upper genital tract
Mostly STI related - chlamydia or gonorrhoea
Also from instrumentation - hysteroscopy, coil insertion, postpartum
Most commonly affects sexually active women age 15-24
Presentation: Asymptomatic Pelvic tenderness Deep dysparunia Discharge - green/yellow Post coital bleeding Intramenstral bleeding
Can be chronic:
Adhesions between pelvic organs, distended tubes, risk of ectopic, long term symptoms
Infertility - 1/10
2
Q
How do you manage PID?
A
If caught early:
Triple therapy = Abx for chlamydia, gonorrhoea and TV (doxycycline PO BD 7days + ceftriaxone IM one off + metronidazole)
Contact tracing if necessary, though may still occur in long term monogamous relationships
May need coil removing as may be the causative agent
