Week 5

Question 1

What are the risk factors for PID?

Answer 1

Sexually active
Aged under 15-24
Recent partner change
Intercourse without barrier contraceptive protection
History of STIs
Personal history of pelvic inflammatory disease
Instrumentation of cervix e.g. gynae surgery, IUS implantation or termination of pregnancy

Question 2

What are the 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 is first line management for PID?

Answer 3

first-line: stat IM ceftriaxone + followed by 14 days of oral doxycycline + oral metronidazole

Question 4

What are the complications seen due to PID?

Answer 4

perihepatitis (Fitz-Hugh Curtis Syndrome)
occurs in around 10% of cases
it is characterised by right upper quadrant pain and may be confused with cholecystitis
infertility - the risk may be as high as 10-20% after a single episode
chronic pelvic pain
ectopic pregnancy