Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Last Updated: Jan 30, 2020
Change Language

Pid - Symptom, Treatment And Causes

About Symptoms Causes Side effects Complications Treatment Cure Advice Home remedies

What is PID?

PID or Pelvic inflammatory disease is an infection that affects the upper part of the female reproductive system which includes the uterus, ovaries, fallopian tubes and inside of the pelvis. Often, there may be no symptoms of this illness.

What are the early symptoms of PID?

PID does not cause any obvious symptoms. However, if you observe any of these mild symptoms, it’s better to get examined.

  • Pain around the pelvis or lower tummy
  • Dyspareunia
  • Pain while urinating
  • Bleeding between periods and after sex
  • Heavy periods
  • Painful periods
  • Unusual vaginal discharge especially when yellow or green

Some other serious symptoms include:

  • Severe pain in the stomach
  • High fever
  • Feeling sick
  • Signs of shock

Some of these signs and symptoms are also observed in other conditions like appendicitis and ectopic pregnancy. Thus, medical help should be taken to diagnose the disorder.

What are the causes of PID?

Pelvic inflammatory disease (PID) is caused by the upper female genital tract infection. The infection gets spread from the vagina & cervix up to the uterus, fallopian tubes and ovaries.

  • SEXUALLY TRANSMITTED INFECTIONS(STIs): 1 in 4 cases of PID are caused by STIs like Mycoplasma Genitalium, Chlamydia trachomatis or gonorrhea are mostly present in 75-90 % of cases of PID. These usually infect only the cervix and can be treated by single-dose antibiotics. If left untreated, the infection may extend upwards to the upper genital tract and can result in PID.
  • OTHER CAUSES: In some cases, the bacteria present in the vagina spread upwards and cause infection in the reproductive organs. Although these bacteria are harmless in the vagina, they may cause bacterial infection in other parts of the body. This is more common if you have had a history of PID, cervical mishandling, miscarriage or IUD insertion.

People who are more likely to develop PID are :

  • Those with multiple sexual partners
  • Have a new sexual partner
  • History of STIs
  • History of PID in the past
  • Are less than 25 years of age
  • Are sexually active at a younger age

What are the side effects of PID?

Untreated PID causes scar tissue and abscess collections in fallopian tubes damaging the reproductive organs. It may also cause:

  • Ectopic pregnancy: Scar tissue caused from PID can prevent the implantation of the embryo in the uterus, rather implanting it in the tube itself causing tubal pregnancy. This can result in life-threatening bleeding and is a medical emergency.
  • Infertility: PID infects the reproductive organs and affects the process of fertilization. The more number of times one had PID, the more risk of infertility. Also, delayed treatment of PID can result in infertility.
  • Chronic pelvic pain: Scarring of other pelvic organs, especially fallopian tubes causes severe pain during intercourse or ovulation.
  • Tubo-ovarian abscess: PID forms an abscess in the tubes and ovaries. If untreated, this could result in a life-threatening situation.

What are the serious complications of PID?

Pelvic inflammatory disease if left untreated can lead to serious complications. Some of the complications are as follows:

  • A patient may feel severe pelvic pain which can last for few months to years.
  • It can lead to scar which can cause pain during the process of ovulation or sexual intercourse.
  • Another major complication is the development of ectopic pregnancy. The scar tissue caused due to the PID acts as a hindrance to the fertilized eggs to pass through the fallopian tube so as to cause implantation in the uterus. Such ectopic pregnancy can cause severe bleeding and may thus require emergency treatment.
  • PID when left untreated can cause failure of the organs and lead to infertility.
  • It can also lead to abscess which is a collection of pus in the uterine tubes or ovaries.

How is pelvic inflammatory disease treated?

PID is usually a result of infection from multiple bacteria. Hence, a combination of antibiotics may be prescribed to combat the infection. The initial dose may be an injection followed by a 14 day-long course of antibiotics. The course of antibiotics must be completed even if you are better, to ensure that all the infection is cleared off. In severe cases of PID, hospitalization may be necessary to give IV antibiotics. If you have lower pelvic pain, painkillers may also be given along with antibiotics.

Follow up - After 3 days of taking antibiotics, it is necessary to get checked if they are working well for you. If the medicines are efficient, another follow up appointment is made at the end of the course to ensure if the infection has been cleared off.

Treating sexual partners - It is necessary to prevent the infection from spreading or recurring, even if no specific cause is identified. Sexual contacts must be avoided during the course of treatment.

Is PID curable?

Early detection is a key factor behind the cure of this disease. A late diagnosis of this condition often can lead to damage to the patient’s reproductive system.

Formation of scar tissues due to recurrent episodes of PID can increase the risk of infertility as multiple recurrences of this illness often results in tubal blockage of the fallopian tubes. This can also lead to the development of an ectopic pregnancy.

Experts Advice:

Experts recommend ultrasound scanning of the reproductive organs for diagnosing this disease. Antibiotics are generally prescribed for the treatment of this infection. PID is more recurrent in women who have a previous history of this disease. Use of IUD (intrauterine device) is another other reason for getting infected with this disease.

What are the home remedies for pelvic inflammatory disease?

Home Remedies of PID:

  • Bed-rest may be required for several days in case of serious infections.
  • Drinking plenty of water and eating healthy foods to fight the infection is essential.
  • Avoid using douche or tampons.
  • If a person is in extreme pain, he/she can use aspirin, ibuprofen, naproxen or acetaminophen. Heating pads can also be helpful in a few cases.
  • Avoid sexual relations while or before completing the course of treatment. If you are going to have one, it is recommended to use protection so as to avoid spreading the infection.
  • Follow-up appointments are mandatory to ensure that the infection is cured, even if the symptoms are gone.

Popular Questions & Answers

How many days I have to take adel 21 continuously .i underwent radiation for my prostrate cancer in 2017. When I had the problem of frequent urination, painful urination I was advised adel 21 by my homeo doctor. i got good relief .but symptoms repeat. I am on silodal 8 mg allopathic medicine.,

M.B.B.S, MS, DNB - Urology/Genito - Urinary Surgery
Urologist, Vadodara
Hello you need to be evaluated by all point of view like for prostate cancer spread ,bone health, urinary symptoms and sexual lifestyle and also need to know stage of your prostate cancer and accordingly we can decide for further detail please con...

Hi, age 53, I have enlarged prostrate, 30gm and post void urine 85 ml. Urine flow weak and feeling constant need to urinate. Psa 0.5. Prescribed veltam plus by doctor. Taking med for over a month. Improved flow of urine after a week but now condition kind of fluctuates. Better for few days and then again urine flow goes down and feeling returns. Do I need to change meds or go for surgery to get a stable urine flow.

MCh [Urology & Kidney Transplant], MS - General Surgery, MBBS
Urologist, Navi Mumbai
You may switch over to alternative drugs to tamsulosin and see response or you may additionally take other drug such as pde5 inhibitors with your urologists consultation. See for one more month. If not much response then go for procedure such as t...
1 person found this helpful

My father is 65 years of age and a diabetic patient. He is facing problem of frequent urination in day time but it increases at night and he has to go for urination 10-15 times at night time. He is taking urimax d now and has already taken urimax f dosage in last 6 months. But problem is still same. Please suggest the right treatment and right medicine.

M.B.B.S, MS, DNB - Urology/Genito - Urinary Surgery
Urologist, Vadodara
I understand your problem, he is most likely suffering from 1. Benign prostatic enlargement or 2.sibetic cystopathy so for tht it requires evaluation please consult then we can cure your father as he has no relif from urimax d.
1 person found this helpful

Sir, I aged 66 had underwent prostate surgery in 2018. After surgery also urine flow was slow and pain in abdomen. Now doctor done urodynamic test and told bladder is interactive. They advised urotone tablet. Whether this tablet works. What is alternative treatment for normal life.

MCh [Urology & Kidney Transplant], MS - General Surgery, MBBS
Urologist, Navi Mumbai
This drug may not work in many patients, you need to be in continuous consultation with your urologist. You can try for one month and see, watch for side effects. If this does not work then you might need to empty your bladder using intermittent s...

Popular Health Tips

All You Must Know About Signet Ring Cancer!

MBBS, MS - Gen Surgery
Cosmetic/Plastic Surgeon, Mumbai
All You Must Know About Signet Ring Cancer!
Signet ring cancer or Signet Ring Cell Carcinoma is a subtype of colorectal cancer. Accounting to 1% of all colorectal cancers, SRCC is an aggressive variant, which usually affects the younger population. Signet Ring Cell Carcinoma tumour develops...
2823 people found this helpful

All You Must Know About Gynecomastia!

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Vadodara
All You Must Know About Gynecomastia!
Gynecomastia is basically swelling of the breast tissues in boys and men. This is usually caused due to an imbalance of the hormones, estrogen, and testosterone. Gynecomastia can affect either one or both the breasts, sometimes in an uneven manner...
956 people found this helpful

Prostate Cancer - 5 Most Prevalent Myths About It!

MBBS, DNB ( Radiation Oncology), Fellowship in Uro Oncology, Fellowship in Brachytherapy
Oncologist, Mumbai
Prostate Cancer - 5 Most Prevalent Myths About It!
Even though Prostate cancer is one of the most common types of cancer among men and a lot of research has been conducted towards its understanding, it still remains one of the least talked about forms of cancer. This can lead to a lot of confusion...
1458 people found this helpful

Male Infertility - How To Administer It?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology)
IVF Specialist, Delhi
Male Infertility - How To Administer It?
Even today many people think infertility issues affect only women. But the truth is, 20% of all couples cannot conceive solely due to male infertility and almost 40% of couples find it difficult to conceive because of male fertility obstacles. Tes...
3059 people found this helpful

Laparoscopic Inguinal Hernia Repair !

MBBS, MS - General Surgery, DNB, FNB - Minimal Access Surgery, MRCS, FIAGES, FMAS.Laparoscopy, FALS Bariatric Surgery
Laparoscopic Surgeon, Mumbai
Laparoscopic Inguinal Hernia Repair !
A hernia occurs when a weakened area of muscle in the abdominal wall gives way and the internal organ/tissue bulges out through this weakened are or defect'. This can happen in many different areas of the abdomen. A hernia that develops in the gro...
4117 people found this helpful
Content Details
Written By
MBBS,MS - Obstetrics and Gynaecology
Gynaecology
Play video
Prostate Problems And Their Prevention
Namashkar dosto. Main Dr Shalabh Agarwal, Urologist hu. Aaj hum baat karenge prostate ke bare mein. To main aapko bata doon ki prostate apne aap mein ek bimari nahin but sharir ka ek ang hai. Prostate ki bimari ho sakti hai jo old age mein ya youn...
Play video
Hematuria - Know The Symptoms
Hello, I am doctor Saurabh Mishra. I am a senior consultant in the department of urology. Today I am going to discuss hematuria. Hematuria means blood in the urine. It's a common symptom and it can happen in young, middle-aged and elderly; all thr...
Play video
Benign Enlargement Of Prostate
Hello, I am Doctor Avanish Arora. I am a senior consultant urologist and uro-oncosurgeon. I treat benign and cancerous condition of kidney, bladder, prostate, testis, penis and adrenals. Today I am going to talk about a very common condition affec...
Play video
Prostate Cancer
Hi All, I am dr. Shrikant M.Badwe. I am urologist practicing for the last 38 years. Let me tell you something about prostate cancer, prostate cancer is the second leading cancer all over the world and in the large metropolitan cities in India like...
Play video
Frozen Shoulder
Hi, I am Dr. Darsh Goyal, Orthopedist. Mai aaj aap ko frozen shoulder ke baarein mein btaunga. Ye bahut hi common problem hai jise hum kandha jaam hone ke naam se bhi jaante hain. Iska dusra naam adhesive capsulitis bhi hai. Ismein patient ko shou...
Having issues? Consult a doctor for medical advice