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PID Health Feed

Pelvic Inflammatory Disease!

MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), Biochemistry M.D.( PG) (Kol), CMS Ed, Affilied by UGC & MCI., Electro - Homoeopathy Pledge (Certifict No.11244)., Electro Homoeopathy Certficate.
Homeopathy Doctor, Kolkata
Pelvic Inflammatory Disease!

Pelvic Inflammatory Disease(PID) Diagnosis And Treatment

Definition
PID is defined as an infectious disease of the upper female reproductive system. This infection usually affects the uterus, fallopian tubes and, in some patients, the ovaries. Pid is closely linked with sexually transmitted diseases and the most commonly implicated organisms are chlamydia trachomatis, neisseria gonorrhoeae, and gardnerella vaginalis. Approximately, 20% of women who are untreated for chlamydial and gonorrheal infections will develop PID. Viral infections can also complicate pid and they includeherpes simplex type 2 and cytomegalovirus.

Several risk factors

  • Multiple sexual partners
  • Previous history of sexually transmitted infections
  • Invasive gynecological procedure such as an endometrial biopsy.
  • Intrauterine devices for contraception
  • Clinical presentation of pelvic inflammatory disease

Patients, if symptomatic, usually present with a fever, nausea, vomiting and pelvic and abdominal pain. Several clues exist that can make the physician suspect pelvic inflammatory disease as the etiology of abdominal pain in a young female patient, which include multiple sexual partners, a recent history of a sexually transmitted infection or the use of an intrauterine device for contraception.

Patients usually present during their menstruation, another clue towards pid as the cause of abdominal pain.
Pelvic pain is exacerbated by intercourse, motion or exercise. PID, if untreated, can lead to intraabdominal abscess formation or infertility, hence the threshold to diagnose pid should be low. Accordingly, any patient who presents with the above picture should undergo an abdominal and pelvic examination looking for any of the following three signs:
(1) cervical motion tenderness
(2) uterine tenderness
(3) adnexal tenderness

Diagnosis

  • Laparoscopic confirmation
  • Oral temperature above 38.3 c
  • Abnormal cervical or vaginal discharge
  • White blood cells on microscopic examination of the vaginal discharge
  • Elevated erythrocyte sedimentation rate and
  • (CRP) c-reactive protein level

Laboratory confirmation of chlamydia or neisseria gonorrhea infection by dna.

The presence of

  • Fever
  • Lower abdominal pain
  • Vaginal discharge
  • And a high erythrocyte sedimentation rate is usually enough, and the other criteria are only there to increase the certainty.

Laboratory investigations are needed to exclude other differential diagnoses and to confirm the diagnosis. The presence of more than 10 white blood cells per high-power field on microscopic examination of the vaginal secretions is a good diagnostic criterion for pid. Additionally, the detection of chlamydia or gonorrhea dna or culture studies can be helpful in increasing certainty.
Leukocytosis is found in about 50%
Transvaginal ultrasonography such as an
Abscess orectopic pregnancy.

Treatment of (PID)

  1. Ceftriaxone
  2. Doxycycline
  3. Metronidazole

Or

  1. Cefoxitin
  2. Doxycycline
  3. Metronidazole


Treatment
Ceftriaxone 250 mg I'm + Doxycycline 100 mg po bid x 14 days

If concern for anaerobic cause consider adding
Metronidazole

Another possible and acceptable regimen for treatment includes
Clindamycin iv and Gentamicin iv
Like the previous treatment, 24 hours after clinical improvement, the patient should start taking doxycycline orally for two weeks.

1 person found this helpful

I had problem of bulky uterus and pid, doctor have suggested me to take doxycycline and lactic bacillus, pan40,metrogyl400, zocon as kit how much this will be effective.

Dr.Balachandran Prabhakaran 93% (567ratings)
MBBS, M.D., Dip.in pelvic surgey,
Gynaecologist, Kottayam
It is an effective treatment for pelvic inflammatory disease. But duration of this combination treatment must be for a minimum period of 14 days.
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It’s probably a weird question but can you get chlamydia by giving someone infected a hand job? I have pid and a day ago I gave someone a hand job, however the pelvic pain has returned in just one day. I don’t understand. I also got stimulated over the underwear, could that affect the pid?

Homeopathy Doctor, Kolkata
During active infection status, strictly avoid sexual matters. Both of the partners will be always at risk. And contamination may happen even over the underwear.
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I had unprotected sex with my bf & was diagnosed with pid almost 2 years ago, and the doctor prescribed antibiotics. After that till now every month just before and after my periods there is irritation, sometimes odour in my discharge, and itching in my vag, and burning sensation when I pee. What could it be?

Dr.Karuna Chawla 97% (95633ratings)
BHMS
Homeopathy Doctor, Noida
1.You should maintain high grade of personal hygiene. 2.Do change your underclothes at least 2 times a day 3.Wear cotton under garments 4.Stay hydrated. Drink plenty of fluids. 5.Keep the area dry homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all.
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Pelvic Inflammatory Disease - How To Detect It?

Dr.Meenu Bansal 87% (10ratings)
DGO, MBBS, FOGSI
Gynaecologist, Ahmedabad
Pelvic Inflammatory Disease - How To Detect It?

Pelvic Inflammatory Disease is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.

Causes

Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of different people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.

Symptoms

The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. Associated symptoms of Pelvic Inflammatory Disease include high fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.

Diagnosis

A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries.

Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause Pelvic Inflammatory Disease.
An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs.

A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.

Treatment

The treatment procedures of Pelvic Inflammatory Disease vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.

1322 people found this helpful

Pelvic Inflammatory Disease - How To Detect It?

Dr.Archana Gupta 90% (24ratings)
MBBS, Post Graduate Diploma In Sonography Obs - Gynae & Abdomen
Gynaecologist, Delhi
Pelvic Inflammatory Disease - How To Detect It?

Pelvic Inflammatory Disease is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.

Causes

Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of different people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.

Symptoms

The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. Associated symptoms of Pelvic Inflammatory Disease include high fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.

Diagnosis

A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries.

Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause Pelvic Inflammatory Disease.

An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs.

A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.

Treatment

The treatment procedures of Pelvic Inflammatory Disease vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.

2016 people found this helpful

Pelvic Inflammatory Disease - How To Administer It?

MBBS, MD - Obstetrics & Gynaecology -, Diploma in Obstetrics & Gynaecology
Gynaecologist, Mumbai

Pelvic Inflammatory Disease is a common infection in the female reproductive organs like the ovaries, the uterus and the fallopian tubes and also the inside of the pelvis. If left untreated for a long time, PID can lead to severe problems like pregnancy complications, infertility and cancer.

Causes

Sexually Transmitted Diseases (STD) like chlamydia and gonorrhea produce vaginal bacteria which travel to the interior organs and cause PID. Having unprotected sexual contact with someone who has an STD is the most common cause of PID. Moreover, medical processes like abortion, miscarriage, childbirth, insertion of contraceptive devices can also lead to bacterial infection. Having sex with a number of different people, or having sex before the age of 20, or having had an STD in the past, also increase the chances of Pelvic Inflammatory Disease.

Symptoms

The disease may show only minor symptoms or it may not show any symptom at all. When it does, the common symptoms are pelvic pain, discomfort while urinating or having intercourse, difficulties with menstruation and unusual fluid discharge from the vagina. Associated symptoms of Pelvic Inflammatory Disease include high fever, nausea, vomiting, indigestion, exhaustion, shivering and fainting.

Diagnosis

A pelvic examination is conducted to check for abnormal bleeding from the cervix (the opening of the uterus), fluid discharge or severe pain in the uterus, fallopian tubes or in the ovaries.

Swabs taken from the cervix and the vagina are tested for STDs or other possible bacterial infections that may cause Pelvic Inflammatory Disease.

An ultrasound or a Computerized Tomography (CT) scan is conducted to make sure that the symptoms are not being caused by other disorders like appendicitis or other kinds of infection in the reproductive organs.

A pregnancy test is also done to take the necessary precautions to protect the fetus from the adverse effects of the infection.

Treatment

The treatment procedures of Pelvic Inflammatory Disease vary depending on the type of bacteria that caused the infection in the specific case. Antibiotic medication is used to treat the condition. In case of severe complications, the patient has to be hospitalized.

3149 people found this helpful

Hi, My friend is 25 years old and she had an intercourse with her boyfriend soon after that she took levonorgestrel after 5 days she got bleeding for 3 days. Her period starts on 3rd. Actually They met on her 8th day of her period. What is the cause? Is that her period started?

Dr.Sheetal Vishwas Binawade 92% (368ratings)
MBBS, Diploma in Gynecology and Obstetrics, Diploma in Sex Therapy & Counselling
Sexologist, Pune
It is due to I pill effect. Caused withdrawal bleeding. I pill, unwanted 72 is designed as an emergency contraceptive medicine don't use it as routine backup method for contraception as it causes irregular menses ,abdominal cramp, heavy bleeding.
1 person found this helpful
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Hi Sir, Mild free fluid in pelvis or thickened endometrium ho gaya. Koi serious bimari hai kya ye? Could you tell me kya hai ye?

Dr.Prakhar Singh 97% (5989ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
You may need pelvic examination and few other tests to identify reasons of pain in your genital tissues, vaginal dryness or pain-triggering spots. Dryness or shrinking of the vagina might make sex uncomfortable and, in turn, reduce your desire. Estrogen may help relieve vaginal atrophy symptoms. However, estrogen doesn't improve sexual functioning related to hypoactive sexual desire disorder. We should discuss it in detail to understand the actual reason of your low sex drive.
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Dr. today was the last day of periods of my girlfriend. Today we had protected sex. But after sex, she is little bleeding from her vagina. What's the problem. Is there any problem?

Dr.Prakhar Singh 97% (5989ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don't experience blood loss severe enough to be defined as menorrhagia. You may require a physical examination and few test like pap test, endometrial biopsy, ultrasounds, blood test etc. To diagnose your menstrual disorders.
1 person found this helpful
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