Pelvic inflammatory disease (PID) is an infection of the internal female reproductive organs, the uterus and ovaries, and surrounding tissue within the abdomen. This frequently occurs secondary to a sexually transmitted infection (STI) of the vagina which has not been appropriately treated. If PID is left unattended, there is potential for severe complications.
The most common organisms causing PID are Chlamydia trachomatis and Neisseria gonorrhea. Around 10% of women with untreated chlamydia tend to progress to PID. According to a recent CDC report, 88000 women in the US, between the ages of 15 -44 years were diagnosed with PID.
Risk Factors for PID
- Prior STI
- Prior PID
- Age below 25 years
- Lack of usage of barrier contraception
- Multiple sexual partners
- Douching, as this can push the microbes deep into the cervix and uterus
- Recent Intra-Uterine Device (IUD) Insertion. The risk is increased only in the initial 3 weeks surrounding insertion, following which the risk decreases
Symptoms of PID
- Lower abdominal pain and cramping
- Vaginal discharge with foul odor
- Painful menstruation
- Irregular menses
- Pain during sexual intercourse
- Pain upon urination
Diagnosis of PID
The diagnosis is made by your physician after a complete physical examination including your pelvic region and a few laboratory tests
- Pelvic exam: This is done to look for pain and discharge from the cervix and vagina and also assess for tenderness around the uterus and ovaries
- Tests for STI: A swab of the discharge is taken to examine for chlamydia, gonorrhea and other microorganisms.
- Urine routine and culture: This is done to evaluate for and rule out a urinary tract infection (UTI).
- Ultrasound of the Pelvis: This is done to visualize the uterus and the ovaries in the pelvis to look for an abscess.