#Pelvic inflammatory disease #Women health and reproduction #treatment #fertility .
pelvic inflammatory disease is the inflammation of the upper female genital tract .( fallopian tube, uterus, ovaries)
– It is the most gynecologic disorder,which is sexually transmitted , a poly microbial infection ,caused by bacteria (N.gonnorrhea , Chlamydia,E.coil) .
RISK FACTORS.
– multiple Sexually partners .
– younger age of initiating sexual intercourse.
– prior hx of PID .
-lack of condom use .
– use of an iucd .
– vaginal douching.
Signs and symptoms.
– lower abdominal pain .
– pelvic pain .
– dysuria .
– back pain .
– post coital bleeding.
– menorrhagia.
– vaginal discharge.
– systemic symptoms – fever ,nausea , vomiting.
O/E : cervical motion tenderness .
– uterine tenderness.
Adnexal tenderness.
Investigation
– fhg .
– Esr.
– screening of other sti – n.gonnorrhea ,.
– pregnancy test – r/ o ectopic pregnancy.
-High vaginal swab- Trichomoniasis.
Treatment .
it can be out patient or inpatient.
– analgesic.
-Antibiotics.
– fluids .
– laparoscopy
-surgical mnx.
– follow up .
complications of PID .
– infertility – blockage and scarring of fallopian tube.
-Ectopic pregnancy.
– Perihepatitis.
– Chronic pain .
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