Pelvic inflammatory disease
Infection of the internal female reproductive organs. Pelvic inflammatory disease (PID) is one of the most common causes of pelvic pain in woman. The infection may not have any obvious cause, but often occurs after a sexually transmitted disease, such as gonorrhea or a chlamydial infection. PID may also occur after miscarriage, abortion, or childbirth. IUD users have a higher incidence of PID, as do young, sexually active women.
SYMPTOMS AND SIGNS
Abdominal pain and tenderness, fever, and an unpleasant-smelling vaginal discharge are the most common symptoms of PID. The pain often occurs immediately after menstruation and may be worse during intercourse. There may also be malaise, vomiting, or backache.
DIAGNOSIS AND TREATMENT
The physician performs a pelvic examination and takes samples of any discharge for analysis. A laparotroy may be done to detect any abscess or
Antibiotic drugs are prescribed to clear up the infection, and analgesics may be given. If the woman has an IUD, it may need to be removed.
Some women have repeated attacks of PID with or without reinfection. PID may cause infertility or an increased risk of ectopic pregnancy, primarily due to scarring in the fallopian tubes that prevents the egg from traveling down the tube into the uterus.