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53 -Pelvic-Inflammatory-Disease

Pelvic Inflammatory Disease

 Pelvic Inflammatory Disease



* The female reproductive system consists of the uterus, fallopian tubes and ovaries.
* PID is a serious consequence of STD sexually transmitted diseases. Sexually active women in the age group of 15 to 25 years, especially who have multiple sexual partner s are at a higher risk although the disease may occur in women with monogamous relationship.
* Increased risk of Infertility and ectopic pregnancy, especially tubal pregnancies are serious consequences of PID.


General: The most common symptoms of PID include:

* Abdominal pain
* Fever
* Vaginal discharge

Other symptom includes

* Lack of appetite,
* Nausea
* Vomiting
* Pain during sexual intercourse
* Bleeding after intercourse
* Irregular menstrual bleeding
* Low back pain
* Frequency of urination
* Painful urination
* Tenderness.

Sometimes, there may be no symptoms at all and the PID may be silent.


The two commonest causes of STD are Neisseria gonorrhoeae and Chlamydia trachomatis.

  • Infection with N. gonorrheae gives rise to symptoms of vaginal discharge which is usually purulent.
  • Infection with C. trachomatis will mostly have mild symptoms or no symptoms at all.
  • Both Gonorrhoea and Chlamydia are sexually transmitted disease ( STD). PID due to Chlamydia infection is more common among teenagers and younger women.

Risk Factors:

  • Having multiple sexual partners and not using condoms while sexual intercourse puts a person at higher risk.
  • People with a previous history of PID are at higher risk
  • Women using IUCD for birth control
  • Recent history of abortion or douche also increases the risk.

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