Pelvic Inflammatory Disease

If you have pelvic inflammatory disease (PID), you have an internal infection that has usually spread from the vagina or neck of the womb into the womb (uterus) and its surrounding organs (cervix). It may also affect the lower tummy (pelvis) region near these organs. To avoid complications, it is critical to treat it with antibiotics. The infection is usually passed along through intercourse (a sexually transmitted infection – STI). In this article Dr.Chetna Jian top 10 gynecologists in Gurgaon explains about Pelvic inflammatory diseases.

pelvic inflammatory disease

Symptoms

The most frequent symptom of PID is pain in the lower tummy (abdomen), often known as the pelvic area. Its severity might range from minor to severe.

Other symptoms that one can develop pelvic inflammatory disease are as follows:

  • Abnormal vaginal bleeding, which happens in approximately one out of every four instances. This could be heavier-than-usual periods, bleeding between cycles, or bleeding after having intercourse.
  • During intercourse, there is pain.
  • Vaginal discharge that is abnormal.
  • Extremely hot (fever).
  • Low back ache

Symptoms may appear fast. Over the course of a few days, you can become pretty unwell. Symptoms can be modest at first and worsen gradually. For example, you could have minor abdomen pain that lingers for weeks. In some circumstances, no symptoms appear, and you are unaware that you are infected. Even if you have no symptoms at first, you are still at risk of consequences.

Causes

  • Infections spread through sexual contact
  • A sexually transmitted infection is a common cause of PID (STI). When you have sex, germs (bacteria) are transmitted on. The most prevalent causes of PID are Chlamydia and gonorrhoea. Chlamydia and gonorrhoea are sometimes found together. Another prevalent cause is Mycoplasma genitalium, a type of bacteria. Bacteria can live in the womb’s neck for a long time without generating symptoms. When babies enter the womb, you become ill. This is why you may develop PID weeks or months after having sex with someone who is infected.

Other reasons

Some PID cases are not caused by an STI. Normally, the vagina includes a wide variety of germs. These are often innocuous and are not transmitted through sexual contact. However, these bacteria can occasionally cause PID. This is more of a danger following childbirth or a surgery such as the insertion of an intrauterine contraceptive device (coil).

Complications 

When pelvic inflammatory disease is detected and treated early, complications are avoided in the majority of cases. One or more of the following complications are possible:

  • Difficulties conceiving (infertility). Scarring or damage to the Fallopian tubes can result from PID. This can happen whether or not the PID was the cause of the symptoms.
  • If you become pregnant, you are more likely to have a pregnancy develop in a Fallopian tube (an ectopic pregnancy). The infection has caused harm to the Fallopian tube. If you have PID and become pregnant, you have a 1 in 10 chance of having an ectopic pregnancy.
  • Pain that lasts for a long time is possible. This frequently includes sex pain.
  • Pregnant women with untreated PID have a higher chance of having some pregnancy issues (such as miscarriage, early birth, and stillbirth).
  • Arthritis that is reactive. This is a rare cause of arthritis and inflammation of the eyes. It is a rare complication of PID. In certain situations, it is assumed to be caused by the immune system ‘overreacting’ to pelvic infection.
  • If the infection is severe, an abscess (a collection of pus) may form near to the womb (uterus).

If you start treatment within 2-3 days after the onset of symptoms, you are less likely to develop problems. This is possible if symptoms appear soon. However, some women with PID have quite minor symptoms or none at all. Before being discovered or treated, the infection may have progressed for some time.

Treatment

  • The standard treatment is a two-week course of antibiotics. Your doctor may decide that you need to be admitted to the hospital for treatment at times. This is recommended if your temperature is extremely high (more than 38°C) if there are signs of pus accumulation (an abscess).
  • Two antibiotics are frequently recommended. This is done to cover the wide range of germs (bacteria) that might cause pelvic inflammatory disease. You may also be given an antibiotic injection first, followed by a two-week course of one or two antibiotic tablets. pelvic inflammatory disease can be treated using a variety of methods. It is critical to complete the entire course of treatment. If pelvic inflammatory disease is detected, treatment will normally begin as soon as feasible. This may occur before the results of samples (swabs) or other testing are available. This is due to the fact that the earlier therapy begins, the better the outlook and the lesser the chance of future reproductive issues.
  • Inform your doctor if you are (or suspect you are) pregnant. This may influence the antibiotic of choice.
  • An operation is occasionally required. For example, if an abscess forms, it may be necessary to drain it (which is very uncommon).

    For appointments of top 10 gynecologists in Gurgaon contact Dr. Chetna Jain.
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