Posted on 12/09/2019 in Back Injury

Causes, Symptoms, and Treatments of Pelvic Inflammatory Disease

Causes, Symptoms, and Treatments of Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is a reproductive organ infection that occurs when bacteria pass through the cervix into the uterus and fallopian tubes. PID can lead to infertility, chronic pelvic pain, ectopic pregnancy, adhesions, peritonitis, and perihepatitis. In very rare cases, untreated PID can lead to death. This condition can be acute (sudden symptoms), chronic (prolonged symptoms) or silent (without any symptoms).

The presence or absence of symptoms doesn’t indicate the degree of damage to the reproductive organs caused by PID. You can have no symptoms and have serious blockages and adhesions that may lead to infertility. Some women find that they have a PID only after an unsuccessful attempt to get pregnant or after an ectopic pregnancy.


Pelvic inflammatory disease is often caused by sexually transmitted diseases (STDs) such as chlamydia and gonorrhea. Chlamydia can lead to silent PID and many women don’t know that they are affected. But there are some bacteria in the vagina that can lead to PID and bacterial vaginosis as well.

Undiagnosed and untreated STD increase your risk of PID at any time when the cervix is open and the infection is able to enter the uterus. You also have a higher risk of PID if you have recently inserted an IUD, had a miscarriage or abortion.

Symptoms of PID

Symptoms of PID vary from person to person depending on whether they experience an acute, chronic, or silent PID. The most typical symptom of PID is pelvic pain. Other symptoms include: 

  • Pain during sex

  • Pain in the lover back

  • Irregular menstruation

  • Unusual vaginal discharge

  • Urination problems

  • Flu symptoms (fatigue, fever, chills, weakness, or swollen lymph nodes)

  • Lack of appetite

  • Diarrhea

  • Vomiting

  • Infertility

Many symptoms can be confused with other diseases such as endometriosis, appendicitis, or urinary tract infection. It is very important to talk with your gynecologist if you suspect that you may have got an STD or you have other risk factors, such as childbirth, miscarriage, abortion, or an IUD.

If you experience constant pelvic pain or pain during sex and your doctor is not able to successfully diagnose or treat the problem, you may want to look for a second opinion in order to find the right treatment for your symptoms. Your overall health and especially fertility depend on this.

Treatment options

The most common treatment option for PID is oral antibiotics. Determining the exact organism that is responsible for your PID can be difficult because sometimes several kinds of bacteria can be involved. In such situations, you may be prescribed two or more antibiotics. Treatment often begins before all results return because of the risk of complications and potential damage to your fertility. But the results may indicate that you need to take a different antibiotic for a successful recovery and your doctor may change your treatment halfway.

You can also take antibiotics in the form of injections. Severe or difficult to treat cases can be treated intravenously and that’s why a hospitalization may be required. Despite the fact that you can feel much better after several days of antibiotic treatment, it is essential to continue the treatment. Interruption of the antibiotic regime may result in bacteria becoming resistant to antibiotics and this can make further treatment difficult or even impossible.

You also need to know that your sexual partner or partners should be treated as well even though there are no symptoms. Otherwise, you can continue to transfer the bacteria responsible for the pelvic inflammatory disease back and forth. Moreover, you should use a condom during sexual intercourse in order to avoid reinfection. In complicated cases, you may require surgery to treat abscesses or especially painful adhesions. In very rare cases, an emergency hysterectomy is possible.

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