DISEASE SCANNER

Global Incurable Diseases Tracker

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Gynecologic Condition

Pelvic Inflammatory Disease (PID)

MODERATE

An infection of the female reproductive organs, usually caused by sexually transmitted bacteria spreading from the vagina to uterus, fallopian tubes, or ovaries. Affects approximately 4.4% of women of reproductive age. Leading preventable cause of infertility and ectopic pregnancy.

Global Affected

88.0M

Countries

111

Symptoms

Lower abdominal pain
Fever
Abnormal vaginal discharge
Pain/bleeding with sex
Burning with urination
Irregular bleeding
Pain in upper right abdomen (Fitz-Hugh-Curtis)
Nausea/vomiting

Treatment Options

Ceftriaxone + doxycycline + metronidazole
Broad-spectrum antibiotics
Hospitalization (severe cases)
IV antibiotics
Partner treatment
Abscess drainage
Surgery (complications)

Risk Factors

1Sexually active
2Multiple partners
3Unprotected sex
4Previous PID
5STI history
6Douching
7IUD insertion (first 3 weeks)
8Age 15-25

Diagnostic Methods

  • 1Clinical diagnosis
  • 2Pelvic examination
  • 3NAAT for chlamydia/gonorrhea
  • 4Pregnancy test
  • 5Ultrasound (abscess)
  • 6Laparoscopy (definitive)
  • 7ESR/CRP (elevated)

Prognosis

Good with prompt treatment; 90% cured. Delayed treatment increases complications. Infertility risk: 10-15% after one episode, 25% after two, 50% after three. Ectopic pregnancy risk increased 6-10 fold. Chronic pelvic pain in 20%. Recurrence common.

Prevention

  • Safe sex practices
  • Condom use
  • Regular STI screening
  • Prompt STI treatment
  • Limit sexual partners
  • Avoid douching

Research Status

Broad-spectrum antibiotics (ceftriaxone + doxycycline + metronidazole) are standard. Outpatient vs. inpatient depends on severity. Partner treatment essential. No role for routine IUD removal. Treatment of complications (tubo-ovarian abscess). Prevention through STI screening and treatment.

Sources

  • https://www.cdc.gov/std/pid/
  • https://www.mayoclinic.org/diseases-conditions/pelvic-inflammatory-disease
  • https://www.acog.org/womens-health
  • https://www.mayoclinic.org/diseases-conditions
  • https://www.ncbi.nlm.nih.gov/books

Medical Disclaimer

This information is for educational purposes only. Always consult healthcare professionals for medical advice, diagnosis, and treatment.