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PELVIC INFLAMMATORY DISEASE
Pelvic inflammatory disease (PID) is the ascent of bacteria from the vagina or cervix resulting in infection of the reproductive organs eg uterus, fallopian tubes, ovaries. It may also be a complication of sexually transmitted infections.
The most common symptoms of PID are lower abdominal pain (crampy or dull) that usually starts a few days after the onset of the last menstrual period, dyspareunia, abnormal vaginal or cervical discharge, postcoital or irregular vaginal bleeding, dysuria, fever, nausea and vomiting, although some have minimal symptoms or silent pelvic inflammatory disease.

Patient Education

  • Patient needs to be informed about the nature of the infection & the importance of taking the full course of medication
  • Counsel patients on possible complications of sexually transmitted infection (STI)
  • Inform the patient of the possible short-term effects of PID (eg tubo-ovarian abscess) as well as long-term consequence (eg infertility, ectopic pregnancy, chronic pelvic pain)
    • Incidence of long-term adverse effect of PID is directly related to the number of recurrences of PID
  • Patients should be advised to avoid unprotected sex until they & their partners have completed therapy & follow-up

Advise patients on how to lower their risk of acquiring sexually transmitted infections (STIs):

  • Tailor counseling to the patient’s specific risk factors
  • Abstinence, condom use
  • Careful selection of partners

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