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February 10, 2012

Pelvic Inflammatory Disease (cont.)

How is pelvic inflammatory disease diagnosed?

If you think that you may have pelvic inflammatory disease, see a doctor right away. If you have pain in your lower abdomen (stomach area), your doctor will perform a physical exam. This will include a pelvic (internal) exam. Your doctor will check for:

  • Abnormal discharge from your vagina or cervix

  • Lumps called abscesses near your ovaries and tubes

  • Tenderness or pain in your pelvic organs

Your doctor will also test you for STIs, including HIV and syphilis (SI-fuh-luhs), urinary tract infection, and if needed, pregnancy. If needed, your doctor may do other tests.

  • Ultrasound (sonogram) — a test that uses sound waves to take pictures of the pelvic area.

  • Endometrial (en-duh-MEE-tree-uhl) (uterine) biopsy — the doctor removes and tests a small piece of the endometrium (the inside lining of the womb).

  • Laparoscopy (lap-uh-RAHS-kuh-pee) — the doctor inserts a small, lighted tube through your abdomen (stomach area) to look at your pelvic organs.

These tests will help your doctor find out if you have pelvic inflammatory disease, or if you have a different problem that looks like pelvic inflammatory disease.

How is pelvic inflammatory disease treated?

PID can be cured with antibiotics (drugs that kill bacteria). Most of the time, at least 2 antibiotics are used that work against a wide range of bacteria. Your doctor will work with you to find the best treatment for you. You must take all your medicine, even if your symptoms go away. This helps to make sure your infection is fully cured. You should see your doctor again 2 to 3 days after starting treatment to make sure the antibiotics are working.

Without treatment, PID can lead to severe problems like infertility, ectopic pregnancy, and chronic pelvic pain.

Any damage done to your pelvic organs before you start treatment likely cannot be undone. Still, don't put off getting treatment. If you do, you may not be able to have children. If you think you may have PID, see a doctor right away.

Your doctor may suggest going into the hospital to treat your PID if you:

  • Are very sick

  • Are pregnant

  • Don't respond to or cannot swallow pills. If this is the case, you will need intravenous (in the vein or IV) antibiotics.

  • Have an abscess (sore) in a tube or ovary

If you still have symptoms or if the abscess doesn't go away after treatment, you may need surgery. Problems caused by PID, such as constant pelvic pain and scarring, are often hard to treat. But, sometimes they get better after surgery.


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