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PELVIC DISEASES

Infection in the female reproductive organs due to bacteria sexually transmitted from the vagina into the uterus is known as pelvic inflammatory disease or PID. Most women afflicted with PID show no symptoms or do not seek any medical attention. The disease is usually detected with the woman has trouble getting pregnant or develops a chronic pelvic pain.

Causes of PID
  • PID is caused due several bacteria
  • Commonly caused due to gonorrhoea or Chlamydia infections
  • Bacteria is acquired during unprotected sex
  • The germs can enter the reproductive tract and disturb the normal cervix barrier - can also occur due to IUD insertion, miscarriage, childbirth and abortion
Signs and symptoms of PID
  • Heavy vaginal discharge
  • Discharge has an unpleasant odour
  • Pain in the pelvis and lower abdomen
  • Fever
  • Irregular menstruation
  • Pain during intercourse
  • Difficulty urinating or pain during urination
  • Sometimes the signs are so minor, they can go unnoticed
  • Chlamydia infection generally has mild or no symptoms
Complications of PID
  • When PID is untreated it can
    • Develop a scar tissue
    • Collect infected fluid into the fallopian tubes
    • Damage the reproductive organs
  • Lead to ectopic pregnancies – tubal pregnancy where the fertilised egg does not make it to the uterus through the fallopian tube – it is a life-threatening condition
  • Abrasion to reproductive organs can lead to infertility – the more the number of PIDs the greater the rate of infertility
  • The fallopian tubes and pelvic organs can be scarred due to the chronic pelvic pain
Diagnosis of PID
  • Tests recommended are :
    • Ultrasound of the reproductive organs
    • Endometrial biopsy
    • Laparoscopic examination of the pelvic region
  • PID is diagnosed on the basis of signs and symptoms

You can come to the ER at Jacob’s Hospital if your symptoms are severe such as vomiting, signs of shock, severe pain in the lower abdomen and fever greater than 101 F

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