Description
An infection that involves the fallopian tubes, uterus, and/or ovaries. The fallopian tubes connect the ovaries to the uterus. Most cases of PID are from bacteria that are spread through sexual contact. The infection increases the risk of future ectopic pregnancy and infertility.
Symptoms
Vaginal discharge with abnormal color, lower abdominal pain, fever, painful intercourse.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Painful areas on pelvic exam and vaginal discharge make this diagnosis likely. Swab tests from the cervix to check for gonorrhea or chlamydia infection help make the diagnosis.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Culture of urethra (men) or cervix (women), DNA probe, Urinalysis (UA), Ultrasound
Other Specific Tests: ESR (erythrocyte sedimentation rate), Laparoscopy, Endocervical cultures, CT scan
Specialists:
Obstetrics and Gynecology
Workup:
A history and physical exam will be performed. Painful areas on pelvic exam and vaginal discharge make this diagnosis likely. Swab tests from the cervix to check for gonorrhea or chlamydia infection help make the diagnosis.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Comprehensive metabolic panel (CMP), Culture of urethra (men) or cervix (women), DNA probe, Urinalysis (UA), Ultrasound
Other Specific Tests: ESR (erythrocyte sedimentation rate), Laparoscopy, Endocervical cultures, CT scan
Specialists:
Obstetrics and Gynecology
Treatment
Oral antibiotics can be used for mild infections. More serious cases require intravenous antibiotics. Surgery may be necessary if an abscess is present. When gonorrhea or chlamydia infection is found, the sexual partner will also require treatment with antibiotics.