pelvic inflamatory diseass(PID)

DEFINATIOn

Inflammatory disease or pelvic inflam  

disorder (PID) is an infection of the upper part of thefemale reproductive system namely the uterus,fallopian tubes, and ovaries, and inside of the pelvis

RISK FACTOR

it's most common in young

nulliparous,sexual activity women with multiple partners

Cause

caused by sexual transmited organism

Chlamydia trachomatis and N-gonorrhoeae as well as endogenous organisms including anaerobe,Haemophilus influnzae,enteric gram-negative rode and streptococci

SYMPTOMS AND SIGN

Symptoms in PID range from none to severe

 If Often there may be no symptoms

 when present may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, or irregular menstruation are symptoms, then fever,cervicalmotion tenderness, lowerabdominal pain, new or different discharge, painful intercourse, uterine tenderness, adnexal tenderness, or irregular menstruation may be noted

Other complications include endometritis, salpingitis,tubo-ovarian abscess, pelvic peritonitis, periappendicitis, and perihepatitis

TREATMENT

Typical regimens include cefoxitin or cefotetan plus doxycycline, and clindamycin plus gentamicin. An alternative parenteral regimen is ampicillin/sulbactam plus doxycycline. Another alternative is to use a parenteral regimen with ceftriaxone or cefoxitin plus doxycycline. Clinical experience guides decisions regarding transition from parenteral to oral therapy, which usually can be initiated within 24–48 hours of clinical improvement

Complications

PID can cause scarring inside the reproductive system, which can later cause serious complications, including chronic pelvic pain,infertility, ectopic pregnancy (the leading cause of pregnancy-related deaths in adult females), and other complications of pregnancy. Occasionally, the infection can spread to in the peritoneum causing inflammation and the formation of scar tissue on the external surface of the liver (Fitz-Hugh–Curtis syndrome

current internal medicin

Wikipedia medicin

DR:Khalid Alshameri