20/03/2018
Pelvic Inflammatory Disease: Untreated, The Disease Could Cause Infertility. Pelvic inflammatory disease, also commonly called “PID,” is an infection that affects a woman’s reproductive system. In a woman, the reproductive system includes: The uterus or womb (the organ that holds a baby when a woman is pregnant), the ovaries (the organs that release eggs), the fallopian tubes (which connect the ovaries to the uterus) and the va**na (which connects the uterus to the outside of the body). Chlamydia and gonorrhea are two of the most common bacterial infections that lead to PID. Gonorrhea and Chlamydia infections are usually spread from one person to another during unprotected s*x. A man does not have to ej*****te to spread the infection. Research has shown that rarely can one become infected with these organisms by touching objects, like a toilet seat because for these organisms can only survive for only a very short time on the surface of the toilet seat and for the infection to occur, the germs would have to be transferred from the toilet seat to ones urethra or ge***al tract, or through an open cut or sore on the buttocks or thighs which is all possible but very unlikely to contract the disease from the toilet seats and other objects, unless of course they have unprotected s*x on the toilet seat!. Your risk of getting gonorrhea is greater if you have a new s*xual partner, more than one s*xual partner, or if you have had gonorrhea before. PID occurs in highest frequency among those 25 to 35 years of age, with the incidence in women older than the age of 35 years being only one-seventh of that in younger women. Previous PID increases the risk for subsequent episodes, and approximately one in four women with PID will suffer recurrence. PID does not always cause symptoms. When it does, the main symptom is pain in the lower belly. In some women, this pain gets worse during s*x. Other symptoms can include; fever, chills, fluid leaking from the va**na (called “discharge’’ usually with a bad odour), bleeding or spotting from the va**na, painful and sometimes irregular periods, pain during a pelvic exam. If chlamydia or gonorrhea is not treated, up to 30 percent of women may develop PID. PID can cause scarring of the fallopian tubes, which can lead to infertility and an increased risk of ectopic pregnancy (a pregnancy that develops in the fallopian tube rather than the uterus). People with these infections are at higher risk of becoming infected with HIV. Fortunately, these infections can be cured with antibiotics and early intervention will prevent these late complications of untreated PID! These infections are curable with antibiotics if taken as prescribed. Treatment is important for you and anyone you have had s*x with recently. Your doctor might even ask you to tell your s*xual partner(s) to be tested and in some cases, your doctor could give you a prescription for both you and your partner. You should not have s*x until both you and your partner have been treated. It is possible to be infected with gonorrhea more than once. Since PID is caused by a germ that you get during s*x, you can lower your risk of getting PID by; using a condom every time you have s*x, one committed s*xual partner, or abstaining from having s*x. Treatment of PID Several randomized trials have demonstrated the efficacy of biotics in the treatment of PID. Clinical experience should guide decisions regarding transition to oral therapy, which usually can be initiated within 24–48 hours of clinical improvement. In women with tubo-ovarian abscesses, at least 24 hours of inpatient observation is recommended. Recommended Treatment.. Cefotetan 2 g IV every 12 hours PLUS Doxycycline 100 mg orally or IV every 12 hours OR Cefoxitin 2 g IV every 6 hours PLUS Doxycycline 100 mg orally or IV every 12 hours OR Clindamycin 900 mg IV every 8 hours PLUS Gentamicin loading dose IV or IM (2 mg/kg), followed by a maintenance dose (1.5 mg/kg) every 8 hours. Single daily dosing (3–5 mg/kg) can be substituted.
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