09/12/2020
Pelvic Inflammatory Disease (PID, Pelvic Infection) — Diagnosis and Treatment
Pelvic inflammatory disease is infectious in etiology and is closely linked to s*xually transmitted disease. Pelvic inflammatory disease is common in the United States with an estimated incidence of 2.5 million. The condition can be diagnosed clinically, with lower abdominal pain, cervical motion tenderness, an elevated erythrocyte sedimentation rate and fever. Once diagnosed, the patient should be put on empirical antibiotic therapy that should cover gonorrhea, chlamydia, gram-negative organisms and anaerobes. Patients with complications, such as abscess formation or sepsis, might benefit from laparoscopic surgery.

Image : “Pap smear showing clamydia in the vacuoles” by Unknown. License: Public Domain
Definition of Pelvic Inflammatory Disease
Pelvic inflammatory disease (PID) is defined as an infectious disease of the upper female reproductive system. This infection usually affects the uterus, fallopian tubes and, in some patients, the ovaries. PID is closely linked with s*xually transmitted diseases and the most commonly implicated organisms are chlamydia trachomatis, Neisseria gonorrhoeae, and Gardnerella vaginalis.
Epidemiology of Pelvic Inflammatory Disease
Pelvic inflammatory disease is a common condition in the United States and approximately 2.5 million women develop PID per year. Up to 150,000 patients are hospitalized per year because of PID. Occurs in 40% of women developing endocervicitis from untreated Neisseria gonorrhoeae or Chlamydia trachomatis.
Pelvic inflammatory disease is more common in women in their reproductive years, usually in their twenties, who are menstruating and who have multiple s*xual partners.
Etiology of Pelvic Inflammatory Disease
Pelvic inflammatory disease is an infectious disorder. Chlamydia trachomatis and Neisseria gonorrhoeae are the two most commonly identified etiological organisms of PID.
Approximately, 20% of women who are untreate