Pelvic Inflammatory Disease (PID)

  • Oluwatosin Goje, Assistant Professor of Surgery, Cleveland Clinic, Lerner College of Medicine of Case Western Reserve University

  • MSD Manual
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  • Pelvic inflammatory disease (PID) is a polymicrobial infection of the upper female genital tract: the cervix, uterus, fallopian tubes, and ovaries; abscess may occur. PID may be sexually transmitted. Common symptoms and signs include lower abdominal pain, cervical discharge, and irregular vaginal bleeding. Long-term complications include infertility, chronic pelvic pain, and ectopic pregnancy. Diagnosis includes PCR of cervical specimens for Neisseria gonorrhoeae and chlamydiae, microscopic examination of cervical discharge (usually), and ultrasonography or laparoscopy (occasionally). Treatment is with antibiotics.

    Pelvic inflammatory disease (PID) may affect the cervix, uterus, fallopian tubes, and/or ovaries. Infection of the cervix (Cervicitis) causes mucopurulent discharge. Infection of the fallopian tubes (salpingitis) and uterus (endometritis) tend to occur together. If severe, infection can spread to the ovaries (oophoritis) and then the peritoneum (peritonitis). Salpingitis with endometritis and oophoritis, with or without peritonitis, is often called salpingitis even though other structures are involved. Pus may collect in the tubes (pyosalpinx), and an abscess may form (tubo-ovarian abscess).

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  • Last modified in -By Oluwatosin Goje
    Last review 05-2018