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Pelvic inflammatory disease (PID)

Pelvic inflammatory disease (PID) is an infection or inflammation of the female reproductive system. It can damage one or more organs, including the cervix uterus (womb) and endometrium (uterine lining), fallopian tubes, and ovaries.

Overview


PID can cause chronic pelvic pain in some people while symptoms might be minor or silent in others meaning some people may be unaware they have PID.PID is curable; however, if left untreated it can result in infertility ectopic pregnancy, and reproductive system damage. PID can affect anyone, although it is more frequent in sexually active women in their 20s. It is usually an ascending infection that begins in the lower genital tract and spreads upward. The majority of PID cases are caused by a sexually transmitted illness. PID is primarily diagnosed clinically and should be suspected in female patients who have lower abdomen or pelvic pain and genital tract tenderness.



Causes


A bacterial infection is frequently the cause of PID. The most common cause is sexually transmitted diseases (STIs) specifically: Chlamydia gonorrhoea Mycoplasma genitalium. PID can also be caused by the following factors: appendix rupture (burst) bowel infection (such as gastroenteritis) Vaginal infections (such as bacterial vaginosis or BV) and some surgical operations (such as dilatation and curettage (D&C) insertion of an intrauterine device (IUD) or surgical abortion).


Symptoms


Some women with pelvic inflammatory diseases are asymptomatic. Women who do have symptoms may experience the following: 

• Lower abdominal ache (the most prevalent symptom) 

• Upper abdominal discomfort 

• Fever 

• Painful sex 

• Painful urination

• Excessive or foul-smelling vaginal discharge 

• Sleepiness Pelvic inflammatory illness can cause mild to moderate pain. 


Some women, however, experience significant pain and symptoms such as 

  • Acute pain in the abdomen 

  • Vomiting 

  • Fainting, and a high fever (more than 101°F).

 If you have severe symptoms, the virus could have spread to your bloodstream or other organs. It could endanger your life.


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