scholarly journals A Practical Approach to the Diagnosis of Pelvic Inflammatory Disease

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Oluwatosin Jaiyeoba ◽  
David E. Soper
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Cost Effective ◽  
Transmitted Infection ◽  
Clinical Criteria ◽  
Sexually Transmitted ◽  
Lower Genital Tract ◽  
Acute Pelvic Inflammatory Disease ◽  
High Index Of Suspicion

The diagnosis of acute pelvic inflammatory disease (PID) is usually based on clinical criteria and can be challenging for even the most astute clinicians. Although diagnostic accuracy is advocated, antibiotic treatment should be instituted if there is a diagnosis of cervicitis or suspicion of acute PID. Currently, no single test or combination of diagnostic indicators have been found to reliably predict PID, and laparoscopy cannot be recommended as a first line tool for PID diagnosis. For this reason, the clinician is left with maintaining a high index of suspicion for the diagnosis as he/she evaluates the lower genital tract for inflammation and the pelvic organs for tenderness in women with genital tract symptoms and a risk for sexually transmitted infection. This approach should minimize treating women without PID with antibiotics and optimize the diagnosis in a practical and cost-effective way.

Pelvic inflammatory disease

2018 ◽  
Vol 11 (4) ◽  
pp. 198-200 ◽  
Author(s):  
Serena S Rakha
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Pelvic Pain ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Vaginal Swab ◽  
Sexually Transmitted ◽  
Neisseria Gonorrhoea ◽  
High Index Of Suspicion ◽  
Cervical Motion ◽  
Cervical Motion Tenderness

Pelvic inflammatory disease (PID) is a generalised term that describes infection of the upper genital tract in women. It is commonly caused by the sexually transmitted infections Chlamydia Trachomatis and Neisseria Gonorrhoea. Clinical features of PID include pelvic pain, deep dyspareunia, cervical motion tenderness and adnexal tenderness. Complications include infertility, ectopic pregnancy and chronic pelvic pain. Therefore, it is important for GPs to have a high index of suspicion when women present with symptoms of PID and to initiate antibiotic treatment before vaginal swab results are known.

Impact of chronic cervicitis on recurrent pelvic inflammatory disease

2021 ◽  
Vol 12 (5) ◽  
pp. 297-300
Author(s):  
Alejandro Siu-Au ◽  
Diego Siu-Chang
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Recurrence Rate ◽  
Sexually Transmitted Infection ◽  
Inflammatory Disease ◽  
Recurrent Disease ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Clinical Records ◽  
Chronic Cervicitis

Pelvic inflammatory disease (PID) is a sexually-transmitted infection (STI); and, as such, sometimes it is difficult to treat because of partner(s) issues. PID generally is accompanied by chronic cervicitis (CC). We observed that in spite of patients strictly complying with their therapy, there are some individuals that develop recurrent disease; and we tried to establish a relationship between CC and its recurrence in such patients. This study was prospectively designed. Patients in one group were treated with electrocauterization and another group who did not receive this therapy was retrospectively compared by reviewing their clinical records. Patients with CC and PID who did not undergo electrocauterization had 82% recurrence rate compared to those who underwent electrocauterization, who showed a 24% recurrence rate. We concluded that patients who had CC with different manifestations and who underwent electrocauterization or cervical fulguration developed significantly less recurrence of PID.

Pelvic inflammatory disease

2020 ◽  
pp. 536-549
Author(s):  
Gillian Dean ◽  
Jonathan Ross
Keyword(s):  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Severe Disease ◽  
Lower Abdominal Pain ◽  
Asymptomatic Infection ◽  
Public Understanding ◽  
Transmitted Infection ◽  
Delay In Diagnosis ◽  
Sexually Transmitted

Pelvic inflammatory disease is a sexually transmitted infection of the female upper genital tract. Rates of pelvic inflammatory disease have fallen in many countries over the last 10 years, at least in part due to increased screening for chlamydial infection. The clinical spectrum ranges from asymptomatic infection through to severe disease requiring hospitalization. Due to the non-specific nature of the condition, diagnosis can be challenging. All sexually active women presenting with acute lower abdominal pain should have a pregnancy test to rule out ectopic pregnancy. Treatment must be initiated as soon as the diagnosis is suspected and include antibiotics covering a broad spectrum of pathogens. Delay in diagnosis increases the risk of adverse sequelae including ectopic pregnancy and infertility. It is recommended that current and recent sexual partners receive empirical treatment, regardless of symptoms or microbiological results, and refrain from sexual contact until completion of therapy. Through better public understanding of the symptoms of pelvic inflammatory disease, women seeking earlier medical attention may reduce the risk of reproductive damage.

scholarly journals An Unusual Presentation of an Endometriotic Chocolate Cyst

2014 ◽  
Vol 6 (1) ◽  
pp. 46-48
Author(s):  
Shyam V Desai ◽  
Gaurav S Desai
Keyword(s):  
Pelvic Inflammatory Disease ◽  
South Asian ◽  
Inflammatory Disease ◽  
Unusual Case ◽  
Adnexal Mass ◽  
Signs And Symptoms ◽  
Unusual Presentation ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Chocolate Cyst

ABSTRACT Background Pelvic inflammatory disease is usually associated with gonococcal sexually transmitted infection. Its association with endometriosis has not been well documented. Case Report The authors report an unusual case of an endometriotic cyst in a 29-year-old nulliparous patient with clinical features of pelvic inflammatory disease. On treatment with antibiotics, the symptomatology subsided and signs of infection diminished. But subsequent imaging revealed a persistent right adnexal mass. A right chocolate cyst was found on laparoscopy and was treated with drainage and enucleation. Patient was administered three doses of GnRH analogs thereafter and is awaiting treatment for infertility. Conclusion Endometriotic cysts commonly manifest with dyspareunia and dysmenorrhea. The patient in this report presented with signs and symptoms suggestive of pelvic inflammatory disease which was secondary to a slow leak from a chocolate cyst. How to cite this article Desai GS, Desai SV. An Unusual Presentation of an Endometriotic Chocolate Cyst. J South Asian Feder Obst Gynae 2014;6(1):46-48.

scholarly journals Recovery of Cytomegalovirus and Herpes Simplex Virus from Upper and Lower Genital Tract Specimens Obtained from Women with Pelvic Inflammatory Disease

1997 ◽  
Vol 176 (1) ◽  
pp. 286-288 ◽  
Author(s):  
Lorraine M. Clarke ◽  
Ann Duerr ◽  
Kam‐Ha Anna Yeung ◽  
Susan Brockman ◽  
Cibele Barbosa ◽  
...  
Keyword(s):  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Lower Genital Tract ◽  
Simplex Virus

Pelvic inflammatory disease

2019 ◽  
pp. 169-180
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Past History ◽  
Age Group ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
History Of ◽  
Supporting Structures

Pelvic inflammatory disease (PID) is inflammation of the female upper genital tract—endometrium, fallopian tubes, ovaries, and supporting structures. Annual incidence is estimated at 1/1000 women, most common in the 15–24 age group. It is usually sexually acquired, commonly caused by C. trachomatis, N. gonorrhoeae, M. genitalium, and organisms associated with bacterial vaginosis. Risk factors include recent new sexual partner or multiple partners, and a past history of a sexually transmitted infection. Long-term sequelae include infertility and chronic pelvic pain. A diagnosis of PID is usually based on signs, symptoms, and examination. This chapter describes aetiology, diagnosis, and management of pelvic inflammatory disease.

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