Pelvic Inflammatory Disease (PID)

What is Pelvic Inflammatory Disease (PID)?

Pelvic Inflammatory Disease (PID) is an infection of a woman’s reproductive organs, including the uterus, fallopian tubes, and ovaries. It typically occurs when bacteria from sexually transmitted infections (STIs) like chlamydia or gonorrhea spread from the vagina to these organs. If left untreated, PID can cause lasting damage to the reproductive system, leading to chronic pain or infertility.

What Causes PID?

PID is most commonly caused by bacterial infections, particularly sexually transmitted infections (STIs) such as:

• Chlamydia
• Gonorrhea

However, not all cases of PID are linked to STIs. Normal bacteria found in the vagina can sometimes move upward, causing infection. Other factors that can increase your risk of developing PID include:

• Having multiple sexual partners
• A history of STIs or PID
• Douching, which can push bacteria into the reproductive organs
• Recent insertion of an intrauterine device (IUD)

Symptoms of PID: What to Watch For

PID doesn’t always show symptoms, which makes regular check-ups with your doctor critical. When symptoms do occur, they can range from mild to severe. Common signs and symptoms include:

• Pain in the lower abdomen or pelvis
• Unusual vaginal discharge with an unpleasant odor
• Pain during intercourse
• Painful urination
• Irregular menstrual periods
• Fever or chills

If you experience any of these symptoms, it’s important to see your healthcare provider right away. Early detection and treatment can prevent serious complications.

How is PID Diagnosed?

To diagnose PID, your doctor will likely:

• Ask about your symptoms and sexual history: This helps them understand your risk factors.
• Perform a pelvic exam: They will check for tenderness or signs of infection in your reproductive organs.
• Run tests: This may include STI screening, blood tests, and ultrasound imaging to confirm the diagnosis and check for damage to the fallopian tubes or ovaries.

Treatment for PID

The good news is that PID is treatable, especially when caught early. Treatment usually involves:

• Antibiotics: Your doctor will prescribe a combination of antibiotics to clear up the infection. It’s crucial to complete the entire course of medication, even if you start feeling better.
• Treatment for your partner: If PID is caused by an STI, your partner will also need to be treated to prevent reinfection.
• Hospitalization: In severe cases, hospitalization may be required for intravenous (IV) antibiotics or surgery to remove abscesses or repair damage to the reproductive organs.

Complications of Untreated PID

Untreated PID can lead to long-term complications, including:

• Infertility: Scarring and damage to the fallopian tubes can make it difficult or impossible to become pregnant.
• Chronic pelvic pain: PID can cause ongoing pain in the pelvic region, even after the infection is gone.
• Ectopic pregnancy: This is a life-threatening condition where a fertilized egg implants outside the uterus, often in a damaged fallopian tube.

Prevention of PID

The best way to prevent PID is to protect yourself from STIs and maintain good reproductive health. Some tips include:

• Use condoms: Condoms help reduce the risk of STIs, which are the main cause of PID.
• Regular STI testing: If you’re sexually active, get tested regularly, especially if you have multiple partners.
• Avoid douching: Douching can disrupt the natural balance of bacteria in the vagina, increasing the risk of infection.
• Get treated promptly for STIs: If you test positive for an STI, follow your treatment plan to prevent it from progressing to PID.

When to See a Doctor

If you experience symptoms like pelvic pain, abnormal discharge, or pain during sex, it’s important to reach out to a healthcare professional as soon as possible. Early intervention can help protect your fertility and overall health.

At My Lady Doc, we’re here to support your reproductive health journey. If you have any concerns about PID or would like to schedule an exam, don’t hesitate to contact us. Together, we can take proactive steps to safeguard your well-being.