Palvic Inflammatory Disease:
PID is a common condition, although it is not clear how many women are affected because it doesn't always have any obvious symptoms.PID mostly affects sexually active women from the age of 15 to 24.
PID can be difficult to recognise if the symptoms are mild, and some women don’t have any symptoms.Most women have mild symptoms that may include one or more of the following:
►Pain around the pelvis or lower abdomen (tummy)
►Discomfort or pain during sex that is felt deep inside the pelvis
►Pain during urination
►Bleeding between periods and after sex
►Heavy or painful periods
►Unusual vaginal discharge, especially if it is yellow or green
A few women become very ill with:
►Severe lower abdominal pain
►A high temperature (fever)
►Nausea and vomiting
When to seek medical advice:
It’s important to visit your GP or a sexual health clinic if you experience any of the above symptoms. If you have severe pain you should seek urgent medical attention from your GP or local emergency department. Delaying treatment for PID or having repeated episodes of PID can increase your risk of serious and long-term complications (see below).There is no simple test to diagnose PID. Diagnosis is based on your symptoms and the finding of tenderness on a vaginal (internal) examination. Swabs will be taken from your vagina and cervix (the neck of the womb), but negative swabs do not exclude PID.
Most cases of PID are caused by a bacterial infection that has spread from the vagina or the cervix to the reproductive organs higher up.Many different types of bacteria can cause PID. In about one in every four cases it is caused by a sexually transmitted infection (STI) such as chlamydia or gonorrhoea. In many other cases it is caused by bacteria that normally live in the vagina.
If diagnosed at an early stage, PID can be treated with a course of antibiotics, which usually lasts for 14 days. You will be given a mixture of antibiotics to cover the most likely infections, and often an injection as well as tablets.It is important to complete the whole course and avoid having sexual intercourse during this time to help ensure the infection clears.Your recent sexual partners will also need to be tested and treated to stop the infection recurring or being spread to others.