Anatom3D
ENCZDE
Download

Pelvic inflammatory disease

Morbus inflammatorius pelvis · Zánětlivé onemocnění pánve (PID)

female only

What it is

Infection ascends from the cervix and scars the tubes.

Symptoms & signs

  • Lower abdominal pain
  • abnormal discharge
  • fever
  • pain during sex
  • irregular bleeding
  • later infertility

🚩 Get help if…

  • call 112 / 911 now Severe belly pain with high fever or vomiting
  • call 112 / 911 now Belly pain with a missed period or positive pregnancy test
  • see a doctor soon Lower belly pain with fever or unusual discharge
  • see a doctor soon Pain during sex or bleeding after sex

Where it strikes

Medical treatment

  • Ceftriaxone + doxycycline + metronidazole 14 days
  • partner treatment
  • drainage of tubo-ovarian abscess
  • remove IUD only if no response

Natural & lifestyle

  • Barrier contraception
  • prompt STI treatment
  • screening programmes

Emerging & experimental

  • Point-of-care Mycoplasma genitalium testing
  • shorter regimens

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Chinese herbal enemas for chronic pelvic pain — Chinese trials early / small studies
  • Douching and herbal washes — raise the risk of pelvic infection anecdotal / traditional

ICD codes