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Pelvic Inflammatory Disease
(GY012)
Introduction
Pelvic Inflammatory Disease (PID) refers to infection of the uterus, fallopian tubes and other pelvic structures. It occurs when bacteria or other organisms ascend from the vagina or cervix to the upper genital tract.
PID affects approximately 1 million women in the US every year and accounts for 250,000-300,000 hospitalizations. These numbers are actually thought to be significantly higher because of the many cases that cause no symptoms or are not recognized as PID ("silent" or "sub-clinical").
PID is the leading cause of infertility in women. Approximately 13% of women become infertile after a single episode of PID. The risk of infertility doubles with each subsequent episode. Women with a history of PID have a seven to tenfold increased risk for ectopic (tubal) pregnancy.
Education regarding safe sexual practices is key to the ultimate goal of preventing sexually transmitted disease and PID. Recognition of symptoms, however mild, is important to prompt early evaluation and treatment of early or mild cases that might otherwise go undetected.
Once PID has occurred, early treatment with antibiotics to minimize severity and complications is critical. Long term sequelae such as infertility are evaluated and managed as appropriate.
MediFocus Guides... When You Need Trustworthy Medical Information
The Medifocus Guide on Pelvic Inflammatory Disease (PID) provides answers to the following important questions and medical issues:
- What are the most common symptoms of PID?
- Are there any recognized risk factors for developing PID?
- What kinds of medical tests are used to establish the diagnosis of PID?
- What is the current standard of care for the treatment of PID?
- What treatment options are available for the management of PID?
- Are there any promising new developments or potential breakthroughs in treatment?
- Who are the most notable medical authorities who specialize in PID?
- Where are the leading hospitals and centers of research for PID?
- What are the most important questions to ask my doctor about PID?
What Your Doctor Reads:
This MediFocus Guide contains an extensive listing of citations and abstracts of recent journal articles that have been published about this condition in trustworthy medical journals. This is the same type of information that is available to physicians and other health care professionals. A partial selection of journal articles that are abstracted in this MediFocus Guide includes:
- PID: a chance to make a difference.
Practitioner. 2000
- Pelvic inflammatory disease epidemiology: what do we know and what do we need to know?.
Sexually Transmitted Infections. 2000
- Pelvic inflammatory disease--an evidence-based approach to diagnosis.
Journal of Infection. 2000
- Pelvic inflammatory disease after tubal sterilization: a review.
Obstetrical & Gynecological Survey. 2000
- Pelvic inflammatory disease in the postmenopausal woman.
Infectious Diseases in Obstetrics & Gynecology. 1999
- Pelvic inflammatory disease in adolescents.
Pediatric Clinics of North America. 1999
- Anaerobes in pelvic inflammatory disease: implications for the Centers for Disease Control and Prevention's guidelines for treatment of sexually transmitted diseases.
Clinical Infectious Diseases. 1999
- Pelvic inflammatory disease. From diagnosis to prevention.
Dermatologic Clinics. 1998
- Pelvic inflammatory disease: the importance of aggressive treatment in adolescents.
Cleveland Clinic Journal of Medicine. 1998
- Pelvic inflammatory disease.
Lippincott's Primary Care Practice. 1998
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