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Hello Bria,Since how long are is your PID?Did your doctor do following work up;1) erythrocyte sedimentation rate (ESR)
2) C-reactive protein (CRP) level3) urethral swabWere following investigations considered; laparoscopy, MRI, endometrial biopsy?Thank you for using Just Answer.
Hello Bria,The investigations we discussed are the next step to confirm the diagnosis. Meanwhile an empiric therapy for PID may be considered. PID empiric therapy is warranted if one or more of the following are present on pelvic examination: 1) cervical motion tenderness, 2) uterine tenderness, 3) adnexal tenderness.4) lower abdominal pain and pelvic tenderness.Since you have taken oral antibiotics without the complete eradication of the PID; injectable regime may be considered with the following antibiotics (these are efficacious for group B strept and do not have resistance);1) Linezolid2) Vancomycin.Both the above antibiotics are available in oral form too and no harm in trying that also, if you are not comfortable with the injectables.Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.
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Boric acid wash for vagina can be used in resistant cases, as an alternative measure with the consultation of your physician. A specific culture; Nickerson or Sabouraud mediums should be performed for candidiasis to confirm the infection. So you can talk to your doctor to get this culture before you start the treatment.
Women who do not improve with above can use, clotrimazole 500 mg vaginal suppositories administered once per week for six months which is also effective.
Also avoid (if you do) following;
1) panty liners,
3) sexual lubricants