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Pelvic Inflammatory Disease (PID)

Pelvic Inflammatory Disease occurs when inflammation of the female reproductive organs begins to create scarring on the organs and the delicate tissue surrounding the organs. While most cases of Pelvic Inflammatory Disease are caused by sexual intercourse, other issues may also cause the disease. To learn more about Pelvic Inflammatory Disease and the treatments available, take a look below at the questions that have been answered by the Experts.

Is it common to have Pelvic Inflammatory Disease (PID) after having a hysterectomy?

Generally, this disease isn't a common occurrence after a woman has had a hysterectomy. Even if a woman was to have a supracervical hysterectomy, the chances of PID would be low. Pelvic Inflammatory Disease usually occurs when bacteria spreads from the vagina to the cervix and uterus and finally into the pelvis through the fallopian tubes.

What are the causes of Pelvic Inflammatory Disease (PID)?

Pelvic Inflammatory Disease is generally transmitted through sexual intercourse. However, complications from a twisted ovarian cyst or tuberculosis can also cause PID. Most of the cases of Pelvic Inflammatory Disease is caused by sexually transmitted diseases such as Gonorrhea, Chlamydia or certain types of Strep. Testing is generally done to determine if the woman has the disease. If diagnosed properly, an aggressive treatment is advised for up to two weeks. There is also usually a follow up visit, internal exam, blood count and ultrasound prescribed, along with birth control pills to give the ovaries some rest. In addition, abstaining from intercourse and physical activities is usually advised for one month.

Does PID cause pain under the ribs and can it affect the chances of getting pregnant?

Generally, pain located under the ribs isn't a symptom of Pelvic Inflammatory Disease. As for fertility, usually there isn't an issue with becoming pregnant after a woman has been diagnosed with a single occurrence of Pelvic Inflammatory Disease (PID). However, with every repeat occurrence of PID, the chances of conceiving become less possible. In this situation, treatment for infertility shouldn’t be considered as yet until becoming pregnant is no longer possible without medical assistance.

How does someone know if they have Pelvic Inflammatory Disease?

Pelvic Inflammatory Disease (PID) has no specific test, aside from surgery, that can determine if a woman actually has the disease. However, by taking a thorough history, a proper examination and perhaps a few tests, a doctor may be able to determine if there is a possibility that a patient has PID. Because PID is so hard to diagnose many doctors tend to misdiagnose it for other conditions. In this case, the best plan usually is to consult with an experienced OB/GYN who is more familiar with dealing with the condition.

How long does Metronidazole and Erythromycin take to be effective in treating Pelvic Inflammatory Disease?

If a person is correctly diagnosed with Pelvic Inflammatory Disease, the treatment will usually begin to work within 48-72 hours. However, in certain cases with PID, an intravenous antibiotic may be required to treat the condition.

In situations where a person continues to experience symptoms for several days after treatment, it is more than likely there could be another issue to blame. Irritable bowel syndrome, ovarian cysts and fibroids are just a few of the common possibilities to explore in this case.

Pelvic Inflammatory Disease is usually transmitted by sexual intercourse and can be very painful. However, there are treatments available to fight PID. If you have any questions regarding this disease, ask an Expert for medical insights and suggestions for the proper treatment based on the facts of your case.

Ask an OB GYN Doctor

Dr. C.
Dr. C., Board Certified
Category: General
Satisfied Customers: 1640
Experience:  29 years of experience and an award-winning educator.
54412793
Type Your OB GYN Question Here...
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OB GYN Doctors are Online Now

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Recent PID Questions

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    Hi Dr Lawrence,
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  • Hi, I get frequent canker sores which have scarred my tongue,I

    Hi, I get frequent canker sores which have scarred my tongue,I also get frequent ulcers under my tongue and sometimes these can be blood filled. I get 1 single genital sore on my vulva which reoccurs in the same place every 6-9 months, I get multiple body and joint aches especially my feet and shoulders, my eyes ache and get teary, I also get frequent headaches. I feel exhausted all of the time. My doctor has done so many tests, I was told my genital sore was not herpes as it acted and looked different. Please help. Thank you.
  • Hi, I have sort of the same question that was just asked.

    Hi, I have sort of the same question that was just asked. I'm 51/ 52 in December. I have had normal regular periods for years, (didn't get my first period til I was 17 almost 18) this month, I got my period as normal, started a week ago Saturday usually bleed for 3-4 days, then tapers off, and the I will spot for a few days after. This time 3-4 heavy normal flow, started to taper off. Spotting continued, it's not heavy but when I wipe, I would see blood, and when I would urinate I would see what looked to me like my period still, not clotting, but blood. It's not a full on flow but just seems as though I still have my period. No cramping, no pain, nothing unusual. My paps were consistently normal, I am sexually active. One monogamous partner. Last pap 2 years ago.
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