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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.
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