Overview
Pelvic inflammatory disease is infection of the upper female reproductive tract, often associated with chlamydia or gonorrhea. It can cause pelvic pain and affect fertility if untreated.
Causes and transmission
- Often caused by ascending chlamydia or gonorrhea.
- Other bacteria may contribute.
How it is assessed
- Clinical assessment, examination and sometimes ultrasound or tests.
- STI testing is important.
Management considerations
- Antibiotic treatment under medical supervision.
- Partner evaluation and follow-up are important.
Prevention
- STI screening and treatment reduce risk.
- Avoid douching.
Key points
- Can follow STI
- May cause pelvic pain and fever
- Can affect fertility
- Requires prompt treatment
When to seek care
- Lower abdominal pain
- Fever or abnormal discharge
- Pain during sex