Pelvic inflammatory disease

It is an infection that affects the uterus, fallopian tubes, ovaries and adjacent organs in the pelvic region such as the intestine.
Symptoms include lower abdominal pain, often bilateral, with fever and malodorant vaginal discharge.

Inflammatory pelvic disease is mainly caused by sexually transmitted germs. Chlamydia is the most common cause, as it is found in 50% of cases. Gonorrhea is also common. However, in about 20% of patients there is no cause.

Diagnosis is based on medical history, physical examination, blood tests and smears taken from the vagina and cervix. The vaginal ultrasound is very important and helpful and it can show pus collection.

Treatment includes administration of multiple antibiotics. If the patient does not respond, it is often decided to proceed to laparoscopy.