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Suspected PID (pelvic inflammatory disorder)

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Question - (16 February 2009) 1 Answers - (Newest, 17 February 2009)
A female United Kingdom age 30-35, anonymous writes:

Hey guys I know this is going to sound stupid and most of you will probably say just do your own research but I've done that and still can't find a solution, I've had some problems health related the past few months and I saw my doctor today, he said it was thrush and suspected PID (pelvic inflammatory disorder)... 2 questions

Most sites it says thrush can be caused by antibiotics so would it be wise to take the antibiotics prescribed for the PID alng with the thrush capusules?

As far as I've researched, 1 in 5 women can become infertile due to PID, dependendent upon how late they were diagnosed, but how long do you need to be undiagnoised for until the PID gets to the stage where it can cause infertility?

aged 20 x

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A female reader, angiecooper United Kingdom +, writes (17 February 2009):

hi, firstly don't worry I had PID and im okay, but you are right it does need treatment right away and the sooner you get it diagnosed and treated the better. Ive done some research and this is what i found, i hope it helps:

Although the PID infection itself may be cured, effects of the infection may be permanent. This makes early identification by someone who can prescribe appropriate curative treatment very important in the prevention of damage to the reproductive system. Since early gonococcal infection may be asymptomatic, regular screening of individuals at risk for common agents (history of multiple partners, history of any unprotected sex, or people with symptoms) or because of certain procedures (post pelvic operation, postpartum, miscarriage or abortion). Prevention is also very important in maintaining viable reproduction capabilities.

If the initial infection is mostly in the lower tract, after treatment the person may have few difficulties. If the infection is in the fallopian tubes or ovaries, more serious complications are more likely to occur.

Complications

PID can cause scarring inside the reproductive organs, which can later cause serious complications, including chronic pelvic pain, infertility, ectopic pregnancy (the leading cause of pregnancy-related deaths in adult females), and other dangerous complications of pregnancy. Occasionally, the infection can spread to in the peritoneum causing inflammation and the formation of scar tissue on the external surface of the liver (Fitz-Hugh-Curtis syndrome). Multiple infections and infections that are treated later are more likely to result in complications.

Fertility may be restored by in women affected by PID. Traditionally tuboplastic surgery was the main approach to correct tubal obstruction or adhesion formation, however success rates tended to be very limited. In vitro fertilization (IVF) has been used to bypass tubal problems and has become the main treatment for patients who want to become pregnant.

[edit] Treatment

Treatment depends on the cause and generally involves use of antibiotic therapy. If the patient has not improved within two to three days after beginning treatment with the antibiotics, they should return to the hospital for further treatment. Drugs should also be given orally and/or intravaneously to the patient while in the hospital to begin treatment immediately, and to increase the effectiveness of antibiotic treatment. Hospitalization may be necessary if the patient has Tubo-ovarian abscesses; is very ill, immunodeficient, pregnant, or incompetent; or because a life-threatening condition cannot be ruled out. Treating partners for STDs is a very important part of treatment and prevention. Anyone with PID and partners of patients with PID since six months prior to diagnosis should be treated to prevent reinfection. Psychotherapy is highly recommended to women diagnosed with PID as the fear of redeveloping the disease after being cured may exist. It is important for a patient to communicate any issues and/or uncertainties they may have to a doctor, especially a specialist such as a gynecologist, and in doing so, to seek follow-up care.

A systematic review of the literature related to PID treatment was performed prior to the 2006 CDC sexually transmitted diseases treatment guidelines. Strong evidence suggests that neither site nor route of antibiotic administration affects the short or long-term major outcome of women with mild or moderate disease. Data on women with severe disease was inadequate to influence the results of the study.[5]

[edit] Prevention

Risk reduction against sexually transmitted diseases through abstinence or barrier methods such as condoms; see human sexual behavior for other listings.

Going to the doctor immediately if symptoms of PID, sexually transmitted diseases appear, or after learning that a current or former sex partner has, or might have had a sexually transmitted disease.

Getting regular gynecological (pelvic) exams with STD testing to screen for symptomless PID.[6]

Discussing sexual history with a trusted physician in order to get properly screened for sexually transmitted diseases.

Regularly scheduling STD testing with a physician and discussing which tests will be performed that session.

Getting a STD history from your current partner and insisting they be tested and treated before intercourse.

Understanding when a partner says that they have been STD tested they usually mean chlamydia and gonorrhea in the US, but that those are not all of the sexually transmissible diseases.

Treating partners to prevent reinfection or spreading the infection to other people.

Like I said I had it and Bacterial vaginosis and i took two kinds of antibiotics, the best thing for you to do is to go see your local gum clinic and discuss your options and fears because believe me they have seen it all before!

Good luck honey!

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