Causes of PID, inflammation in the pelvic area
PID is caused by the spread of microorganisms from the vagina and cervix to the uterine lining, fallopian tubes, and adjacent areas. In 60% of cases, PID is caused by sexually transmitted infections such as chlamydia or gonorrhea.
Pelvic inflammatory disease affects approximately 1 in 1,000 women annually. PID is more common among women in urban areas during their fertile years.
What does an inflammation of the pelvis entail?
The small pelvis is located between the hip joints, the coccyx, and the pubic bone. The ovaries, fallopian tubes, uterus, and vagina are located here.
Inflammation often starts in the fallopian tubes, also known as salpinges, and can spread to nearby tissues such as the ovaries, peritoneum, bladder, rectum, and uterus.
Symptoms of PID, inflammation in the pelvic region
Symptoms of PID often start mildly and can go unnoticed. General complaints are:
- Pain in the lower abdomen, radiating to the legs
- Fever
- General feeling of illness
- Pain during urination or sex
- Changes in vaginal discharge
- Bleeding after sexual intercourse
Treatment of inflammation in the pelvis
Antibiotics are the most common treatment for PID. A combination of antibiotics is prescribed to kill bacteria and prevent complications such as infertility.
Patients often experience improvement within a few days of starting antibiotics, but it is important to complete the full course. If no improvement occurs after 48 hours, a doctor should be consulted for other antibiotics.
In some cases, hospitalization may be necessary, particularly in the event of immune disorders, severe symptoms, antibiotic resistance, pregnancy, or the presence of an abscess.
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