Pelvic Inflammatory Disease in Women
The Pelvic Inflammatory Disease (PID) is an infection of the internal reproductive organs of women. This condition compromises the uterus, fallopian tubes, ovaries and all tissues that are near the pelvis.
The area becomes inflamed and irritated due to this infection. The most common causes of PID are chlamydia and gonorrhea infection (STI), but in many other cases there are other bacteria that also trigger the disease, and are not necessarily transmitted by sexual contact without a condom.
The EPI is a problem of great importance since it is a major cause of infertility in women. Pelvic Inflammatory Disease can cause difficulty in fertilization, ectopic pregnancies until the removal of the internal reproductive organs.
Risk factors for PID
The main risk factors for PID are sexually transmitted diseases, particularly chlamydia and gonorrhea, but in addition to this there are others such as:
- Unprotected sex
- Having sex with multiple people
- Having unprotected sex with someone who has multiple partners / as sexual
How to Prevent Pelvic Inflammatory Disease
Mainly how to avoid this infection is just having safe sex with latex or polyurethane condoms every time intercourse. You also need to diminish the number of sexual partners.
It is important to consult a physician for any symptoms of a sexually transmitted infection or if there is risk of having been exposed to. Should contain an STI is necessary that the sexual partner you had also received the same treatment, even if they have no symptoms.
Symptoms of PID
PID can pass without symptoms in its early days some, until the pelvic pain and fever appear. Milder cases only have a little pain, while the more serious have intense pain in the lower abdomen or pelvis.
The discomfort they feel much more when you exercise or have sex.
Other symptoms of EPI:
- Abnormal flow
- Abnormal vaginal bleeding or heavy s
- Bleeding between periods
- Fever and chills
- Nausea and / or vomiting
Complications of Pelvic Inflammatory Disease
The EPI generates various complications of ascending severity, may become the woman’s death from septicemia.
Abscesses in the fallopian tubes, ovaries or pelvis : this accumulation of pus often occur in the most severe cases of PID and require hospitalization for treatment with intravenous antibiotics, if not dissolve, surgery is needed.
Infertility: after suffering the EPI, may have formed scars around the pelvic organs. This abnormal tissue can prevent the egg passes through the fallopian tube and is deposited in the uterus, making it difficult or fertilization can cause ectopic pregnancies.
After an episode of EPI, there are an estimated 15% chance of infertility two episodes after risk increases to 35% and after three to 75%.
Chronic pelvic pain: In addition to infertility, scar tissue that generates the PID can cause pain and discomfort due to pelvic organs are distorted.
Ectopic pregnancy as EPI may partially block the fallopian tubes or distort, the odds of ectopic pregnancy increases.
The diagnosis of PID
Pelvic Inflammatory Disease is not easy to diagnose because it generates symptoms common to many conditions. The physician should discuss the discomfort while performing a pelvic examination, laboratory and ultrasound.
The specialist checks for tenderness in the abdominal area, and in the cervix, ovaries, and fallopian tubes when pelvic examination. Also if there is fever, and abnormal discharge from the cervix or vagina. It is necessary to analyze this abnormal flow to determine which agent is responsible for the EPI, if chlamydia, gonorrhea or other bacteria.