WHAT IS PELVIC INFLAMMATORY DISEASE?
Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs. It usually occurs when sexually transmitted bacteria spread from your vagina to your uterus, fallopian tubes or ovaries.
Pelvic Inflammatory Disease often causes no signs or symptoms. As a result, you might not realize you have the condition and get needed treatment. The condition might be detected later if you have trouble getting pregnant or if you develop chronic pelvic pain.
Several different types of bacteria can cause PID, including the same bacteria that cause the sexually transmitted infections (STIs) gonorrhea and chlamydia. What commonly occurs is that bacteria first enter the vagina and cause an infection. As time passes, this infection can move into the pelvic organs.
PID can become extremely dangerous, even life-threatening, if the infection spreads to your blood.
CAUSES OF PELVIC INFLAMMATORY DISEASE
Many types of bacteria can cause PID, but gonorrhea or chlamydia infections are the most common. These bacteria are usually acquired during unprotected sex.
Less commonly, bacteria can enter your reproductive tract anytime the normal barrier created by the cervix is disturbed. This can happen after childbirth, miscarriage or abortion.
SYMPTOMS OF PELVIC INFLAMMATORY DISEASE
Some women with pelvic inflammatory disease don’t have symptoms. For the women who do have symptoms, these can include:
- Pain in the lower abdomen (the most common symptom)
- Pain in the upper abdomen
- Fever
- Painful sex
- Painful urination
- Irregular bleeding
- Increased or foul-smelling vaginal discharge
- Tiredness
Pelvic Inflammatory Disease can cause mild or moderate pain. However, some women have severe pain and symptoms, such as:
- Sharp pain in the abdomen
- Vomiting and Nausea
- Fainting
- A high fever (greater than 101°F)
RISK FACTORS FOR PELVIC INFLAMMATORY DISEASE
Your risk of pelvic inflammatory disease increases if you have gonorrhea or chlamydia, or have had an STI before. However, you can develop PID without ever having an STI.
Other factors that can heighten your risk for PID include:
- having sex under the age of 25
- having multiple sex partners
- having sex without a condom
- recently having an intrauterine device (IUD) inserted
- douching
- having a history of pelvic inflammatory disease
LONG-TERM COMPLICATIONS OF PELVIC INFLAMMATORY DISEASE
If you don’t treat your PID, your symptoms can worsen and lead to problems, such as:
- Infertility, an inability to conceive a child
- Ectopic pregnancy, a pregnancy that occurs outside the womb
- Chronic pelvic pain, pain in the lower abdomen caused by scarring of the fallopian tubes and other pelvic organs
The infection can also spread to other parts of your body. If it spreads to your blood, it can become life-threatening.
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