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What is pelvic inflammatory disease?

Pelvic inflammatory disease (PID) is an inflammation of the female reproductive organs due to chronic infection. This infection can damage sexual organs such as the tubes, ovaries and uterus. If not treated at the earliest, it can lead to serious problems like difficulty in getting pregnant or having a complicated pregnancy.

What are its main signs and symptoms?    

Chronic dull pain in the lower part of the abdomen is among the most common presentations of PID. Unusual vaginal discharge, which can be offensive or green in colour, is also a frequently observed symptom. Females also have menstrual irregularities, spotting between menstrual cycles and painful periods. Uncommon symptoms include nausea or vomiting and even pain during sexual intercourse. PID is one of the causes for infertility in a majority of females across India.

What are the main causes?

The cervix, which is the outer opening of the uterus, protects the uterus and ovaries from any bacterial invasion; however, in case of unprotected sex, there is a risk of the cervix getting exposed to infections, namely chlamydia and gonorrhoea. This leads to the ascent of bacteria to the internal organs, thus, producing inflammation. The other not so common causes include undergoing certain medical procedures like endometrial biopsy, inserting a contraceptive device or an abortion.

How is it diagnosed and treated?    

  • PID is mainly diagnosed by your doctor by eliciting a detailed history regarding your periods, sexual activity, medications, procedures undergone etc. Later, a thorough pelvic examination is done to check for any local bleeding or discharge. A sample of vaginal discharge will be collected for microscopic examination to diagnose any infections. Besides these, a local scan to check for general conditions of organs may be ordered. Until the results are awaited, sexual intercourse should be avoided completely.

  • For mild infections, your doctor will advise an antibiotic course, usually for 14 days. It is important to complete the course and abstain from sex until the treatment is complete. Pain is managed by painkillers. Later, a close follow-up with the doctor is advised. For severe infections, hospital admission is required, so as to investigate further.

  • Treatment is done by giving injectable antibiotics. Sex with multiple partners is unadvised and the use of condoms is recommended.

  1. Medicines for Pelvic Inflammatory Disease (PID)

Medicines for Pelvic Inflammatory Disease (PID)

Medicines listed below are available for Pelvic Inflammatory Disease (PID). Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
AzibactAzibact 100 Mg/5 Ml Redimix Suspension21
AtmAtm 100 Mg Tablet Xl20
AzibestAzibest 100 Mg Suspension23
AzilideAzilide 100 Mg Redimix22
ZithroxZithrox 100 Mg Suspension20
AzeeAZEE 100MG DRY 15ML SYRUP27
AzithralAzithral XL 200 Liquid 60ml152
Ritolide 250 Mg TabletRitolide 250 Mg Tablet168
Clenol LbClenol Lb 100 Mg/100 Mg Tablet55
DiofloxDioflox 100 Mg Infusion44
ZomycinZomycin 250 Mg Tablet26
DalcapDalcap 150 Mg Capsule76
DiroxinDiroxin 150 Mg Tablet30
ZybactZybact 250 Mg Tablet84
Nilac(Sou)Nilac Tablet11
Imidil C VagImidil C Vag Suppository59
DufloxDuflox 200 Mg Tablet44
Zycin(Cdl)Zycin 250 Mg Tablet54
UniclidUniclid 300 Mg Tablet144
Tinilact ClTinilact Cl Soft Gelatin Capsule135
EfloxEflox 200 Mg Tablet40
ZycinZycin 250 Mg Capsule56
Clindamycin 300 Mg InjectionClindamycin 300 Mg Injection40
VulvoclinVulvoclin 100 Mg/100 Mg Capsule56
EldefloxELDEFLOX SUSPENSION 30ML16

Do you or anyone in your family have this disease? Please do a survey and help others

References

  1. Molenaar MC,Singer M,Ouburg S. The two-sided role of the vaginal microbiome in Chlamydia trachomatis and Mycoplasma genitalium pathogenesis. J. Reprod. Immunol. 2018 Nov;130:11-17. PMID: 30149363
  2. Di Tucci C et al. Pelvic Inflammatory Disease: Possible Catches and Correct Management in Young Women. Case Reports in Obstetrics and Gynecology Volume 2018, Article ID 5831029, 4 pages
  3. Ross J, Guaschino S, Cusini M, Jensen J. 2017 European guideline for the management of pelvic inflammatory disease. Int J STD AIDS. 2018 Feb;29(2):108-114. PMID: 29198181
  4. Wang Y et al. Characterization of pelvic and cervical microbiotas from patients with pelvic inflammatory disease. J. Med. Microbiol. 2018 Oct;67(10):1519-1526. PMID: 30113305
  5. Office on Women's Health [Internet] U.S. Department of Health and Human Services; Pelvic inflammatory disease.
  6. Center for Disease Control and Prevention [internet], Atlanta (GA): US Department of Health and Human Services; Pelvic Inflammatory Disease (PID) - CDC Fact Sheet.
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