treatment

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Treatment of PID involves:

  • general support - pelvic rest - no sexual intercourse, no tampons; bed rest if febrile or systemic complications

  • hospital admission if required

  • blind treatment (see linked iitem)
  • in more severe clinical disease (fever>38 C, signs of tubo-ovarian abscess or pelvic peritonitis) IV treatment is recommended (1)
  • suitable pain relief  (1)

  • removal of IUCD - only if severe PID. Must be preceded by antibiotic therapy. Alternative contraception should be advised.

  • if a sexually transmitted disease (e.g. chlamydia, gonorrhoea) then management is best undertaken by a specialist genitourinary medicine (GUM) clinic. A GUM clinic will have the facilities for specialist investigation and contact tracing.
  • avoiding unprotected intercourse till the treatment and follow up of both the patient and partner(s) are complete (1)

Reference:

Last reviewed 04/2018

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