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)
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