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)
- (1) British association for sexual health and HIV. Guidelines for the Management of Pelvic Infection and Perihepatitis
Last reviewed 04/2018