Gourt > Health > Women's Health > Conditions and Diseases > Pelvic Inflammatory Disease
Pelvic inflammatory disease (or disorder) (PID) is a generic term for infection of the female uterus, fallopian tubes, and/or ovaries as it progresses to scar formation with adhesions to nearby tissues and organs. This may lead to tissue necrosis with/or without abscess formation. Pus can be released into the peritoneum. 2/3 of patients with laparoscopic evidence of previous PID were not aware they had had PID (Cecil's 5th ed). PID is often associated with sexually transmitted diseases, as it is a common result of such infections. PID is a vague term and can refer to viral, fungal, parasitic, though most often bacterial infections. PID should be classified by affected organs, the stage of the infection, and the organism(s) causing it. Although a sexually transmitted infection is often the cause, other routes are possible, including lymphatic, postpartum, postabortal (either miscarriage or abortion) or IUD related, and hematogenous spread.
Epidemiology
In the United States, more than one million women are affected by PID each year, and the rate is highest with teenagers. Approximately 50,000 women become infertile in the US each year from PID N. gonorrhoea is isolated in only 40-60% of women with acute salpingitis (current obgyn 9th ed 2003). C. trachomatis was estimated by current obgyn 9th ed to be the cause in about 60% of cases of [salpingitis, which may lead to PID. It is unsure how much is due to a single organism and how much is due to multiple organisms; many other pathogens that are in normal vaginal flora become involved in PID. 10% of women in one study had asymptomatic Chlamydia trachomatis infection and 65% had asymptomatic infection with Neisseria gonorrhoeae (current obgyn 9th ed.) It was noted in one study that 10-40% of untreated women with N. gonorrhoea develop PID and 20-40% of women infected with C. trachomitis developed PID.(Cecil's essentials of medicine 5th ed.). "PID is the leading cause of infertility. A single episode of PID results in infertility in 13% of women." (Cecil's 5th ed.) This rate of infertility increases with each infection
Diagnosis
There may be no actual symptoms of PID. If there are symptoms, fever, cervical motion tenderness, lower abdominal pain, new or different discharge, painful intercourse, or irregular menstrual bleeding may be noted. It is important to note that PID can occur and cause serious harm without causing any noticeable symptoms. Laparoscopic idenitification is helpful in diagnosing tubal disease, 65-90% positive predictive value in patients with presumed PID (current obgyn 9th ed 2003). Regular STD testing is important for prevention. Treatment is usually started empirically because of the terrible complications. Definitive criteria include: histopathologic evidence of endometritis, thickened filled fallopian tubes, or laparoscopic findings. Gram-stain/smear becomes important in identification of rare and possibly more serious organisms (cecil's 5th ed.). More on [ Pelvic inflammatory disease ]
Health awareness - » Pelvic Inflammatory Disease (PID) http://bit.ly/4Yvj92
madnilk (Abdullah aka madnilk) Tue, 22 Dec 2009 13:25:39 -0000
Health awareness - » Pelvic Inflammatory Disease (PID) http://bit.ly/4Yvj92
Pelvic inflammatory disease / Flashcards - Create Free Flashcards http://bit.ly/7AmwOe
GraceBarkwell (GraceBarkwell) Mon, 21 Dec 2009 17:42:13 -0000
Pelvic inflammatory disease / Flashcards - Create Free Flashcards http://bit.ly/7AmwOe
http://diseasedatabase.org/2009/12/pelvic-inflammatory-disease-flashcards-create-free-flashcards/
diseasedatabase (JACKCHEN) Mon, 21 Dec 2009 16:43:15 -0000
http://diseasedatabase.org/2009/12/pelvi
Alternatives to Hysterectomy: Chronic Pelvic Inflammatory Disease - Surgical and other treatment options for severe pelvic inflammatory disease which may avoid the need for hysterectomy.
Fact Sheet: Pelvic Inflammatory Disease - Information about PID from the National Institute of Allergy and Infectious Diseases.
FAQs about PID - Information on what causes pelvic inflammatory disease, symptoms, risk factors, treatments and possible complications.
Medinfo: Pelvic inflammatory disease - Easy to understand information for patients on Pelvic inflammatory disease, a long lasting (chronic) infection affecting the womb (uterus), the tubes which deliver eggs to the womb (fallopian tubes) and the nearby structures in the lower abdomen.
Meta Description: [ Medinfo's patient information on Pelvic inflammatory disease, a long lasting (chronic) infection affecting the womb (uterus), the tubes which deliver eggs to the womb (fallopian tubes) and the nearby structures in the lower abdomen. ]
Pelvic Inflammatory Disease (PID) - Causes, testing, diagnosis, treatment and follow-up of pelvic inflammatory disease.
Meta Description: [ Pelvic Inflammatory Disease - Pelvic inflammatory disease (PID) is a spectrum of infections of the female genital tract that includes endometritis, salpingitis, tuboovarian abscess, and ... ]
Pelvic Inflammatory Disease - About.com - Discussion about the causes, symptoms, diagnosis, and treatment of pelvic inflammatory disease (PID).
Meta Description: [ Pelvic inflammatory disease aka PID is explained from causes and symptoms to diagnosis, treatments, and prevention. ]
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PID, Its Causes, Symptoms and Treatment - Pelvic Inflammatory Disease (PID) is a serious infection targeting the uterus, the fallopian tubes, and the ovaries. Find information about this disorder.
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