Treatment for pelvic inflammatory disease may include:
Antibiotics. Your doctor may prescribe a combination of antibiotics to start taking right away. After receiving your lab test results, your doctor may adjust the medications you're taking to better match what's causing the infection.
Usually, your doctor will request a follow-up visit in three days to make sure the treatment is working. Be sure to take all of your medication, even if you start to feel better after a few days. Antibiotic treatment can help prevent serious complications but can't reverse any damage that's already been done.
- Treatment for your partner. To prevent reinfection with an STI, advise your sexual partner or partners to be examined and treated. Partners can be infected and not have any noticeable symptoms.
- Temporary abstinence. Avoid sexual intercourse until treatment is completed and tests indicate that the infection has cleared in all partners.
Outpatient treatment is adequate for treating most women with pelvic inflammatory disease. However, if you're seriously ill, pregnant or haven't responded to oral medications, you may need hospitalization. At the hospital, you may receive intravenous (IV) antibiotics, followed by antibiotics you take by mouth.
Surgery is rarely necessary. However, if an abscess ruptures or threatens to rupture, your doctor may drain it.
In addition, surgery may be performed on women who don't respond to antibiotic treatment or who have a questionable diagnosis, such as when one or more of the signs or symptoms of PID are absent.
May 01, 2014
- Mitchell C, et al. Pelvic inflammatory disease — Current concepts in pathogenesis, diagnosis and treatment. Infectious Disease Clinics of North America. 2013;27:793.
- Pelvic inflammatory disease fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/std/pid/stdfact-pid.htm. Accessed Feb. 6, 2014.
- Ferri FF. Ferri's Clinical Advisor 2014: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed Feb. 6, 2014.
- Klausner JD, et al., Klausner J.D., Hook E.W., III eds. Current Diagnosis & Treatment of Sexually Transmitted Diseases. New York, N.Y.: The McGraw-Hill Companies; 2007. http:// http://accessmedicine.mhmedical.com/book.aspx?bookid=369. Accessed Feb. 7, 2014.
- Trent M. Pelvic inflammatory disease. Pediatrics in Review. 2013;34:163.
- Livengood CH, et al. Clinical features and diagnosis of pelvic inflammatory disease. http://www.uptodate.com/home. Accessed Feb. 7, 2014.
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