Treatment

Treatments for pelvic inflammatory disease include:

  • Antibiotics. Your doctor will prescribe a combination of antibiotics to start immediately. After receiving your lab test results, your doctor might adjust your prescription to better match what's causing the infection. You will likely follow up with your doctor after 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.

  • Treatment for your partner. To prevent reinfection with an STI, your sexual partner or partners should be examined and treated. Infected partners might 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.

Most women with pelvic inflammatory disease just need outpatient treatment. However, if you're seriously ill, pregnant or haven't responded to oral medications, you might need hospitalization. You might receive intravenous antibiotics, followed by antibiotics you take by mouth.

Surgery is rarely necessary. However, if an abscess ruptures or threatens to rupture, your doctor might drain it. You also might need surgery if you don't respond to antibiotic treatment or have a questionable diagnosis, such as when one or more of the signs or symptoms of PID are absent.

May 17, 2016
References
  1. Frequently asked questions. Gynecologic problems FAQ077. Pelvic inflammatory disease (PID). American Congress of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Pelvic-Inflammatory-Disease-PID. Accessed Jan. 17, 2017.
  2. Pelvic inflammatory disease fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/std/pid/stdfact-pid.htm. Accessed Jan. 16, 2017.
  3. Ferri FF. Pelvic inflammatory disease. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Jan. 16, 2017.
  4. Lee M. Pelvic inflammatory disease. Journal of the American Academy of Physician Assistants. 2017;30:47.
  5. Klausner JD, et al. Pelvic inflammatory disease. In: Current Diagnosis & Treatment of Sexually Transmitted Diseases. 1st ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com. Accessed Jan. 16, 2017.
  6. Livengood CH, et al. Clinical features and diagnosis of pelvic inflammatory disease. http://www.uptodate.com/home. Accessed Jan. 16, 2017.
  7. Peipert JF, et al., eds. Long-term complications of pelvic inflammatory disease. http://www.uptodate.com/home. Accessed Jan. 20, 2017.
  8. Butler Tobah YS (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 27, 2017.