Pelvic Inflammatory Disease
PID is infection of the female genital tract that includes endometritis, salpingitis, tuboovarian abscess and peritonitis. Commonest pathogens involved are N gonorrhoeae and C trachomatis. All patients need antibiotics; a comprehensive, broad spectrum antibiotic; all patients should routinely receive sexual counselling, including advice to practice safe sex with the use of condoms. Barrier contraceptives (e.g., diaphragms with spermicidal agents) and oral contraceptives are thought to reduce the risk for developing PID. IUCDs predispose patients to PID, predominantly during the first few months after insertion.
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