This document discusses pelvic inflammatory disease (PID), an infection of the female reproductive organs that usually occurs when sexually transmitted bacteria spread from the vagina to the uterus, fallopian tubes, or ovaries. PID is caused by bacterial infections like gonorrhea that enter through the vagina and cause inflammation of the cervix, uterus, fallopian tubes, and ovaries. Symptoms include vaginal discharge, lower abdominal pain, irregular periods, painful sex, and tenderness. Diagnosis involves tests like ultrasound, laparoscopy, or CT/MRI scans. Treatment is usually antibiotics, while more severe cases may require surgery like laparoscopy or salpingectomy (removal of fallopian tubes).

1. PELVIC INFLAMMATORY
DISEASE
BY
MR.RAVISHANKAR
NURSING TUTOR
OJASWINI NURSING COLLEGE, SAGAR

2. INTRODUCTION:-
An infection of the female reproductive organs. It usually
occurs when sexually transmitted bacteria spread from the
vagina to the womb (uterus), fallopian tubes or ovaries

3. DEFINITION:-
“Pelvic inflammatory disease (PID) is an infection of the female
reproductive organs. It most often occurs when sexually
transmitted bacteria spread from your vagina to your uterus,
fallopian tubes or ovaries”

4. CAUSES & RISK FACTOR:-
Sexual transmitted disease.
Bacterial infection. Eg. Gonorrhoea.
Herpes simplex virus-2
Gram negative rodes.
Previous history.
 teenage girls
More than one sex partner.
IUD

5. PATHOPHYSIOLOGY:-
Due to etiological factor
Organism enter into the body through the vagina
Inflammation of the cervix
Endometritis(inflammation and infection of the uterus)
Salpingitis(inflammation of the fallopian tube)
oophoritis (Inflammation of ovaries)
PID

6. CLINICAL MANIFESTATION:-
Vaginal discharge
Lower abdominal pelvic pain
Irregular menstrual cycle
Dyspareunia (painful intercourse)
Lower abdominal tenderness
Malaise
Anorexia

7. DIAGNOSTIC EVALUATION:-
Ultrasound
Laparoscopy
CT Scan
MRI
Endometrial biopsy

8. MANAGEMENT:-
Medical management:-
Antibiotics medicines , E.g. ofloxacin, tetracycline etc.

9. SURGICAL MANAGEMENT
•Laparoscopy– blocked or damaged tube can be repaired
during a laparoscopy. (visualization)
• Salpingectomy:- removal of fallopian tubes.

10. NURSING MANAGEMENT:-