This document defines pelvic inflammatory disease (PID) and discusses its causes, risk factors, clinical presentation, diagnosis, management, and prevention. PID is caused by bacteria like Neisseria gonorrhoeae and Chlamydia trachomatis spreading from the vagina or cervix into the female reproductive organs. It presents with symptoms like lower abdominal pain and can lead to long-term complications if not treated properly with antibiotics. Prevention through screening, treatment of sexually transmitted infections, and partner notification is important to reduce the burden of PID.

1. Dr Raishem Ali
Associate
professor
OBGYN
PUMHS

2. OBJECTI
VES
•DEFINATION
•BURDEN OF PID
•IMPACT OF PID
•RISK FACTORS
•CLINICAL
PRESENTATION
•ORGANISM
•DIFFERENTIAL
DIAGNOSIS
•DIAGNOSIS
•MANAGEMENT
•FOLLOW UP
•CONCLUSION

3. DEFINATION

4. Pelvic
inflammatory
disease
•Burden of disease
•Impact of disease

5. Pelvic inflammatory disease
•Patient at risk
•Behavioral & socioeconomic
•At risk of STI
•Immunocompromised
•Association with bacterial
vaginosis

6. Pelvic
inflammatory
disease
Organism
involved
•Poly microbial
•Neisseria
gonorrhoea
•Chlamydia
tracomatis
•Mycoplasmageni
• Actinomyces
• Mycobacterium tuberculosis
• Viruses
Herpes simplex
Coxackie
Respiratory syncytial virus

7. Pelvic
inflammatory
disease
• Clinical
presentation
• Symptoms

8. Pelvic
inflammatory
disease
•Clinical
presentation
•Signs

9. Pelvic
inflammatory
disease
•Investigation
s
Biochemistry
Imaging
Ultrasound
Laparoscopy
HVS/ Endocervical swabs

10. Pelvic
inflammatory
disease
Laparoscopy

11. PID

12. Pelvic
inflammatory
disease
Diagnosis
• Hx
• Clinical
examination
• Investigation

13. Pelvic inflammatory disease
Essential features
Supporting features
LAP
Adnexal
tenderness
Cevical
motion
tenderness
• IMB
• PCB
• Discharge
• D. dyspareunia
• Fever
• Nausea/vomiting
• RUQ pain
• Generalized peritonitis

14. inflammatory
disease
Differential
diagnois
Ectopic
pregnancy
Ovarian cyst
rupture/torsion
IBS IBD
UTI Bowel torsion
Psychosomatic
pain

15. Pelvic
inflamma
tory
disease

16. Antibiotic therapy oral
1. Ofloxacin 400
metronidazole 400
BD
2. Moxifloxacin
400MG OD
3. Inj ceftriaxone
500 g I.M +
Doxycycline +
metronidazole

17. Antibiotic therapy parental
1.
I/V Ceftriaxone 2Gm + Doxycycline + metronidazole Doxycycline + metronidazole
2. clindamycin + gentamycin Doxycycline + metronidazole.
3. ofloxacin + metronidazole ofloxacin + metronidazole

18. Role of surgery
Transvaginal drainage
Laparoscopy
Laparotomy

19. Pelvic
inflammat
ory
disease
• Follow up
• A test of cure after Neisseria 2
weeks
• After mycoplasma 4 weeks apart

20. Pelvic
inflammat
ory
disease
Conclusio
n
Prevention of PID
Early diagnosis & treatment
(empirical) can save sequels
Contact tracing is
mandatory