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Symptoms Of PID

By peace | June 13, 2006

Pelvic inflammatory disease (PID) is a general term that refers to infection of the uterus (womb), fallopian tubes (tubes that carry eggs from the ovaries to the uterus) and other reproductive organs. It is a common and serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhea. PID can damage the fallopian tubes and tissues in and near the uterus and ovaries. Untreated PID can lead to serious consequences including infertility, ectopic pregnancy (a pregnancy in the fallopian tube or elsewhere outside of the womb), abscess formation, and chronic pelvic pain.

Symptoms of PID vary from none to severe. When PID is caused by chlamydial infection, a woman may experience mild symptoms or no symptoms at all, while serious damage is being done to her reproductive organs. Because of vague symptoms, PID goes unrecognized by women and their health care providers about two thirds of the time. Women who have symptoms of PID most commonly have lower abdominal pain. Other signs and symptoms include fever, unusual vaginal discharge that may have a foul odor, painful intercourse, painful urination, irregular menstrual bleeding, and pain in the right upper abdomen (rare).

Even if you have PID, you might not have symptoms. If you do have symptoms, they could be severe. The most common symptom of PID is pain in your lower abdomen. Other symptoms that you may or may not have include

Sometimes PID occurs suddenly with extreme pain and fever, especially if it is caused by gonorrhea.

Although scientists have learned much about the biology of the microbes that cause PID and the ways in which they damage the body, they still have much to learn. Scientists supported by the National Institute of Allergy and Infectious Diseases (NIAID) are studying the effects of antibiotics, hormones, and substances that boost the immune system. These studies may lead to insights about how to prevent infertility and other complications of PID.

Scientists are developing rapid, inexpensive, and easy-to-use diagnostic tests to detect chlamydia and gonorrhea. A study conducted by NIAID-funded researchers demonstrated that screening and treating women who did not know they had chlamydia reduced cases of PID by more than half. Researchers also are developing topical microbicides and vaccines that prevent gonorrhea and chlamydia. Others are investigating whether other microbes such as Mycoplasma genitalium cause PID and are developing diagnostic tests and treatments for this infection. Meanwhile, researchers continue to search for better ways to detect PID itself, particularly in women who have PID without symptoms.

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