Pelvic Inflammatory Disease

Pelvic inflammatory disease (salpingitis, PID, pelvic inflammatory disease) is an inflammation of the fallopian tubes (the liaison between the ovaries) in the uterus.

Inflammation of the fallopian tubes occurs primarily in women who are sexually active.
The risk is mainly among women with a spiral.

The second attack Bisasanya inflammation of the fallopian tubes.
The infection can lead to the abdominal cavity and peritonitis.

Cause

The inflammation is usually caused by a bacterial infection bacteria in the vagina and go in the uterus and fallopian tubes.
PID is 90-95% of cases caused by bacteria that also causes the appearance of sexually transmitted diseases (such as chlamydia, gonorrhea, mycoplasma, staphylococci, streptococci).

These infections rarely occur before the first cycle, after menopause or during pregnancy.
The main transmission through sexual contact, but the bacteria, the body after gynecological content (eg, installation of spirals, birth, miscarriage, abortion, and endometrial biopsy in force).

Other causes are less common:
- Aktinomikosis (bacterial)
- Skistosomiasis (parasitic infection)
- TB
- Inkjet special X-ray-ray examination.

Risk factors of EPI:
- Sexual activity during adolescence
- Sex partners Going
Ever had PID #
- The risk of sexually transmitted infections
- The use of contraception is not an obstacle.

Symptoms

Symptoms usually occur immediately after the menstrual cycle.
The patient had abdominal pain worsened and was accompanied by nausea or vomiting.

In general, the infection block the fallopian tubes. Can swollen and clogged pipes filled with liquid. Therefore, may present with chronic pain, irregular bleeding and periods of infertility.
The infection can affect the surrounding structures, reducing the formation of fibrous scar tissue and abnormal perlengketan between abdominal organs and cause chronic pain.

In May tube, ovary or pelvis is an abscess (pus).
If the explosions and the abscess of pus in the pelvis, the symptoms worsen and the patient may suffer a shock.
Of the possible spread of infection in the bloodstream causing sepsis.

Other symptoms may be found in the PID:
- Of the vaginal fluid color, texture and smell of the abnormal
- Fever
- The irregular menstrual bleeding or spotting (red dots in underwear
- A cause of menstrual disorders
- The pain during intercourse
- Bleeding after intercourse
- Back
- Fatigue
- Decreased appetite
- Frequent urination
- Pain when urinating.

Diagnosis

Diagnosis is based on symptoms and physical findings.
Played touch the abdominal and pelvic area.

Other tests routinely performed:
- Complete blood test
- Test cervical fluid
- Kuldosentesis
- Laparoscopy
- Pelvic USG.

TREATMENT

PID without complications can be treated with antibiotics and patients should not be treated.

In the case of complications or the spread of infection, the patient should be hospitalized.
Antibiotics, intravenously (administered through the blood vessels) and is administered orally) (through the mouth.
If no response to antibiotic treatment, surgery may be performed.
The patient’s sexual partner should also undergo the same treatment and during treatment if you have no relationship, couples should use condoms to patients.